Guest guest Posted July 15, 2001 Report Share Posted July 15, 2001 Jean check out the Unit at Reading University where they have done a lot of work on post natal depression. There was also some work done in the 1970 by a HV for her PhD on post natal depression which showed HVs were missing a lot of people but again it is not certain it was accurate. Researcher was Debbie Hennessey Margaret Postnatal Depression > A question posed by one of our Specialist Registrars in Public > Health which I do not have the answer to!!! > Has anyone carried out a population study on the use of EPDNS and > ascertained whether people identified on a high score would benefit > from further diagnosis and early clinical intervention before > symptoms become more florid? This must weighed against harm caused by > screening postive but yet found to have no significant mental > stress. He posed this question as he has been doing some > epidiomological work with SureStart and had come a cross an article > by Brid Hehir in Spiked Health which suggests that HVs are reported > to have missed 75% of cases of postnatal depression (Borrit J 1998 > Community Nurse - Detecting and preventing postnatal depression.) - > which also begs the question about definitons and thresholds, > screening tools and maternal perceptions. > Anyway a thought for today alongside encourageing MPs to sign their > names to an EDM! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 15, 2001 Report Share Posted July 15, 2001 Thanks Margaret - I will pass the message onto the SPR - he will be delighted. In message <006901c10d03$7694a2c0$8548893e@home>, Margaret Buttigieg <margaret@...> writes >Jean > >check out the Unit at Reading University where they have done a lot of work >on post natal depression. There was also some work done in the 1970 by a HV >for her PhD on post natal depression which showed HVs were missing a lot of >people but again it is not certain it was accurate. Researcher was Debbie >Hennessey > >Margaret > Postnatal Depression > > >> A question posed by one of our Specialist Registrars in Public >> Health which I do not have the answer to!!! >> Has anyone carried out a population study on the use of EPDNS and >> ascertained whether people identified on a high score would benefit >> from further diagnosis and early clinical intervention before >> symptoms become more florid? This must weighed against harm caused by >> screening postive but yet found to have no significant mental >> stress. He posed this question as he has been doing some >> epidiomological work with SureStart and had come a cross an article >> by Brid Hehir in Spiked Health which suggests that HVs are reported >> to have missed 75% of cases of postnatal depression (Borrit J 1998 >> Community Nurse - Detecting and preventing postnatal depression.) - >> which also begs the question about definitons and thresholds, >> screening tools and maternal perceptions. >> Anyway a thought for today alongside encourageing MPs to sign their >> names to an EDM! >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2001 Report Share Posted July 16, 2001 Dear I suspect Brid Hehir is quoting some of the work carried out in Camden and Islington before trying to implement a cross sector (midwifery, HV, pyschologists - all in different Trusts) approach to introducing EPDS i.e agreement who should be doing what and when . This was led by Fuggle and Kyra Hayden and and published by them in the Community Practitioner either 1999 or 2000 . Cant lay my hands on it at the present moment - but that was the sort of percentage change in identification of post natal depression before and after introduction of EPDS by a small group(maybe 10) of HVs working in the inner city with multiple general practices (ie aligned rather than attached or geographical) . A CINAHL search or PubMed search on their names would identify the exact reference. b/w Vari In @y..., jean@l... wrote: > A question posed by one of our Specialist Registrars in Public > Health which I do not have the answer to!!! > Has anyone carried out a population study on the use of EPDNS and > ascertained whether people identified on a high score would benefit > from further diagnosis and early clinical intervention before > symptoms become more florid? This must weighed against harm caused by > screening postive but yet found to have no significant mental > stress. He posed this question as he has been doing some > epidiomological work with SureStart and had come a cross an article > by Brid Hehir in Spiked Health which suggests that HVs are reported > to have missed 75% of cases of postnatal depression (Borrit J 1998 > Community Nurse - Detecting and preventing postnatal depression.) - > which also begs the question about definitons and thresholds, > screening tools and maternal perceptions. > Anyway a thought for today alongside encourageing MPs to sign their > names to an EDM! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2001 Report Share Posted July 16, 2001 just over four years ago, two health visitors in South Birmingham carried out a one year study using the EPDNS and found that where scores were high then increased HV interventions did lower scores. however, most of those they worked with were not diagnosed as having postnatal depression and their findings were that the EPDNS worked well as a tool to identify people with anxiety or who needed support. if you would like a copy of the project please get back to me Joy Notter Professor of Community Health Care Studies e-mail joy.notter@... Postnatal Depression A question posed by one of our Specialist Registrars in Public Health which I do not have the answer to!!! Has anyone carried out a population study on the use of EPDNS and ascertained whether people identified on a high score would benefit from further diagnosis and early clinical intervention before symptoms become more florid? This must weighed against harm caused by screening postive but yet found to have no significant mental stress. He posed this question as he has been doing some epidiomological work with SureStart and had come a cross an article by Brid Hehir in Spiked Health which suggests that HVs are reported to have missed 75% of cases of postnatal depression (Borrit J 1998 Community Nurse - Detecting and preventing postnatal depression.) - which also begs the question about definitons and thresholds, screening tools and maternal perceptions. Anyway a thought for today alongside encourageing MPs to sign their names to an EDM! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2001 Report Share Posted July 16, 2001 Joy, this confirms concerns I have about using the EPDS, what exactly does it detect. I have some recent references somewhere about the shortcomings of the EPDS if anybody is interested, in the meantime I would be very interested in the report you mention thanks Jane>>> joy.notter@... 16/7/2001 10:47:55 >>>just over four years ago, two health visitors in South Birmingham carriedout aone year study using the EPDNS and found that where scores were high thenincreased HV interventions did lower scores. however, most of those theyworked with were not diagnosed as having postnatal depression and theirfindings were that the EPDNS worked well as a tool to identify people withanxiety or who needed support. if you would like a copy of the projectplease get back to meJoy NotterProfessor of Community Health Care Studiese-mail joy.notter@...-----Original Message-----From: jean@... [mailto:jean@...]Sent: 13 July 2001 13:00 Subject: Postnatal DepressionA question posed by one of our Specialist Registrars in Public Health which I do not have the answer to!!! Has anyone carried out a population study on the use of EPDNS and ascertained whether people identified on a high score would benefit from further diagnosis and early clinical intervention before symptoms become more florid? This must weighed against harm caused by screening postive but yet found to have no significant mental stress. He posed this question as he has been doing some epidiomological work with SureStart and had come a cross an article by Brid Hehir in Spiked Health which suggests that HVs are reported to have missed 75% of cases of postnatal depression (Borrit J 1998 Community Nurse - Detecting and preventing postnatal depression.) - which also begs the question about definitons and thresholds, screening tools and maternal perceptions. Anyway a thought for today alongside encourageing MPs to sign their names to an EDM! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2001 Report Share Posted July 16, 2001 Thanks Vari - I will look for it and give the SpR the information - or he can do it!! In message <9iu7oq+9pkseGroups>, v.drennan@... writes >Dear > >I suspect Brid Hehir is quoting some of the work carried out in Camden >and Islington before trying to implement a cross sector (midwifery, >HV, pyschologists - all in different Trusts) approach to introducing >EPDS i.e agreement who should be doing what and when . This was led >by Fuggle and Kyra Hayden and and published by them in the >Community Practitioner either 1999 or 2000 . Cant lay my hands on it >at the present moment - but that was the sort of percentage >change in identification of post natal depression before and >after introduction of EPDS by a small group(maybe 10) of HVs working >in the inner city with multiple general practices (ie aligned >rather than attached or geographical) . >A CINAHL search or PubMed search on their names would identify the >exact reference. >b/w >Vari > >In @y..., jean@l... wrote: >> A question posed by one of our Specialist Registrars in Public >> Health which I do not have the answer to!!! >> Has anyone carried out a population study on the use of EPDNS and >> ascertained whether people identified on a high score would benefit >> from further diagnosis and early clinical intervention before >> symptoms become more florid? This must weighed against harm caused >by >> screening postive but yet found to have no significant mental >> stress. He posed this question as he has been doing some >> epidiomological work with SureStart and had come a cross an article >> by Brid Hehir in Spiked Health which suggests that HVs are reported >> to have missed 75% of cases of postnatal depression (Borrit J 1998 >> Community Nurse - Detecting and preventing postnatal depression.) - >> which also begs the question about definitons and thresholds, >> screening tools and maternal perceptions. >> Anyway a thought for today alongside encourageing MPs to sign their >> names to an EDM! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2001 Report Share Posted July 16, 2001 Dear Jane I have recently come across a paper which may be of interest: Reading R & Reynolds S (2001) Debt, social disadvantage and maternal depression. Soc Science & Medicine, 53:441-453. They used multiple regression to identify independent predictors of the EPNDS score. They found that debt, not surprisingly, was closely linked to socio-economic hardship and maternal depression. Quoting Jane <Jane.@...>: > Joy, this confirms concerns I have about using the EPDS, what > exactly does > it detect. I have some recent references somewhere about the > shortcomings o> f the EPDS if anybody is interested, in the meantime I would be > very intere> sted in the report you mention thanks Jane > > >>> joy.notter@... 16/7/2001 10:47:55 >>> > just over four years ago, two health visitors in South Birmingham > carried > out a > one year study using the EPDNS and found that where scores were > high then > increased HV interventions did lower scores. however, most of > those they > worked with were not diagnosed as having postnatal depression and > their > findings were that the EPDNS worked well as a tool to identify > people with > anxiety or who needed support. if you would like a copy of the > project > please get back to me > > Joy Notter > Professor of Community Health Care Studies > e-mail joy.notter@... > > > Postnatal Depression > > > A question posed by one of our Specialist Registrars in Public > Health which I do not have the answer to!!! > Has anyone carried out a population study on the use of EPDNS > and > ascertained whether people identified on a high score would > benefit > from further diagnosis and early clinical intervention before > symptoms become more florid? This must weighed against harm caused > by > screening postive but yet found to have no significant mental > stress. He posed this question as he has been doing some > epidiomological work with SureStart and had come a cross an > article > by Brid Hehir in Spiked Health which suggests that HVs are > reported > to have missed 75% of cases of postnatal depression (Borrit J > 1998 > Community Nurse - Detecting and preventing postnatal depression.) > - > which also begs the question about definitons and thresholds, > screening tools and maternal perceptions. > Anyway a thought for today alongside encourageing MPs to sign > their > names to an EDM! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 Jane I echo your concerns re the EPDS. It is only meant to be a tool that can help profeesionals in the highlighting of those who are more vulnerable to postnatal depression. Also there is concern that in the areas where it is widely ands repeatedly used it is losing its validity since mothers know that depending on how they answer qill give them less/more support. No good for any research or practice purposes. Toity On Mon, 16 Jul 2001 11:16:05 +0100 Jane <Jane.@...> wrote: > Joy, this confirms concerns I have about using the EPDS, what exactly does it > detect. I have some recent references somewhere about the shortcomings of the EPDS > if anybody is interested, in the meantime I would be very interested in the report > you mention thanks Jane > > >>> joy.notter@... 16/7/2001 10:47:55 >>> > just over four years ago, two health visitors in South Birmingham carried > out a > one year study using the EPDNS and found that where scores were high then > increased HV interventions did lower scores. however, most of those they > worked with were not diagnosed as having postnatal depression and their > findings were that the EPDNS worked well as a tool to identify people with > anxiety or who needed support. if you would like a copy of the project > please get back to me > > Joy Notter > Professor of Community Health Care Studies > e-mail joy.notter@... > > > Postnatal Depression > > > A question posed by one of our Specialist Registrars in Public > Health which I do not have the answer to!!! > Has anyone carried out a population study on the use of EPDNS and > ascertained whether people identified on a high score would benefit > from further diagnosis and early clinical intervention before > symptoms become more florid? This must weighed against harm caused by > screening postive but yet found to have no significant mental > stress. He posed this question as he has been doing some > epidiomological work with SureStart and had come a cross an article > by Brid Hehir in Spiked Health which suggests that HVs are reported > to have missed 75% of cases of postnatal depression (Borrit J 1998 > Community Nurse - Detecting and preventing postnatal depression.) - > which also begs the question about definitons and thresholds, > screening tools and maternal perceptions. > Anyway a thought for today alongside encourageing MPs to sign their > names to an EDM! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2001 Report Share Posted July 17, 2001 Dear Toity, I was pleased that you confirmed my feelings about the time wasting EPNDS sheet that we have to fill in at 6/52 and 8/12. Those are my opinions too and the use of this tool and two further tick lists, actually distracts me from focusing on listening and closely observing the person I am with so that I can pick up on subtle signs of anxiety, distress, fear, anger, bereavement as well as love and exhuberant joy. All of which travel through the mind of many women as they make the major lifetime journey to parent. Ruth Grant Toity Deave wrote: > Jane > > I echo your concerns re the EPDS. It is only meant to be a tool that can help > profeesionals in the highlighting of those who are more vulnerable to postnatal > depression. Also there is concern that in the areas where it is widely ands > repeatedly used it is losing its validity since mothers know that depending on > how they answer qill give them less/more support. No good for any research or > practice purposes. > > Toity > > On Mon, 16 Jul 2001 11:16:05 +0100 Jane > <Jane.@...> wrote: > > > Joy, this confirms concerns I have about using the EPDS, what exactly does it > > detect. I have some recent references somewhere about the shortcomings of the EPDS > > if anybody is interested, in the meantime I would be very interested in the report > > you mention thanks Jane > > > > >>> joy.notter@... 16/7/2001 10:47:55 >>> > > just over four years ago, two health visitors in South Birmingham carried > > out a > > one year study using the EPDNS and found that where scores were high then > > increased HV interventions did lower scores. however, most of those they > > worked with were not diagnosed as having postnatal depression and their > > findings were that the EPDNS worked well as a tool to identify people with > > anxiety or who needed support. if you would like a copy of the project > > please get back to me > > > > Joy Notter > > Professor of Community Health Care Studies > > e-mail joy.notter@... > > > > > > Postnatal Depression > > > > > > A question posed by one of our Specialist Registrars in Public > > Health which I do not have the answer to!!! > > Has anyone carried out a population study on the use of EPDNS and > > ascertained whether people identified on a high score would benefit > > from further diagnosis and early clinical intervention before > > symptoms become more florid? This must weighed against harm caused by > > screening postive but yet found to have no significant mental > > stress. He posed this question as he has been doing some > > epidiomological work with SureStart and had come a cross an article > > by Brid Hehir in Spiked Health which suggests that HVs are reported > > to have missed 75% of cases of postnatal depression (Borrit J 1998 > > Community Nurse - Detecting and preventing postnatal depression.) - > > which also begs the question about definitons and thresholds, > > screening tools and maternal perceptions. > > Anyway a thought for today alongside encourageing MPs to sign their > > names to an EDM! > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2001 Report Share Posted July 18, 2001 We started using this tool in 92/93 and have had great success with it in practice. We had a kind of run in commentary that we used. Explaining about the three main markers of depressive illness. Insomnia, eating disturbance and openly tearful for no apparent reason. Then we would ask them to fill in and then we would score together with the client and use it as a catalyst and discussion vehicle then we would talk about the sisterhood of women and say something like 'you may never experience this type of depression but you may have a friend who highlights some of the elements that we have discussed' help is at hand etc I got lots of phonecalls from healthy clients saying remember we talked about postnatal depression well my friend needs help becuase she's crying all the time or she isn't able to sleep. I am evangelical about this because a young mother moved in round the corner from me many years ago, I didn't know her not many people did she didn't seem to have family nearby. She had a 6 month old baby. She made one new friend who one day left her own toddler in the care of this apparently well mother with her young baby. Suffering from postnatal depression this young mother drowned her own baby in the bath and tried to stab the friend's child they broke the door in to save the toddler who required hospital treatment. Any tool that we can use to highlight what postnatal depression is to women to speak about it and to educate is well worth while. It always absolutely delighted me when another mother referred a friend for help. It reconfirms in me the work that and I have just finished on health needs assessment the work that we do has to be about more than ticking boxes. Gosh I think a nerve got touched there!! >From: ruthngrant <ruthngrant@...> >Reply- > >Subject: Re: Postnatal Depression >Date: Tue, 17 Jul 2001 19:57:28 +0100 > >Dear Toity, > >I was pleased that you confirmed my feelings about the time wasting EPNDS >sheet that we >have to fill in at 6/52 and 8/12. Those are my opinions too and the use of >this tool >and two further tick lists, actually distracts me from focusing on >listening and closely >observing the person I am with so that I can pick up on subtle signs of >anxiety, >distress, fear, anger, bereavement as well as love and exhuberant joy. All >of which >travel through the mind of many women as they make the major lifetime >journey to parent. > >Ruth Grant > >Toity Deave wrote: > > > Jane > > > > I echo your concerns re the EPDS. It is only meant to be a tool that >can help > > profeesionals in the highlighting of those who are more vulnerable to >postnatal > > depression. Also there is concern that in the areas where it is widely >ands > > repeatedly used it is losing its validity since mothers know that >depending on > > how they answer qill give them less/more support. No good for any >research or > > practice purposes. > > > > Toity > > > > On Mon, 16 Jul 2001 11:16:05 +0100 Jane > > <Jane.@...> wrote: > > > > > Joy, this confirms concerns I have about using the EPDS, what exactly >does it > > > detect. I have some recent references somewhere about the shortcomings >of the EPDS > > > if anybody is interested, in the meantime I would be very interested >in the report > > > you mention thanks Jane > > > > > > >>> joy.notter@... 16/7/2001 10:47:55 >>> > > > just over four years ago, two health visitors in South Birmingham >carried > > > out a > > > one year study using the EPDNS and found that where scores were high >then > > > increased HV interventions did lower scores. however, most of those >they > > > worked with were not diagnosed as having postnatal depression and >their > > > findings were that the EPDNS worked well as a tool to identify people >with > > > anxiety or who needed support. if you would like a copy of the project > > > please get back to me > > > > > > Joy Notter > > > Professor of Community Health Care Studies > > > e-mail joy.notter@... > > > > > > > > > Postnatal Depression > > > > > > > > > A question posed by one of our Specialist Registrars in Public > > > Health which I do not have the answer to!!! > > > Has anyone carried out a population study on the use of EPDNS and > > > ascertained whether people identified on a high score would benefit > > > from further diagnosis and early clinical intervention before > > > symptoms become more florid? This must weighed against harm caused by > > > screening postive but yet found to have no significant mental > > > stress. He posed this question as he has been doing some > > > epidiomological work with SureStart and had come a cross an article > > > by Brid Hehir in Spiked Health which suggests that HVs are reported > > > to have missed 75% of cases of postnatal depression (Borrit J 1998 > > > Community Nurse - Detecting and preventing postnatal depression.) - > > > which also begs the question about definitons and thresholds, > > > screening tools and maternal perceptions. > > > Anyway a thought for today alongside encourageing MPs to sign their > > > names to an EDM! > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2001 Report Share Posted July 18, 2001 , I agreee there is a time and place for most of these 'screening' tools, but I feel taht the HV profession and/or their managers have taken it on without really thinking of the possible consequences to either service provision or anything else. I have used it as a discussion vehicle as well as once for getting the attention of the psychiatric services when a GP paid no heed to me expressing grave concerns for a second time Mum, her partner and children, who was severely depressed and who had been hospitalised for PND after her first baby! Toity On Wed, 18 Jul 2001 08:33:38 +0100 Houston <annamhouston@...> wrote: > We started using this tool in 92/93 and have had great success with it in > practice. We had a kind of run in commentary that we used. Explaining about > the three main markers of depressive illness. Insomnia, eating disturbance > and openly tearful for no apparent reason. Then we would ask them to fill in > and then we would score together with the client and use it as a catalyst > and discussion vehicle then we would talk about the sisterhood of women and > say something like 'you may never experience this type of depression but you > may have a friend who highlights some of the elements that we have > discussed' help is at hand etc > I got lots of phonecalls from healthy clients saying remember we talked > about postnatal depression well my friend needs help becuase she's crying > all the time or she isn't able to sleep. I am evangelical about this because > a young mother moved in round the corner from me many years ago, I didn't > know her not many people did she didn't seem to have family nearby. She had > a 6 month old baby. She made one new friend who one day left her own > toddler in the care of this apparently well mother with her young baby. > Suffering from postnatal depression this young mother drowned her own baby > in the bath and tried to stab the friend's child they broke the door in to > save the toddler who required hospital treatment. Any tool that we can use > to highlight what postnatal depression is to women to speak about it and to > educate is well worth while. It always absolutely delighted me when another > mother referred a friend for help. It reconfirms in me the work that > and I have just finished on health needs assessment the work that we do has > to be about more than ticking boxes. > Gosh I think a nerve got touched there!! > > > > >From: ruthngrant <ruthngrant@...> > >Reply- > > > >Subject: Re: Postnatal Depression > >Date: Tue, 17 Jul 2001 19:57:28 +0100 > > > >Dear Toity, > > > >I was pleased that you confirmed my feelings about the time wasting EPNDS > >sheet that we > >have to fill in at 6/52 and 8/12. Those are my opinions too and the use of > >this tool > >and two further tick lists, actually distracts me from focusing on > >listening and closely > >observing the person I am with so that I can pick up on subtle signs of > >anxiety, > >distress, fear, anger, bereavement as well as love and exhuberant joy. All > >of which > >travel through the mind of many women as they make the major lifetime > >journey to parent. > > > >Ruth Grant > > > >Toity Deave wrote: > > > > > Jane > > > > > > I echo your concerns re the EPDS. It is only meant to be a tool that > >can help > > > profeesionals in the highlighting of those who are more vulnerable to > >postnatal > > > depression. Also there is concern that in the areas where it is widely > >ands > > > repeatedly used it is losing its validity since mothers know that > >depending on > > > how they answer qill give them less/more support. No good for any > >research or > > > practice purposes. > > > > > > Toity > > > > > > On Mon, 16 Jul 2001 11:16:05 +0100 Jane > > > <Jane.@...> wrote: > > > > > > > Joy, this confirms concerns I have about using the EPDS, what exactly > >does it > > > > detect. I have some recent references somewhere about the shortcomings > >of the EPDS > > > > if anybody is interested, in the meantime I would be very interested > >in the report > > > > you mention thanks Jane > > > > > > > > >>> joy.notter@... 16/7/2001 10:47:55 >>> > > > > just over four years ago, two health visitors in South Birmingham > >carried > > > > out a > > > > one year study using the EPDNS and found that where scores were high > >then > > > > increased HV interventions did lower scores. however, most of those > >they > > > > worked with were not diagnosed as having postnatal depression and > >their > > > > findings were that the EPDNS worked well as a tool to identify people > >with > > > > anxiety or who needed support. if you would like a copy of the project > > > > please get back to me > > > > > > > > Joy Notter > > > > Professor of Community Health Care Studies > > > > e-mail joy.notter@... > > > > > > > > > > > > Postnatal Depression > > > > > > > > > > > > A question posed by one of our Specialist Registrars in Public > > > > Health which I do not have the answer to!!! > > > > Has anyone carried out a population study on the use of EPDNS and > > > > ascertained whether people identified on a high score would benefit > > > > from further diagnosis and early clinical intervention before > > > > symptoms become more florid? This must weighed against harm caused by > > > > screening postive but yet found to have no significant mental > > > > stress. He posed this question as he has been doing some > > > > epidiomological work with SureStart and had come a cross an article > > > > by Brid Hehir in Spiked Health which suggests that HVs are reported > > > > to have missed 75% of cases of postnatal depression (Borrit J 1998 > > > > Community Nurse - Detecting and preventing postnatal depression.) - > > > > which also begs the question about definitons and thresholds, > > > > screening tools and maternal perceptions. > > > > Anyway a thought for today alongside encourageing MPs to sign their > > > > names to an EDM! > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2001 Report Share Posted July 18, 2001 Yes Toity that is true the first three months after our implementation - way back when - we apparently (HV's) swamped the mental health services. Once the dust settled it normalised to what we could manage ourselves and what needed to go forward but you are right that it isn't always very 'joined up' I am really not for tick box assessment tools at all but I have seen the benefits of this one time and again as a 'door-opener' and a catalyst for change for the client. >From: Toity Deave <Toity.Deave@...> >Reply- > >Subject: Re: Postnatal Depression >Date: Wed, 18 Jul 2001 09:05:26 +0100 > >, I agreee there is a time and place for most of these 'screening' >tools, but I >feel taht the HV profession and/or their managers have taken it on without >really >thinking of the possible consequences to either service provision or >anything else. > I have used it as a discussion vehicle as well as once for getting the >attention >of the psychiatric services when a GP paid no heed to me expressing grave >concerns for a second time Mum, her partner and children, who was severely >depressed and who had been hospitalised for PND after her first baby! >Toity > >On Wed, 18 Jul >2001 08:33:38 +0100 Houston <annamhouston@...> wrote: > > > We started using this tool in 92/93 and have had great success with it >in > > practice. We had a kind of run in commentary that we used. Explaining >about > > the three main markers of depressive illness. Insomnia, eating >disturbance > > and openly tearful for no apparent reason. Then we would ask them to >fill in > > and then we would score together with the client and use it as a >catalyst > > and discussion vehicle then we would talk about the sisterhood of women >and > > say something like 'you may never experience this type of depression but >you > > may have a friend who highlights some of the elements that we have > > discussed' help is at hand etc > > I got lots of phonecalls from healthy clients saying remember we >talked > > about postnatal depression well my friend needs help becuase she's >crying > > all the time or she isn't able to sleep. I am evangelical about this >because > > a young mother moved in round the corner from me many years ago, I >didn't > > know her not many people did she didn't seem to have family nearby. She >had > > a 6 month old baby. She made one new friend who one day left her own > > toddler in the care of this apparently well mother with her young baby. > > Suffering from postnatal depression this young mother drowned her own >baby > > in the bath and tried to stab the friend's child they broke the door in >to > > save the toddler who required hospital treatment. Any tool that we can >use > > to highlight what postnatal depression is to women to speak about it and >to > > educate is well worth while. It always absolutely delighted me when >another > > mother referred a friend for help. It reconfirms in me the work that > > > and I have just finished on health needs assessment the work that we do >has > > to be about more than ticking boxes. > > Gosh I think a nerve got touched there!! > > > > > > > > >From: ruthngrant <ruthngrant@...> > > >Reply- > > > > > >Subject: Re: Postnatal Depression > > >Date: Tue, 17 Jul 2001 19:57:28 +0100 > > > > > >Dear Toity, > > > > > >I was pleased that you confirmed my feelings about the time wasting >EPNDS > > >sheet that we > > >have to fill in at 6/52 and 8/12. Those are my opinions too and the >use of > > >this tool > > >and two further tick lists, actually distracts me from focusing on > > >listening and closely > > >observing the person I am with so that I can pick up on subtle signs of > > >anxiety, > > >distress, fear, anger, bereavement as well as love and exhuberant joy. >All > > >of which > > >travel through the mind of many women as they make the major lifetime > > >journey to parent. > > > > > >Ruth Grant > > > > > >Toity Deave wrote: > > > > > > > Jane > > > > > > > > I echo your concerns re the EPDS. It is only meant to be a tool >that > > >can help > > > > profeesionals in the highlighting of those who are more vulnerable >to > > >postnatal > > > > depression. Also there is concern that in the areas where it is >widely > > >ands > > > > repeatedly used it is losing its validity since mothers know that > > >depending on > > > > how they answer qill give them less/more support. No good for any > > >research or > > > > practice purposes. > > > > > > > > Toity > > > > > > > > On Mon, 16 Jul 2001 11:16:05 +0100 Jane > > > > <Jane.@...> wrote: > > > > > > > > > Joy, this confirms concerns I have about using the EPDS, what >exactly > > >does it > > > > > detect. I have some recent references somewhere about the >shortcomings > > >of the EPDS > > > > > if anybody is interested, in the meantime I would be very >interested > > >in the report > > > > > you mention thanks Jane > > > > > > > > > > >>> joy.notter@... 16/7/2001 10:47:55 >>> > > > > > just over four years ago, two health visitors in South Birmingham > > >carried > > > > > out a > > > > > one year study using the EPDNS and found that where scores were >high > > >then > > > > > increased HV interventions did lower scores. however, most of >those > > >they > > > > > worked with were not diagnosed as having postnatal depression and > > >their > > > > > findings were that the EPDNS worked well as a tool to identify >people > > >with > > > > > anxiety or who needed support. if you would like a copy of the >project > > > > > please get back to me > > > > > > > > > > Joy Notter > > > > > Professor of Community Health Care Studies > > > > > e-mail joy.notter@... > > > > > > > > > > > > > > > Postnatal Depression > > > > > > > > > > > > > > > A question posed by one of our Specialist Registrars in Public > > > > > Health which I do not have the answer to!!! > > > > > Has anyone carried out a population study on the use of EPDNS and > > > > > ascertained whether people identified on a high score would >benefit > > > > > from further diagnosis and early clinical intervention before > > > > > symptoms become more florid? This must weighed against harm caused >by > > > > > screening postive but yet found to have no significant mental > > > > > stress. He posed this question as he has been doing some > > > > > epidiomological work with SureStart and had come a cross an >article > > > > > by Brid Hehir in Spiked Health which suggests that HVs are >reported > > > > > to have missed 75% of cases of postnatal depression (Borrit J 1998 > > > > > Community Nurse - Detecting and preventing postnatal depression.) >- > > > > > which also begs the question about definitons and thresholds, > > > > > screening tools and maternal perceptions. > > > > > Anyway a thought for today alongside encourageing MPs to sign >their > > > > > names to an EDM! > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2001 Report Share Posted July 18, 2001 Adding to the discussion on EPNDS. My understanding is that orginally the tool came into being because HVs were missing postnatal depression and often didn`t recognise the signs., particularly those in the `middle range`. I feel the EPNDS tool has enabled hvs to open up the whole debate of depression and provide opportunities for parents to express their feelings, whether anxiety or depression. Sadly it has been incorporated in many areas without adequate training or supervision and this has led to a `misuse` of the tool as a purely tick box exercise, scenario, possibly with managers to blame. It would be a pity to throw out something which has been extremely useful in many areas because we are still missing some women.We are back to levels of competence I feel. Jeanette > Yes Toity that is true the first three months after our implementation - way >back when - we apparently (HV's) swamped the mental health services. Once >the dust settled it normalised to what we could manage ourselves and what >needed to go forward but you are right that it isn't always very 'joined up' >I am really not for tick box assessment tools at all but I have seen the >benefits of this one time and again as a 'door-opener' and a catalyst for >change for the client. > > > >From: Toity Deave <Toity.Deave@...> >Reply- > >Subject: Re: Postnatal Depression >Date: Wed, 18 Jul 2001 09:05:26 +0100 > >, I agreee there is a time and place for most of these 'screening' >tools, but I >feel taht the HV profession and/or their managers have taken it on without >really >thinking of the possible consequences to either service provision or >anything else. > I have used it as a discussion vehicle as well as once for getting the >attention >of the psychiatric services when a GP paid no heed to me expressing grave >concerns for a second time Mum, her partner and children, who was severely >depressed and who had been hospitalised for PND after her first baby! >Toity > >On Wed, 18 Jul >2001 08:33:38 +0100 Houston <annamhouston@...> wrote: > > > We started using this tool in 92/93 and have had great success with it >in > > practice. We had a kind of run in commentary that we used. Explaining >about > > the three main markers of depressive illness. Insomnia, eating >disturbance > > and openly tearful for no apparent reason. Then we would ask them to >fill in > > and then we would score together with the client and use it as a >catalyst > > and discussion vehicle then we would talk about the sisterhood of women >and > > say something like 'you may never experience this type of depression but >you > > may have a friend who highlights some of the elements that we have > > discussed' help is at hand etc > > I got lots of phonecalls from healthy clients saying remember we >talked > > about postnatal depression well my friend needs help becuase she's >crying > > all the time or she isn't able to sleep. I am evangelical about this >because > > a young mother moved in round the corner from me many years ago, I >didn't > > know her not many people did she didn't seem to have family nearby. She >had > > a 6 month old baby. She made one new friend who one day left her own > > toddler in the care of this apparently well mother with her young baby. > > Suffering from postnatal depression this young mother drowned her own >baby > > in the bath and tried to stab the friend's child they broke the door in >to > > save the toddler who required hospital treatment. Any tool that we can >use > > to highlight what postnatal depression is to women to speak about it and >to > > educate is well worth while. It always absolutely delighted me when >another > > mother referred a friend for help. It reconfirms in me the work that > > > and I have just finished on health needs assessment the work that we do >has > > to be about more than ticking boxes. > > Gosh I think a nerve got touched there!! > > > > > > > > >From: ruthngrant <ruthngrant@...> > > >Reply- > > > > > >Subject: Re: Postnatal Depression > > >Date: Tue, 17 Jul 2001 19:57:28 +0100 > > > > > >Dear Toity, > > > > > >I was pleased that you confirmed my feelings about the time wasting >EPNDS > > >sheet that we > > >have to fill in at 6/52 and 8/12. Those are my opinions too and the >use of > > >this tool > > >and two further tick lists, actually distracts me from focusing on > > >listening and closely > > >observing the person I am with so that I can pick up on subtle signs of > > >anxiety, > > >distress, fear, anger, bereavement as well as love and exhuberant joy. >All > > >of which > > >travel through the mind of many women as they make the major lifetime > > >journey to parent. > > > > > >Ruth Grant > > > > > >Toity Deave wrote: > > > > > > > Jane > > > > > > > > I echo your concerns re the EPDS. It is only meant to be a tool >that > > >can help > > > > profeesionals in the highlighting of those who are more vulnerable >to > > >postnatal > > > > depression. Also there is concern that in the areas where it is >widely > > >ands > > > > repeatedly used it is losing its validity since mothers know that > > >depending on > > > > how they answer qill give them less/more support. No good for any > > >research or > > > > practice purposes. > > > > > > > > Toity > > > > > > > > On Mon, 16 Jul 2001 11:16:05 +0100 Jane > > > > <Jane.@...> wrote: > > > > > > > > > Joy, this confirms concerns I have about using the EPDS, what >exactly > > >does it > > > > > detect. I have some recent references somewhere about the >shortcomings > > >of the EPDS > > > > > if anybody is interested, in the meantime I would be very >interested > > >in the report > > > > > you mention thanks Jane > > > > > > > > > > > joy.notter@... 16/7/2001 10:47:55 > > > > > > just over four years ago, two health visitors in South Birmingham > > >carried > > > > > out a > > > > > one year study using the EPDNS and found that where scores were >high > > >then > > > > > increased HV interventions did lower scores. however, most of >those > > >they > > > > > worked with were not diagnosed as having postnatal depression and > > >their > > > > > findings were that the EPDNS worked well as a tool to identify >people > > >with > > > > > anxiety or who needed support. if you would like a copy of the >project > > > > > please get back to me > > > > > > > > > > Joy Notter > > > > > Professor of Community Health Care Studies > > > > > e-mail joy.notter@... > > > > > > > > > > > > > > > Postnatal Depression > > > > > > > > > > > > > > > A question posed by one of our Specialist Registrars in Public > > > > > Health which I do not have the answer to!!! > > > > > Has anyone carried out a population study on the use of EPDNS and > > > > > ascertained whether people identified on a high score would >benefit > > > > > from further diagnosis and early clinical intervention before > > > > > symptoms become more florid? This must weighed against harm caused >by > > > > > screening postive but yet found to have no significant mental > > > > > stress. He posed this question as he has been doing some > > > > > epidiomological work with SureStart and had come a cross an >article > > > > > by Brid Hehir in Spiked Health which suggests that HVs are >reported > > > > > to have missed 75% of cases of postnatal depression (Borrit J 1998 > > > > > Community Nurse - Detecting and preventing postnatal depression.) >- > > > > > which also begs the question about definitons and thresholds, > > > > > screening tools and maternal perceptions. > > > > > Anyway a thought for today alongside encourageing MPs to sign >their > > > > > names to an EDM! > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 19, 2001 Report Share Posted July 19, 2001 Dear Jeannette, I think you are right. I too use EPNDS if a mother is in denial about her experience and find it very useful then - it is the blanket and repeated use of it to which I object and which, in my opinion, blunts its usefulness. Regards, Ruth j.e.clifton@... wrote: > Adding to the discussion on EPNDS. My understanding is that orginally the tool came into being because HVs were missing postnatal depression and often didn`t recognise the signs., particularly those in the `middle range`. I feel the EPNDS tool has enabled hvs to open up the whole debate of depression and provide opportunities for parents to express their feelings, whether anxiety or depression. Sadly it has been incorporated in many areas without adequate training or supervision and this has led to a `misuse` of the tool as a purely tick box exercise, scenario, possibly with managers to blame. It would be a pity to throw out something which has been extremely useful in many areas because we are still missing some women.We are back to levels of competence I feel. Jeanette > > Yes Toity that is true the first three months after our implementation - way > >back when - we apparently (HV's) swamped the mental health services. Once > >the dust settled it normalised to what we could manage ourselves and what > >needed to go forward but you are right that it isn't always very 'joined up' > >I am really not for tick box assessment tools at all but I have seen the > >benefits of this one time and again as a 'door-opener' and a catalyst for > >change for the client. > > > > > > > >From: Toity Deave <Toity.Deave@...> > >Reply- > > > >Subject: Re: Postnatal Depression > >Date: Wed, 18 Jul 2001 09:05:26 +0100 > > > >, I agreee there is a time and place for most of these 'screening' > >tools, but I > >feel taht the HV profession and/or their managers have taken it on without > >really > >thinking of the possible consequences to either service provision or > >anything else. > > I have used it as a discussion vehicle as well as once for getting the > >attention > >of the psychiatric services when a GP paid no heed to me expressing grave > >concerns for a second time Mum, her partner and children, who was severely > >depressed and who had been hospitalised for PND after her first baby! > >Toity > > > >On Wed, 18 Jul > >2001 08:33:38 +0100 Houston <annamhouston@...> wrote: > > > > > We started using this tool in 92/93 and have had great success with it > >in > > > practice. We had a kind of run in commentary that we used. Explaining > >about > > > the three main markers of depressive illness. Insomnia, eating > >disturbance > > > and openly tearful for no apparent reason. Then we would ask them to > >fill in > > > and then we would score together with the client and use it as a > >catalyst > > > and discussion vehicle then we would talk about the sisterhood of women > >and > > > say something like 'you may never experience this type of depression but > >you > > > may have a friend who highlights some of the elements that we have > > > discussed' help is at hand etc > > > I got lots of phonecalls from healthy clients saying remember we > >talked > > > about postnatal depression well my friend needs help becuase she's > >crying > > > all the time or she isn't able to sleep. I am evangelical about this > >because > > > a young mother moved in round the corner from me many years ago, I > >didn't > > > know her not many people did she didn't seem to have family nearby. She > >had > > > a 6 month old baby. She made one new friend who one day left her own > > > toddler in the care of this apparently well mother with her young baby. > > > Suffering from postnatal depression this young mother drowned her own > >baby > > > in the bath and tried to stab the friend's child they broke the door in > >to > > > save the toddler who required hospital treatment. Any tool that we can > >use > > > to highlight what postnatal depression is to women to speak about it and > >to > > > educate is well worth while. It always absolutely delighted me when > >another > > > mother referred a friend for help. It reconfirms in me the work that > > > > > and I have just finished on health needs assessment the work that we do > >has > > > to be about more than ticking boxes. > > > Gosh I think a nerve got touched there!! > > > > > > > > > > > > >From: ruthngrant <ruthngrant@...> > > > >Reply- > > > > > > > >Subject: Re: Postnatal Depression > > > >Date: Tue, 17 Jul 2001 19:57:28 +0100 > > > > > > > >Dear Toity, > > > > > > > >I was pleased that you confirmed my feelings about the time wasting > >EPNDS > > > >sheet that we > > > >have to fill in at 6/52 and 8/12. Those are my opinions too and the > >use of > > > >this tool > > > >and two further tick lists, actually distracts me from focusing on > > > >listening and closely > > > >observing the person I am with so that I can pick up on subtle signs of > > > >anxiety, > > > >distress, fear, anger, bereavement as well as love and exhuberant joy. > >All > > > >of which > > > >travel through the mind of many women as they make the major lifetime > > > >journey to parent. > > > > > > > >Ruth Grant > > > > > > > >Toity Deave wrote: > > > > > > > > > Jane > > > > > > > > > > I echo your concerns re the EPDS. It is only meant to be a tool > >that > > > >can help > > > > > profeesionals in the highlighting of those who are more vulnerable > >to > > > >postnatal > > > > > depression. Also there is concern that in the areas where it is > >widely > > > >ands > > > > > repeatedly used it is losing its validity since mothers know that > > > >depending on > > > > > how they answer qill give them less/more support. No good for any > > > >research or > > > > > practice purposes. > > > > > > > > > > Toity > > > > > > > > > > On Mon, 16 Jul 2001 11:16:05 +0100 Jane > > > > > <Jane.@...> wrote: > > > > > > > > > > > Joy, this confirms concerns I have about using the EPDS, what > >exactly > > > >does it > > > > > > detect. I have some recent references somewhere about the > >shortcomings > > > >of the EPDS > > > > > > if anybody is interested, in the meantime I would be very > >interested > > > >in the report > > > > > > you mention thanks Jane > > > > > > > > > > > > > joy.notter@... 16/7/2001 10:47:55 > > > > > > > just over four years ago, two health visitors in South Birmingham > > > >carried > > > > > > out a > > > > > > one year study using the EPDNS and found that where scores were > >high > > > >then > > > > > > increased HV interventions did lower scores. however, most of > >those > > > >they > > > > > > worked with were not diagnosed as having postnatal depression and > > > >their > > > > > > findings were that the EPDNS worked well as a tool to identify > >people > > > >with > > > > > > anxiety or who needed support. if you would like a copy of the > >project > > > > > > please get back to me > > > > > > > > > > > > Joy Notter > > > > > > Professor of Community Health Care Studies > > > > > > e-mail joy.notter@... > > > > > > > > > > > > > > > > > > Postnatal Depression > > > > > > > > > > > > > > > > > > A question posed by one of our Specialist Registrars in Public > > > > > > Health which I do not have the answer to!!! > > > > > > Has anyone carried out a population study on the use of EPDNS and > > > > > > ascertained whether people identified on a high score would > >benefit > > > > > > from further diagnosis and early clinical intervention before > > > > > > symptoms become more florid? This must weighed against harm caused > >by > > > > > > screening postive but yet found to have no significant mental > > > > > > stress. He posed this question as he has been doing some > > > > > > epidiomological work with SureStart and had come a cross an > >article > > > > > > by Brid Hehir in Spiked Health which suggests that HVs are > >reported > > > > > > to have missed 75% of cases of postnatal depression (Borrit J 1998 > > > > > > Community Nurse - Detecting and preventing postnatal depression.) > >- > > > > > > which also begs the question about definitons and thresholds, > > > > > > screening tools and maternal perceptions. > > > > > > Anyway a thought for today alongside encourageing MPs to sign > >their > > > > > > names to an EDM! > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2002 Report Share Posted June 5, 2002 Elaine, you may have noticed that one of the workshops at our study day in Newmarket next week will focus on post-natal depression. It sounds as though your materials would be very interesting and useful. Best wishes senatehvsn1 wrote: >From: Elaine Seth- >Sent: >14 May 2002 16:48 >To: >' ' >Subject: >postnatal depression and work > >I want to raise awareness amongst SENATE members of a project I am >co-ordinating at the Maternity Alliance which looks at postnatal >depression and work. The project is funded by the Nuffield Foundation. > > I work in the information team at the MA. As part of the work we do, >we provide advice and information to women on their employment and >benefit rights whilst pregnant. We also provide advice to new >families on employment and benefit rights. As part of our work we run >a busy advice line. The pnd project arises because of our concern at >the number of women approaching us for advice before or at the point >of returning to work after maternity leave, who have postnatal >depression and who experience significant problems regarding work and >their return to work. The project aims to fill important gaps in >information for women with postnatal depression and for all those who >advise them. > >We have conducted a small survey of women with pnd to assess their >needs as far as work is concerned. It is clear from the survey and >from our experience and from speaking to the support organisations >for women with pnd that most women are not aware of their employment >rights or rights to benefits - few women are aware for example, that >if they are not well enough to return to work at the end of their >maternity leave, that they can still keep their jobs, or, that they >could take parental leave at the end of maternity leave so that they >could delay the time when they have to return to work - or that they >can ask for a 'phased return to work' or flexible working. > >Our view is that better information about employment rights and >benefits will : > >>allow appropriate choices to be made about whether to stay at work or >> >resign > >>Help women with pnd maximise their income at a time when they might >> >be worried about money > >>help employers understand what their obligations are >>help health professionals and other advisers consider the work >> >context of their advice > >>help women with pnd feel secure in their jobs. >> > >Mothers are often and more frequently, workers too - this seems to >have been overlooked in most of the studies of women with pnd - apart >from Brown and , 1978. > >If anyone would like to contribute their experiences to the project, >or would like a copy of any of the publications on the project so far >you can contact me at the MA [0207 588 8583 x129] and use the >discussion group. More research on pnd and work is needed and if >anyone is aware of any that I have missed please let me know. > >Returning to work after maternity leave is always hard but for some it >is nearly impossible to contemplate. Note that in the project we have >not looked at the needs of women suffering the psychotic form of >postnatal depression. > >Elaine Seth- >Information and project officer ( formerly nurse). > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2007 Report Share Posted March 25, 2007 Dear NIna How could you forget the role you all played in the research programmes in Cambridge run by the Winnicott Research Unit?? Lynne and and I still run a course for trainers incorporating the mother-baby relationship - the Social Baby is integral to it. I can set these up locally too - do get in touch!! And you also have Joanna just down the road.......... Sheelah Sheelah Seeley Tel: +44 (0) 1803 731093Mobile: +44 (0) 7746 837970E-mail: sheelah@...http://www.pndtraining.co.uk/ postnatal depression Dear colleagues, In Cambridge a couple of us are planning on delivering some training around postnatal depression to health visiting teams but are keen to make the link between pnd and Infant mental health.The programmes we have looked at so far have not looked at the significance of the relationship between the mother and baby or the relevance of attachment theory.Does anyone know of any training programmes that would fufill this requirement? Many thanks Nina Heaps Match.com - Click Here To Find Singles In Your Area Today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 25, 2007 Report Share Posted March 25, 2007 Dear NIna How could you forget the role you all played in the research programmes in Cambridge run by the Winnicott Research Unit?? Lynne and and I still run a course for trainers incorporating the mother-baby relationship - the Social Baby is integral to it. I can set these up locally too - do get in touch!! And you also have Joanna just down the road.......... Sheelah Sheelah Seeley Tel: +44 (0) 1803 731093Mobile: +44 (0) 7746 837970E-mail: sheelah@...http://www.pndtraining.co.uk/ postnatal depression Dear colleagues, In Cambridge a couple of us are planning on delivering some training around postnatal depression to health visiting teams but are keen to make the link between pnd and Infant mental health.The programmes we have looked at so far have not looked at the significance of the relationship between the mother and baby or the relevance of attachment theory.Does anyone know of any training programmes that would fufill this requirement? Many thanks Nina Heaps Match.com - Click Here To Find Singles In Your Area Today! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2007 Report Share Posted March 27, 2007 Hi Sheelah, Its good to here you are still running a course for trainers,unfortunately in the current climate there is limited available money for training but if I might contact you and discuss the course that would be helpful.We have managed to book Joanne for a session on Brazelton . Best wishesnina From: "Sheelah Seeley" <sheelah@...>Reply- To: < >Subject: Re: postnatal depressionDate: Sun, 25 Mar 2007 21:36:34 +0100 Dear NIna How could you forget the role you all played in the research programmes in Cambridge run by the Winnicott Research Unit?? Lynne and and I still run a course for trainers incorporating the mother-baby relationship - the Social Baby is integral to it. I can set these up locally too - do get in touch!! And you also have Joanna just down the road.......... Sheelah Sheelah Seeley Tel: +44 (0) 1803 731093Mobile: +44 (0) 7746 837970E-mail: sheelahsheelahhttp://www.pndtraining.co.uk/ postnatal depression Dear colleagues, In Cambridge a couple of us are planning on delivering some training around postnatal depression to health visiting teams but are keen to make the link between pnd and Infant mental health.The programmes we have looked at so far have not looked at the significance of the relationship between the mother and baby or the relevance of attachment theory.Does anyone know of any training programmes that would fufill this requirement? Many thanks Nina Heaps Match.com - Click Here To Find Singles In Your Area Today! MSN Hotmail is evolving - check out the new Windows Live Mail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2007 Report Share Posted March 27, 2007 HI Nina Yes it would be great to catch up with you - contact details as below. Best wishes Sheelah Sheelah Seeley Tel: +44 (0) 1803 731093Mobile: +44 (0) 7746 837970E-mail: sheelah@...http://www.pndtraining.co.uk/ postnatal depression Dear colleagues, In Cambridge a couple of us are planning on delivering some training around postnatal depression to health visiting teams but are keen to make the link between pnd and Infant mental health.The programmes we have looked at so far have not looked at the significance of the relationship between the mother and baby or the relevance of attachment theory.Does anyone know of any training programmes that would fufill this requirement? Many thanks Nina Heaps Match.com - Click Here To Find Singles In Your Area Today! MSN Hotmail is evolving - check out the new Windows Live Mail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2010 Report Share Posted October 6, 2010 Dear in AU, How clever of you to mention postnatal depression. As a former nurse, you would have good knowledge of this condition. You are very observant to have thought of this. I purposely picked an article from a doctor in the UK, so that perhaps may have more confidence in, but I understand she has already left our group. That is a sad comentary when one cannot express themselves in a way not to get everyone's ire up. According to the article, it occurs in 10 to 15 per cent or one in seven to ten mothers. Also, it may be more common in mothers for many months after having a baby. When and where it stops is not known. " Postnatal depression (PND) is a depressive illness that occurs after having a baby. It is common for women following childbirth to experience a period of 'low' mood. This can range in severity from a mild and normal period of mood disturbance ('baby blues'), through to PND and the most severe and rarest problem (postnatal psychosis). This factsheet deals with PND, though 'baby blues' and postnatal psychosis are briefly described. Although there are differences between PND and 'ordinary' depression, there are many similarities. " http://tinyurl.com/5s5jxn Carpe Diem, Lottie Duthu Quote Link to comment Share on other sites More sharing options...
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