Perinatal Mental Health Service, Metro South District Health Service, Brisbane, Queensland, Australia.
Int J Ment Health Nurs. 2012 Feb;21(1):75-81. doi: 10.1111/j.1447-0349.2011.00766.x. Epub 2011 Sep 5.
In Australia, perinatal mental illness is common, although poorly identified and treated. Improved perinatal mental health depends on service provision models that reflect a focus on promotion, prevention, and early intervention, while facilitating improved referral pathways between primary health and specialist mental health services. In 2008, a contemporary community-based model of mental health service provision was developed as an alternative to the pre-existing hospital-based service model. The model is delivered primarily by mental health nurses using a consultation liaison framework. It provides for specialist mental health assessment and brief intervention in collaboration with the general practitioner, who remains the primary health provider. It also aims to raise community awareness and build capacity for the management of perinatal disorders in the primary care sector. Evaluation of the clinical effectiveness of the model, and the improvement in access for primary health providers and women, was conducted at 2 years from its implementation. Clinical effectiveness was evaluated by using comparative data from the Edinburgh Depression Scale and Depression Anxiety and Stress Scale, and the results demonstrated clinical efficacy. Improved attendance rates indicated that women preferred this community-based service model as an alternative to the pre-existing service model.
在澳大利亚，围产期精神疾病较为常见，但识别和治疗率均较低。改善围产期心理健康状况取决于服务提供模式，这些模式反映了对促进、预防和早期干预的关注，同时也便于改善初级保健和专科精神卫生服务之间的转介途径。2008 年，作为对现有基于医院的服务模式的替代，开发了一种现代社区为基础的精神卫生服务提供模式。该模式主要由精神卫生护士利用咨询联络框架提供。它提供了与全科医生合作进行的专科精神健康评估和简要干预，而全科医生仍然是主要的保健提供者。它还旨在提高社区对围产期疾病管理的认识和能力，在初级保健部门。在实施该模式两年后，对其临床效果以及对初级保健提供者和妇女的服务改善情况进行了评估。通过使用爱丁堡抑郁量表和抑郁焦虑和压力量表的比较数据来评估临床效果，结果表明该模式具有临床疗效。就诊率的提高表明，妇女更喜欢这种以社区为基础的服务模式，而不是现有的服务模式。
