TY - JOUR
AU - C. Ou
AU - Z. Daly
AU - M. Carter
AU - W. A. Hall
AU - E. Z. Zusman
AU - A. Russolillo
AU - S. Duffy
AU - E. Jenkins
A1 - 
AB - Perinatal mental illness is an important public health issue, with one in five birthing persons experiencing clinically significant symptoms of anxiety and/or depression during pregnancy or the postpartum period. The purpose of this study was to develop a consensus-based model of integrated perinatal mental health care to enhance service delivery and improve parent and family outcomes. We conducted a three-round Delphi study using online surveys to reach consensus (≥75% agreement) on key domains and indicators of integrated perinatal mental health care. We invited modifications to indicators and domains during each round and shared a summary of results with participants following rounds one and two. Descriptive statistics were generated for quantitative data and a thematic analysis of qualitative data was undertaken. Study participants included professional experts in perinatal mental health (e.g., clinicians, researchers) (n = 36) and people with lived experience of perinatal mental illness within the past 5 years from across Canada (e.g., patients, family members) (n = 11). Consensus was reached and all nine domains of the proposed model for integrated perinatal mental health care were retained. Qualitative results informed the modification of indicators and development of an additional domain and indicators capturing the need for antiracist, culturally safe care. The development of an integrated model of perinatal mental health benefitted from diverse expertise to guide the focus of included domains and indicators. Engaging in a consensus-building process helps to create the conditions for change within health services.
AD - School of Nursing, University of Victoria, Victoria, Canada.; School of Nursing, University of British Columbia, Vancouver, Canada.; Wellstream: The Canadian Centre for Innovation in Child and Youth Mental Health and Substance Use, Vancouver, Canada.; St. Paul's Hospital, Providence Healthcare, Vancouver, Canada.; Department of Obstetrics & Gynaecology, University of British Columbia, Vancouver, BC, Canada.; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.; Pacific Post Partum Support Society, Burnaby, BC, Canada.
AN - 38722862
BT - PLoS One
C5 - Healthcare Disparities; Education & Workforce
CP - 5
DO - 10.1371/journal.pone.0303012
DP - NLM
ET - 20240509
IS - 5
JF - PLoS One
LA - eng
N2 - Perinatal mental illness is an important public health issue, with one in five birthing persons experiencing clinically significant symptoms of anxiety and/or depression during pregnancy or the postpartum period. The purpose of this study was to develop a consensus-based model of integrated perinatal mental health care to enhance service delivery and improve parent and family outcomes. We conducted a three-round Delphi study using online surveys to reach consensus (≥75% agreement) on key domains and indicators of integrated perinatal mental health care. We invited modifications to indicators and domains during each round and shared a summary of results with participants following rounds one and two. Descriptive statistics were generated for quantitative data and a thematic analysis of qualitative data was undertaken. Study participants included professional experts in perinatal mental health (e.g., clinicians, researchers) (n = 36) and people with lived experience of perinatal mental illness within the past 5 years from across Canada (e.g., patients, family members) (n = 11). Consensus was reached and all nine domains of the proposed model for integrated perinatal mental health care were retained. Qualitative results informed the modification of indicators and development of an additional domain and indicators capturing the need for antiracist, culturally safe care. The development of an integrated model of perinatal mental health benefitted from diverse expertise to guide the focus of included domains and indicators. Engaging in a consensus-building process helps to create the conditions for change within health services.
PY - 2024
SN - 1932-6203
SP - e0303012
ST - Developing consensus to enhance perinatal mental health through a model of integrated care: Delphi study
T1 - Developing consensus to enhance perinatal mental health through a model of integrated care: Delphi study
T2 - PLoS One
TI - Developing consensus to enhance perinatal mental health through a model of integrated care: Delphi study
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1371/journal.pone.0303012
VL - 19
VO - 1932-6203
Y1 - 2024
ER -