Zechmeister-Koss I, Hörtnagl C, Lampe Astrid, Paul J L
Austrian Institute for Health Technology Assessment GmbH, Garnisongasse 7/20, 1090, Vienna, Austria.
Department for Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
Neuropsychiatr. 2025 Mar;39(1):11-19. doi: 10.1007/s40211-024-00516-0. Epub 2024 Dec 30.
Perinatal mental illness (PMI) is one of the major health problems during pregnancy and one year after birth (the perinatal period), with robust evidence of its potentially detrimental effects on the parent's and child's health. Many countries have prioritised perinatal and infant mental health care (PIMHC). In Austria, it is currently unknown how many services are available in which region. The paper aims to map the current PIMHC landscape.
Using publicly accessible sources, such as health reports or organisation websites and supplementary information from experts, we collected data on eight characteristics of services to prevent, early identify, treat or support parents with a PMI. We extracted the information into tables, narratively summarised the results and presented a geographical visualisation of service availability.
While there is currently no standardised nationwide systematic screening for PMI in place, there are a variety of services to support and treat parents with a PMI of different severity in Austria. However, there are large regional variations and gaps in care, particularly regarding specialised PIMHC and trained staff, leading to unequal access. PIMHC primarily addresses mothers and involves many, mostly public, providers and funding sources.
There is an urgent need to reduce the regional disparities regarding specialised PIMHC, ensuring adequate referrals and treatment and reducing inequalities in access to care. The results also call for a national strategy and defined political, administrative and service provider responsibilities based on international evidence-based recommendations. Investing in the training of staff and defined care pathways seems warranted.
围产期精神疾病（PMI）是孕期及产后一年（围产期）的主要健康问题之一，有充分证据表明其对父母和孩子的健康可能产生有害影响。许多国家已将围产期和婴幼儿精神卫生保健（PIMHC）列为优先事项。在奥地利，目前尚不清楚各地区有多少此类服务。本文旨在描绘当前PIMHC的状况。
我们利用公开可用的资源，如健康报告或组织网站，以及专家提供的补充信息，收集了有关预防、早期识别、治疗或支持患有PMI的父母的服务的八个特征的数据。我们将信息提取到表格中，对结果进行叙述性总结，并呈现了服务可及性的地理可视化。
虽然目前奥地利尚未在全国范围内对PMI进行标准化的系统筛查，但有多种服务可用于支持和治疗患有不同严重程度PMI的父母。然而，在护理方面存在很大的地区差异和差距，特别是在专门的PIMHC和训练有素的工作人员方面，导致获得服务的机会不平等。PIMHC主要针对母亲，涉及许多提供者和资金来源，其中大部分是公共机构。
迫切需要减少在专门的PIMHC方面的地区差异，确保适当的转诊和治疗，并减少获得护理方面的不平等。研究结果还呼吁制定一项国家战略，并根据国际循证建议明确政治、行政和服务提供者的责任。投资于工作人员培训和明确的护理路径似乎是有必要的。
