Driver Myisha, Mikhail Sandra, Carson Melissa C, Lakatos Patricia P, Matic Tamara, Chin Steven, Williams Marian E
USC University Center for Excellence in Developmental Disabilities (Drs Driver, Mikhail, and Matic) and Fetal and Neonatal Institute, Division of Neonatology (Dr Chin), Children's Hospital Los Angeles, Los Angeles, California; and Department of Pediatrics, Keck School of Medicine of University of Southern California, Los Angeles (Drs Carson, Lakatos, Williams, and Chin).
J Perinat Neonatal Nurs. 2021;35(1):68-78. doi: 10.1097/JPN.0000000000000545.
Parents and infants in the neonatal intensive care unit (NICU) are exposed to considerable stress, and infant-family mental health (IFMH) services foster emotional well-being in the context of the parent-infant relationship. This mixed-methods study examined the role of an IFMH program introduced in a level 4 NICU. The study included (1) retrospective medical record review of NICU patients who were referred to the IFMH program and (2) qualitative interviews with NICU nurse managers, neonatologists, and medical social workers to explore their understanding of the IFMH program, explore the referral pathways and factors that supported family engagement, and identify specific recommendations for program improvement. Of the 311 infant-parent dyads referred to the IFMH program, 62% had at least one session and Spanish-speaking families were more likely to engage. Of those families receiving services, about one-third had brief intervention, one-third had 4 to 10 sessions, and one-third had long-term services, including in-home after-discharge services. Qualitative interviews with health providers identified unique qualities of the IFMH program and why families were and were not referred to the program. Recommendations centered on adding a full-time IFMH mental health provider to the NICU and increasing communication and integration between the IFMH program and the medical team.
新生儿重症监护病房（NICU）中的父母和婴儿面临着巨大的压力，而婴儿-家庭心理健康（IFMH）服务在亲子关系的背景下促进情感幸福。这项混合方法研究考察了在一家四级NICU引入的IFMH项目的作用。该研究包括：（1）对被转介到IFMH项目的NICU患者进行回顾性病历审查，以及（2）对NICU护士经理、新生儿科医生和医务社会工作者进行定性访谈，以探讨他们对IFMH项目的理解，探究转介途径以及支持家庭参与的因素，并确定项目改进的具体建议。在被转介到IFMH项目的311对婴儿-父母二元组中，62%至少参加了一次治疗，说西班牙语的家庭更有可能参与。在那些接受服务的家庭中，约三分之一接受了简短干预，三分之一接受了4至10次治疗，三分之一接受了长期服务，包括出院后的上门服务。对医疗服务提供者的定性访谈确定了IFMH项目的独特品质以及家庭被转介和未被转介到该项目的原因。建议集中在为NICU增加一名全职IFMH心理健康服务提供者，以及加强IFMH项目与医疗团队之间的沟通与整合。
