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Jersey Adult Mental Health Services - Perinatal Mental Health Service

Perinatal Mental Health Service

Jersey health and Social Services are committed to delivering equitable evidence based interventions across the life span.  This includes providing services which are tailored to meet the differing challenges people encounter at various stages in their lives.  In this context JAMHS provides specialist care pathway for women whose mental health is effected during or after pregnancy.

JAMHS is an integral part of the range of interventions provided for pregnant women (and their loved ones) by primary and secondary care.  Referral can be made by GP's midwives, health visitors and antenatal clinics.  Anyone referred will be seen within two weeks.

The incidences of referral and intervention for Jersey women and problematic mental health is comparable with most western jurisdictions.

The service we provide follows the practice stated in national guidelines.  The pathway is led by dedicated Clinical Nurse Specialist who works within JAMHS.

Interventions are needs led with most women receiving therapies such as Cognitive Behavioural Therapy which are known to be effective in mental health problems associated with pregnancy.  More significant or severe mental health problems may require medication.  In the majority of cases this will be through the specialist nurse who is also a registered non-medical prescriber.

In addition to care and treatment the Nurse Specialist provides advice, training and support to health care professionals who work with this client group.

Clinical Presentations

The main presenting problems include anxiety symptoms, adjustment reaction, postnatal depression (PND) and postpartum psychosis.

Postnatal depression is regarded as any non-psychotic type depression which occurs during the first year.  for a significant proportion of women, this may have its onset in the antenatal period.  These types of depression tend to have very good outcomes when identified and treated.

Postpartum psychosis, refers to a severe and relatively uncommon form of pregnancy related mental health problem.  it is a psychosis of acute onset, temporally linked to the postnatal period, and typically presenting in the early postnatal period, usually within the first month.

It can have a significant impact on someone's mood, cognitive processes with them expressing unusual beliefs, hearing voices, not sleeping etc. which has a profound effect on their ability to manage their life and their relationships.  Early detection and effective intervention reduce the distress and enable recovery.

Co produced person centred care plans are a vital component in the perinatal and post natal treatment pathways.  this will ensure close partnership working with the women her loved one and all relevant agencies.  They are at the centre of all decision making and that the person receives treatment and care.

Risk Factors

The evidence suggests that risk factors for postnatal depression are no different to the risk factors for non-postnatal depression.

Three systematic reviews (SIGN 127,2012) identified the following risk factors as having moderate to strong associations with postnatal depression.

Past history of psychopathology and psychological disturbance during pregnancy:

  • Low social support
  • Poor marital / interpersonal relationship
  • Recent life events 
  • "Baby Blues"

'Baby blues' describes the emotionally labile state experienced by the majority of women following childbirth.

Commonly presenting on the second or third postnatal day, it normally resolves by the fifth day with regular professional support and reassurance, usually from primary care providers.

The Perinatal Mental Health Team

The team includes:

  • Perinatal Mental health Nurse Specialist
  • Consultant Psychiatrist
  • Psychologist

Who to contact

Telephone
01534 445841
Fax: 01534 445150

Where to go

Name
Jersey Adult Mental Health Service
Address
20 La Chasse
St. Helier
Jersey
Postcode
JE4 4UE

Other Details

Availability

Referral required
Yes
Referral Details

How to access the service

Direct referrals accepted from GP's, community midwives, health visitors and antenatal clinic.

We provide an assessment and treatment for all perinatal women.

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