Sved Williams Anne E
Medical Unit Head, Helen Mayo House, Women's and Children's Health Network, Adelaide, SA, and; Clinical Senior Lecturer, University of Adelaide, Adelaide, SA, Australia.
Australas Psychiatry. 2017 Jun;25(3):274-276. doi: 10.1177/1039856217700761. Epub 2017 Apr 27.
Australia has been at the forefront of appropriate early intervention. Prevention of mental illness in infants by early identification and intervention in the mental health of their mothers has stalled since the cessation of funding through the National Perinatal Depression Initiative (NPDI, 2009-2015). Whilst screening for maternal mental illness has been widely implemented throughout Australia during the last two decades, services are now diminishing and great opportunities to ride the crest of a wave for appropriate mental illness intervention are receding. Reviews of history and interventions internationally may help guide future directions.
Advocacy through across-agency and across-political-party support has been markedly successful for perinatal and infant mental health in the United Kingdom. A solid foundation exists in Australia. Australian psychiatrists have the ability to continue to change the face of prevention and early intervention.
澳大利亚一直处于适当早期干预的前沿。自通过国家围产期抑郁症倡议(NPDI,2009 - 2015年)提供的资金停止以来,通过早期识别和干预母亲的心理健康来预防婴儿精神疾病的工作陷入停滞。在过去二十年中,虽然澳大利亚各地广泛开展了孕产妇精神疾病筛查,但现在服务正在减少,抓住适当精神疾病干预浪潮的绝佳机会正在消退。对国际上的历史和干预措施进行回顾可能有助于指导未来的方向。
在英国,通过跨机构和跨政党支持进行的宣传在围产期和婴儿心理健康方面取得了显著成功。澳大利亚有坚实的基础。澳大利亚的精神科医生有能力继续改变预防和早期干预的面貌。