TY - JOUR
KW - Disease Management
KW - Female
KW - Humans
KW - Maternal Welfare/psychology
KW - Mental Disorders/diagnosis
KW - Mental Health Services
KW - Perinatal Care
KW - Pregnancy
AU - L. Laios
AU - I. Rio
AU - F. Judd
A1 - 
AB - OBJECTIVE: The objective of this article is to highlight the debate about universal routine screening and psychosocial assessment in the perinatal period, and suggest an alternative/additional approach to improving maternal perinatal mental illness. CONCLUSIONS: Universal routine screening and psychosocial assessment in the perinatal period has been introduced in Australia despite a lack of evidence that this affects perinatal maternal morbidity. Furthermore, this approach is not designed to detect maternal illnesses such as schizophrenia, bipolar disorder, borderline personality disorder, although it is these women and their infants who have the highest rates of morbidity and mortality. We propose that any approach to improving maternal perinatal mental health should be tailored to particular situations and populations, with mental health care (inclusive of all mental illness, not just depression) integrated into, and thus a routine aspect of, maternity care provided to all women throughout the perinatal period.
BT - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
C5 - General Literature
CP - 2
CY - England
DO - 10.1177/1039856212466432
IS - 2
JF - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
N2 - OBJECTIVE: The objective of this article is to highlight the debate about universal routine screening and psychosocial assessment in the perinatal period, and suggest an alternative/additional approach to improving maternal perinatal mental illness. CONCLUSIONS: Universal routine screening and psychosocial assessment in the perinatal period has been introduced in Australia despite a lack of evidence that this affects perinatal maternal morbidity. Furthermore, this approach is not designed to detect maternal illnesses such as schizophrenia, bipolar disorder, borderline personality disorder, although it is these women and their infants who have the highest rates of morbidity and mortality. We propose that any approach to improving maternal perinatal mental health should be tailored to particular situations and populations, with mental health care (inclusive of all mental illness, not just depression) integrated into, and thus a routine aspect of, maternity care provided to all women throughout the perinatal period.
PP - England
PY - 2013
SN - 1440-1665; 1039-8562
SP - 171
EP - 175
EP - 
T1 - Improving maternal perinatal mental health: integrated care for all women versus screening for depression
T2 - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
TI - Improving maternal perinatal mental health: integrated care for all women versus screening for depression
U1 - General Literature
U2 - 23426096
U3 - 10.1177/1039856212466432
VL - 21
VO - 1440-1665; 1039-8562
Y1 - 2013
ER -