Preconception
Preconception
Delivery of Integrated care.
The following pathway should not be read as stand-alone and MUST be read in conjunction with Section 3: Pathways.
Delivery of Integrated care.
Death of baby
Support for existing family.
Appropriate management and support provision to the family.
Discussion of future pregnancies support could be provided by:
Refer to Adult Mental Health Services, 3rd sector organisations, refer to Mental Health Link worker., Perinatal Mental Health Services. CRUISE for bereavement.
Support for existing family.
Additional support for mother and family.
Refer to specialist support/bereavement group.
Ongoing support for mother and family, appropriate referral to mental health services if required.
All services and corresponding rationale as for Universal with additional as detailed in this section for universal partnership plus.
Refer to Adult Mental Health Services, 3rd sector organisations, refer to Mental Health Link worker., Perinatal Mental Health Services.
CRUISE for bereavement.
Liaison, information sharing, risk assessment, communicating with partner agencies.
Liaise with CAF/TAC/CP/CIN service providers.
Liaise with Named Nurse Safeguarding re Social Care involvement especially if non-engaging.
Peri-natal Mental Health Services, Health Visiting led. CRUISE for bereavement.
Physical care of the mother.
Additional postnatal visits as required to 28 days.
Unwell Mother (physical) - Referral to Consultant - Requires enhanced services.
For what?
Regular appointments / home visits for Treatment, support, appropriate referral and provide parental support.
Protection for specific client groups.
All services and corresponding rationale as for Universal with additional as detailed in this section for universal partnership plus.
Provision of appropriate multidisciplinary care pathways.
Refer where appropriate to Adult Mental Health Services, 3rd sector organisations, Peri-natal Mental Health Services. CRUISE for bereavement.
Immediate access to Perinatal Psychiatrist e.g. mental health emergency - Puerperal Psychosis.
Consultation with specialist PIMH service.
May require access to a Mother and Baby Unit.
Detailed discussion regarding attachment and attribution, transition to parenthood, encourage family involvement and support.
Referral to TAC via CAF and involving Social Care if required.
Participate /liaise with CAF/TAC service providers.
Liaise with Named Nurse Safeguarding re Social Care involvement especially if non-engaging.
Refer where appropriate to Adult Mental Health Services, 3rd sector organisations, Peri-natal Mental Health Services, CRUISE for bereavement.
Provision of appropriate care pathways.
Unwell Mother (physical) - Referral to Consultant - Requires enhanced services.
For what?
Regular appointments / home visits for Treatment, support, appropriate referral and provide parental support.
Additional Visits
Enhanced partnership working, with possible referral to TAC via CAF and involvement of Children’s Social Care Services if required.
Referral of one or both parents to specialist mental health service. Health Visitor team to contribute to care package led by specialist service.
Refer where appropriate to:
Health Visitor led targeted interventions which focus on attachment and attribution, transition to parenthood and the need for family involvement and support.
Early identification and treatment of mental health/wellbeing symptoms.
Refer to Adult Mental Health Services, 3rd sector organisations, Peri-natal Mental Health Services, CRUISE for bereavement.
Direct access to mental health services psychology therapy for those with previous mental health history if identified as necessary.
Infant mental health intervention to support mother/ baby relationship.
Assessment of (e.g. CARE Index) and promotion of (e.g. parent-infant psychotherapy) the parent-infant relationship.
Detailed discussion regarding attachment and attribution, development needs of an older infant and encourage family, community involvement and support.
Promotion of attachment through individual and group interventions e.g. Circle of Security Parenting Group / Mellow Parenting.
Referral to TAC via CAF and involving Social Care if required.
Liaise with CAF/TAC service providers.
Liaise with Named Nurse Safeguarding re Social Care involvement especially if non-engaging or parental inability to meet infants emotional needs.
Refer to Adult Mental Health Services, 3rd sector organisations, Peri-natal Mental Health Services, CRUISE for bereavement.
Core Purpose 2, 3
To contribute to the therapeutic service delivery for the mother.
Promote health, wellbeing and positive mental health of parents and baby.
Promote parenting skills.
Promote access for hard to reach families.
Reduce risk of/actual child abuse/neglect practices/competency.
Groups held in Children’s Centre’s working in partnership with HV, mental health team and other health care professionals, specialist services, voluntary services e.g. Women’s Aid where applicable.
Family Support Worker provision.
Reports: TAF/TAC, CIN, LAC, Safeguarding, child protection.
Emotional health assessment.
Provision of appropriate care management.
Contribute/participate in the CAF/TAC, CIN service provision.
Contribute to a CAF and form part of the team of relevant professionals/agencies needed to support the mother/family e.g.:
Provision of appropriate multidisciplinary care pathways.
Referral of one or both parents to specialist mental health/perinatal mental health service. Health Visitor team to contribute to care package led by specialist service.
Specialist services available for support/advice at universal/universal plus levels.
Joined-up multi-agency working delivering high impact evidence based practice with mental health, children’s services.
CAF - Multi-agency support with a focus on improving mental health and parent/ child relationships.
Consider regional based service comprising universal and specialist services.
Refer where appropriate to:
Specific observational training of the mother and child (Hackney Model) for e.g. VIG.
Delivery of more intensive parenting programmes e.g. Mellow parenting.
Referral of one or both parents to specialist mental health/perinatal mental health service.
GP to contribute to care package led by specialist service.
Core Purpose 2, 3
To contribute to the therapeutic service delivery for the mother.
Promote health, wellbeing and positive mental health of parents and baby.
Promote parenting skills.
Promote access for hard to reach families.
Reduce risk of/actual child abuse/neglect practices/competency.
Family Support Worker provision.
Groups held in Children’s Centre’s working in partnership with HV, mental health team and other health care professionals, specialist services, voluntary services e.g. Women’s Aid where applicable.
Family Support Worker provision.
Participate /liaise with CAF/TAC service providers.
Detailed liaison with School Nursing Service.
As detailed above plus:
Detailed handover regarding the child and family to the School Nursing service; documented in child health record.