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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
Published in : Swiss Medical Weekly
Volume(Issue) : 145
Issue : 14011
Pages : 1
Pages to: 9
Publisher / Ed. Institution : EMH Schweizerischer Ärzteverlag
Issue Date: 21-Feb-2015
License (according to publishing contract) : CC BY-NC-ND 4.0: Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International
Type of review: Peer review (Publication)
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.
Departement: Angewandte Psychologie
Organisational Unit: Psychological Institute (PI)
Publication type: Article in scientific Journal
DOI : 10.21256/zhaw-4328
ISSN: 1424-7860
Appears in Collections:Publikationen Angewandte Psychologie

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