Pierce Shayna K, Reynolds Kristin A, Jakobson Lorna S, Ricci M Florencia, Roos Leslie E
Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
Department of Psychiatry, University of Manitoba, Winnipeg, MB R3E 3N4, Canada.
Children (Basel). 2023 Jul 6;10(7):1174. doi: 10.3390/children10071174.
Parental mental health services in neonatal follow-up programs (NFUPs) are lacking though needed. This study aimed to determine (1) the unmet mental health needs of parents and (2) the parent and provider perspectives on barriers and opportunities to increase mental health service access. : Parents in a central Canadian NFUP ( = 49) completed a mixed-method online survey (analyzed descriptively and by content analysis) to elucidate their mental health, related service use, barriers to service use, and service preferences. : Virtual focus groups with NFUP service providers ( = 5) were run to inform service improvements (analyzed by reflexive thematic analysis). The results show that parents endorsed a 2-4 times higher prevalence of clinically significant depression (59.2%), anxiety (51.0%), and PTSD (26.5%) than the general postpartum population. Most parents were not using mental health services (55.1%) due to resource insecurity among parents (e.g., time, cost) and the organization (e.g., staffing, training, referrals). Consolidating parents' and service providers' perspectives revealed four opportunities for service improvements: bridging services, mental health screening, online psychoeducation, and peer support. Findings clarify how a central Canadian NFUP can address parental mental health in ways that are desired by parents and feasible for service providers.
新生儿随访项目（NFUPs）中的家长心理健康服务虽有必要但却匮乏。本研究旨在确定：（1）家长未得到满足的心理健康需求；（2）家长和服务提供者对增加心理健康服务可及性的障碍和机会的看法。方法：加拿大中部一个新生儿随访项目中的49位家长完成了一项混合方法在线调查（采用描述性分析和内容分析法），以阐明他们的心理健康状况、相关服务使用情况、服务使用障碍及服务偏好。对5位新生儿随访项目服务提供者进行了虚拟焦点小组访谈，为服务改进提供信息（采用反思性主题分析法）。结果显示，家长认可临床显著抑郁（59.2%）、焦虑（51.0%）和创伤后应激障碍（26.5%）的患病率比一般产后人群高2至4倍。大多数家长（55.1%）未使用心理健康服务，原因在于家长方面的资源不安全因素（如时间、成本）以及机构方面的因素（如人员配备、培训、转诊）。综合家长和服务提供者的看法揭示了服务改进的四个机会：衔接服务、心理健康筛查、在线心理教育和同伴支持。研究结果阐明了加拿大中部一个新生儿随访项目如何以家长期望且服务提供者可行的方式解决家长心理健康问题。
