The Refreshed Perinatal Mental Health Curricular Framework & the - - PowerPoint PPT Presentation

The Refreshed Perinatal Mental Health Curricular Framework & the NES Advanced Infant Mental Health Training Pathway

Dr Suzy O’Connor NHS Education for Scotland Programme Director Early Intervention, Perinatal & Infant Mental Health

Context for the refreshed curriculum

• Original developed by multi-disciplinary national group & published, by

NES, in 2006

• Formed the basis for Specialist Perinatal Mental Health Module at Glasgow

Caledonian University in 2007

• Informed the introductory online Maternal Mental Health courses developed by NES

in 2015

• NSPCC 2015 ‘Getting it Right’ report highlighted gaps in perinatal mental

health care in Scotland

• Led to SG working group on this
• RC Psych ‘Perinatal and Infant Mental Health Action Plan’ 2016
• Set out aspirations for service developments
• SG Mental Health Strategy 2017-2027
• Action 16. Fund the introduction of a Managed Clinical Network to improve the

recognition and treatment of perinatal mental health problems.

The refresh of the Perinatal Mental Health Curricular Framework

• Since 2006, research, key policy documents have informed and

changed practices

• For example, our knowledge around the interactional nature of neuro-

development and the impact of its absence for the infant’s physical and mental health outcomes

• Multi-agency working party of those with expertise around PNMH

and IMH were involved in the production of the new framework

• Aimed to guide educationalists in developing:
• Curricula for pre-registration and under-graduate programmes for a range of

health profs

• CPD for those already working in health, social care and the 3rd sector

The refresh of the Perinatal Mental Health Curricular Framework

• Key questions:
• Is the title right?
• Are the levels of practice helpful?
• Are the existing 5 dimensions the right
• nes?
• Is the current format of learning outcomes

divided into core content with associated indicators of achievement the best format?

• In terms of specific content, does anything

need more in depth exploration, does anything need added?

Levels of practice

• 2006:
• A. Level on registration /

graduation,

• B. Level on qualification as

public health nurse, GP, psychiatrist, obstetrician,

• C. Specialist Level
• 2018:
• Consistent with NES Trauma

knowledge and Skills Framework and covers the whole workforce

• Training needs determined

by the extent to which the worker will come into contact with mothers and babies who have mental health difficulties

• Each level builds on the

preceding level(s) to avoid repetition and enhance readability / utility 1. Informed 2. Skilled 3. Enhanced 4. Specialist

Levels of Practice

• Informed: Baseline knowledge and skills required by all staff in the Scottish

workforce including those working in health, social care and third sector settings (All staff)

• Skilled: Knowledge and skills required by staff who have direct and/or

substantial contact with women during pregnancy and the postnatal period, their infants, partners and families (All maternity, health visiting, primary care, children & families social work, relevant third sector)

• Enhanced: Knowledge and skills required by staff who have more regular

and intense contact with women who may be at risk of/affected by perinatal mental ill health, their infants, partners and families (All mental health, incl. adult, CAMHS, addictions etc.; maternity, primary care, health visiting and third sector staff who work in an enhanced role)

Levels of Practice, continued

• Specialist: Knowledge and skills required by staff who by virtue of

their role and practice setting, provide an expert specialist role in the assessment, care, treatment and support of women who may be at risk of/affected by perinatal mental ill health, their infants, partners and families. They will often have leadership roles in education, training and service co-ordination and development (Staff who work within specialist perinatal and infant mental health services)

• Perinatal period – The time encompassing pregnancy planning,

pregnancy, childbirth and the mother-infant relationship during the first year after childbirth

Five dimensions outline what practitioners know and can do at each of the four levels

• Previously:
• 1. Underpinning knowledge
• 2. Prevention
• 3. Detection
• 4. Management
• 5. Professional, ethical, legal practice
• Desire to bring the terminology up to

date to fit with current views, to emphasise infant mental health & attachment, the promotion of positive mental health and wellbeing

1. Health and Wellbeing

• All women, babies and partners experience optimal health and

well-being during the perinatal period 2. Family Support

• Partners and family members are closely involved in perinatal

mental health care for women and babies 3. Parent-Infant Relationships

• Parent-infant relationships are warm, secure and attuned

during the perinatal mental health period 4. Stigma

• Discrimination and stigma relating to perinatal mental health

difficulties are eliminated or reduced 5. Interventions

• Women receive specific interventions or treatments

appropriate to their perinatal mental health needs

Dimension 1: Health & Wellbeing: Enhanced Level

What practitioners know

• That women with pre-existing

mental ill health, or psychosocial adversity, may face additional difficulties in managing common physical and emotional changes that occur during the perinatal period

• Normal emotional changes may be

misattributed to mental disorder

• How to access maternity care and

advice directly, both routinely and urgently

What practitioners can do

• Provide women, their partners and

families, with an understanding of how normal physical and emotional changes in the perinatal period may impact on mental health, particularly in the presence of pre-existing mental disorder or psychosocial adversity

• Evaluate and communicate the

significance of physical and emotional changes in the perinatal period for individual woman, given their own history and experiences

Our Aspirations for the Refreshed Curricular Framework

To have a framework that reflects current conceptualisations around perinatal and infant mental health Draw attention to training resources that are available and not necessarily accessed as widely as they could be, perhaps via interactive PDF Highlight any gaps in training provision

Module 1: Understanding Maternal Mental Health

• Introduces key facts about mental

illness that may affect women during pregnancy and postnatally

• Promotion of positive mental

health

• Risk and protective factors for

mental ill health

• Explores current evidence about

prescribing in pregnancy and during breastfeeding.

• Completion time is around 1.5

hours.

Module 2: Maternal Mental Health, the woman’s journey

• Covers the woman's journey

from pre-conception to the postnatal year

• The learner is encouraged to

understand their own role in promoting and supporting a woman's mental health in the context of coordinated multi- agency care

• This module represents around

2.5 hours of learning.

4 weeks long (4 hours per week) and free! Accredited by the Association for Infant Mental Health

NES Advanced Infant Mental Health Training Pathway

• First stage of training pathway
• Online module for health and
• ther professionals in Scotland
• To develop knowledge &

confidence to support families to promote positive IMH & develop secure early attachment relationships

The Solihull Approach 2 Day Foundation Level Training

Introduces the Solihull model for understanding the impact of relationships on health and well-being and the impact of ACEs on health and well-being

Advanced Infant Mental Health Training Pathway, continued

• The Infant Mental Health Online Training
• Developed by the University of Warwick (Prof. Jane

Barlow)

• Delivered over 16, two-hour weekly sessions
• New cohort commences Sept 2018
• Those who complete IMHOL can apply for further

training in an infant mental health intervention (VIG or Mellow Babies), through NES, later in 2018

Advanced Infant Mental Health Training Scheme, continued

• To find out more about this training, please contact:

Emma.Cairns@nes.scot.nhs.uk

• Please submit applications for this training through the NES Portal:

https://www.portal.scot.nhs.uk/

• Search for ‘Advanced Infant Mental Health Training Scheme’
• Please ensure that applications are submitted for IMHOL by the 13th
• f August 2018. Places will be confirmed by Early September 2018.

• suzy.oconnor@nes.scot.nhs.uk
• Thanks so much for listening; please do get in touch if you have any

further questions or comments