Page 15 Agenda Item 5 Perinatal Mental Wellbeing Report Sutton Health and Wellbeing Board 30 September 2019 1
Background, Development and Agenda Item 5 Implementation • Part of planned ‘Getting the best start in life’ project • Partly funded by Healthwatch Page 16 England • Worked with Sutton Perinatal and Infant Mental Health Early Help Network to develop the questions and methodology (MVP support too) • Paper and online • Partners included • £150 prize draw • 317 responses 2
Who completed the survey Page 17 Agenda Item 5 3
Information Agenda Item 5 Page 18 Combining those that hadn’t received any information and those that hadn’t received enough shows that 68.8% had an information deficit. 4
Main source of information This was a free-text question that has been put in to categories. Some respondents gave more than one main source so their first response has been used. Page 19 Only those that specifically said ‘none’ have been counted under ‘none’ (blanks were not included). Agenda Item 5 5
Help for partners Agenda Item 5 Page 20 6
Good Breastfeeding Dr to talk to Health Visitor, Sutton Uplift & Children's Centre They support worker and have a cry have been guiding me in the process to understand my also invaluable for feeling and how normal it is to feel the way I do. support or I would have given up I would feel breastfeeding Walking groups helped me to meet people and enjoy comfortable as I nature and all the remedial benefits of that. I had a know there are huge support network. I understand that many people willing Page 21 mental issues are to help. It’s just not a reason to feel having the courage If I was worried, I would want support to minimise ashamed, bad state to say something any impact on my baby. can go away quicker if we get right help The support given after birth was great Agenda Item 5 and I feel that my local health visitors Sutton Uplift - I was are very approachable that I would be More people talk offered 6 sessions of able to talk to them about getting help about it now, and telephone CBT and advice. it's not so secret 7
Not so good Agenda Item 5 I don’t really understand much When I went for my Online research is not helpful because about this - what is normal checks after giving it is not tailored to you personally. when you’re pregnant and birth no one really hormonal changes are taking checked how I was GP - did not think I had problems effect? feeling and more or less told me to go away Midwife at my post natal Page 22 I think I would have fallen check was very unhelpful and through the cracks. I had to be Midwives/GP don’t have enough said only that it was ‘normal’ persistent to get advice from a time to help unless you are in crisis to struggle didn’t feel able to health visitor and the gp did not open up past. I that. have time/the right expertise. I am a mental health A mum doesn’t really want to admit professional so would I asked for help and didn’t get they are finding it difficult when they find it awkward asking any: it’s hard to ask for help chose to have the baby in the first for help myself and I wouldn’t do so again as I place. You kind of think you should be didn’t get any help back. grateful and carry on as there are I would be worried people that can’t have children. about being judged that I am not coping 8
Barriers to access Page 23 Agenda Item 5 Respondents gave the following responses for ‘other’ barriers: • Lack of opportunities for private, sensitive discussions • Awareness that that’s what they’re suffering from • Lack of trust with some health visitors, life insurance exclusions • Embarrassment of not coping • Midwife not signposting support • Lack of belief that help exists/effective • Not being able to identify the symptoms • Lack of belief that I could be helped 9
Recommendations Agenda Item 5 Investigate ways to fill the information gaps for the 69% of respondents 1. who had either received insufficient or no information regarding perinatal mental health. Develop a campaign to a) help remove the stigma around perinatal mental 2. health b) reduce fears about social services intervention As people would like to access information online, put in place clear, 3. Page 24 practical support information in one place online and promote significantly to ensure this is the first place that local people visit for information (to include signposting to other trusted organisations). Look to further develop support for partners, using feedback from the 4. existing partners group that has already been established. Develop support/training for GPs and other relevant health professionals 5. to improve their understanding of perinatal mental, how to respond and where to access quality information. Carry out additional outreach/research to find out the views of ethnic 6. minorities who have not taken part in the survey. If necessary, develop specific tools to support these groups to access the information they need. 10
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