Hornstein Christiane, Trautmann-Villalba Patricia, Wild Elke, Baranski Natalie, Wunderlich Regina, Schwarz Markus
Psychiatrisches Zentrum Nordbaden, Klinik für Allgemeinpsychiatrie, Psychotherapie und Psychosomatik 1, Mutter-Kind Behandlung (Station 43), Wiesloch.
Prax Kinderpsychol Kinderpsychiatr. 2010;59(9):704-15. doi: 10.13109/prkk.2010.59.9.704.
Psychiatric disorder in pregnancy and after child birth as well as psychological distress are well known factors that put child wellbeing at risk. They are, however, often estimated as less frequent and less severe then they occur. Postpartum psychiatric disorder meets mothers of all social classes, they are highly stigmatized, therefore often disregarded and remain undetected. The affected mothers socially withdraw themselves due to feelings of shame, fear and guilt. They cut themselves off from psychiatric treatment and from support by child welfare institutions. The regional network "Hand in Hand" in the Rhine-Neckar-area consisting of psychiatrists, psychotherapists, gynaecologists, paediatricians, social workers and midwives uses and connects the resources available in public health and youth aid to support both the child wellbeing as well as the mental health of mothers. Our program begins by identifying risk factors for mothers' postpartum disorders and continues by increasing awareness with the previous named professional groups, so that they act promptly and offer treatment and support. The following paper describes our network activities emphasizing anti-stigma, instruction of professionals and intervention with affected families.
孕期及产后的精神障碍以及心理困扰是众所周知的会危及儿童福祉的因素。然而，它们实际发生时，往往被估计得频率更低、程度更轻。产后精神障碍在所有社会阶层的母亲中都有出现，这类障碍备受污名化，因此常常被忽视且未被察觉。受影响的母亲因羞耻、恐惧和内疚感而在社交上自我封闭。她们拒绝接受精神治疗，也不接受儿童福利机构的支持。莱茵 - 内卡地区的“携手共进”区域网络由精神科医生、心理治疗师、妇科医生、儿科医生、社会工作者和助产士组成，该网络利用并整合公共卫生和青少年援助方面的现有资源，以支持儿童福祉以及母亲的心理健康。我们的项目首先识别母亲产后障碍的风险因素，接着提高上述专业群体的认识，以便他们能迅速行动，提供治疗和支持。以下论文描述了我们网络的活动，重点是反污名化、专业人员培训以及对受影响家庭的干预。
