Perinatal mental health service provision in Switzerland and in the UK.

Amiel Castro, Rita T; Schroeder, Katrin; Pinard, Claudia; Blöchlinger Treier, Patricia; Künzli, Hansjörg; Riecher-Rössler, Anita; Kammerer, Martin (2015). Perinatal mental health service provision in Switzerland and in the UK. Swiss medical weekly, 145(w14011), w14011. EMH Schweizerischer Ärzteverlag 10.4414/smw.2015.14011

[img]
Preview
Text
stream_pdf_25701656.pdf - Published Version
Available under License Creative Commons: Attribution-Noncommercial-No Derivative Works (CC-BY-NC-ND).

Download (675kB) | Preview

QUESTIONS UNDER STUDY The epidemiology of maternal perinatal-psychiatric disorders as well as their effect on the baby is well recognised. Increasingly well researched specialised treatment methods can reduce maternal morbidity, positively affect mother-baby bonding and empower women's confidence as a mother. Here, we aimed to compare guidelines and the structure of perinatal-psychiatric service delivery in the United Kingdom and in Switzerland from the government's perspective. METHODS Swiss cantons provided information regarding guidelines and structure of service delivery in 2000. A subsequent survey using the same questionnaire was carried out in 2007. In the UK, similar information was accessed through published reports from 2000-2012. RESULTS Guidelines for perinatal psychiatry exist in the UK, whereas in Switzerland in 2000 none of the 26 cantons had guidelines, and in 2007 only one canton did. Joint mother-baby admissions on general psychiatric wards were offered by 92% of the Swiss cantons. In the UK, pregnant women and joint mother-baby admissions are only advised onto specialised perinatal-psychiatric units. In Switzerland, in 2007, three specialised units (max. 24 beds) were in place corresponding to 1 unit per 2.5 million people, while in the UK there were 22 mother-baby units (168 beds) in 2012 (1 unit per 2.8 million). In the UK, less than 50% of trusts provided specialised perinatal-psychiatric health care. CONCLUSIONS The main difference between the UK and Switzerland was the absence of guidelines, regular assessment and plans for future development of perinatal psychiatry in Switzerland. There are still geographical differences in the provision of perinatal-psychiatric services in the UK.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Blöchlinger Treier, Patricia

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1424-7860

Publisher:

EMH Schweizerischer Ärzteverlag

Language:

English

Submitter:

Monika Zehr

Date Deposited:

25 Feb 2016 11:24

Last Modified:

15 Jan 2017 02:05

Publisher DOI:

10.4414/smw.2015.14011

PubMed ID:

25701656

BORIS DOI:

10.7892/boris.77811

URI:

https://boris.unibe.ch/id/eprint/77811

Actions (login required)

Edit item Edit item
Provide Feedback