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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Perinatal mental health service provision in Switzerland and the UK
Authors: Amiel Castro, Rita T.
Schröder, Katrin
Pinard, Claudia
Blöchlinger, Patricia
Künzli, Hansjörg
Riecher-Rössler, Anita
Kammerer, Martin
DOI: 10.21256/zhaw-4328
Published in: Swiss Medical Weekly
Volume(Issue): 145
Issue: 14011
Page(s): 1
Pages to: 9
Issue Date: 21-Feb-2015
Publisher / Ed. Institution: EMH Schweizerischer Ärzteverlag
ISSN: 1424-7860
Language: English
Subjects: Perinatal; Mental health; Service provision; Guidelines; Mother-baby units
Subject (DDC): 158: Applied psychology
361: Social work and welfare
618: Gynecology, obstetrics and midwifery
Abstract: 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.
Fulltext version: Published version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: Applied Psychology
Organisational Unit: Psychological Institute (PI)
Appears in collections:Publikationen Angewandte Psychologie

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Amiel Castro, R. T., Schröder, K., Pinard, C., Blöchlinger, P., Künzli, H., Riecher-Rössler, A., & Kammerer, M. (2015). Perinatal mental health service provision in Switzerland and the UK. Swiss Medical Weekly, 145(14011), 1–9.
Amiel Castro, R.T. et al. (2015) ‘Perinatal mental health service provision in Switzerland and the UK’, Swiss Medical Weekly, 145(14011), pp. 1–9. Available at:
R. T. Amiel Castro et al., “Perinatal mental health service provision in Switzerland and the UK,” Swiss Medical Weekly, vol. 145, no. 14011, pp. 1–9, Feb. 2015, doi: 10.21256/zhaw-4328.
AMIEL CASTRO, Rita T., Katrin SCHRÖDER, Claudia PINARD, Patricia BLÖCHLINGER, Hansjörg KÜNZLI, Anita RIECHER-RÖSSLER und Martin KAMMERER, 2015. Perinatal mental health service provision in Switzerland and the UK. Swiss Medical Weekly [online]. 21 Februar 2015. Bd. 145, Nr. 14011, S. 1–9. DOI 10.21256/zhaw-4328. Verfügbar unter:
Amiel Castro, Rita T., Katrin Schröder, Claudia Pinard, Patricia Blöchlinger, Hansjörg Künzli, Anita Riecher-Rössler, and Martin Kammerer. 2015. “Perinatal Mental Health Service Provision in Switzerland and the UK.” Swiss Medical Weekly 145 (14011): 1–9.
Amiel Castro, Rita T., et al. “Perinatal Mental Health Service Provision in Switzerland and the UK.” Swiss Medical Weekly, vol. 145, no. 14011, Feb. 2015, pp. 1–9,

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