Delivering perinatal psychiatric services in the neonatal intensive care unit.

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dc.contributor.author Hatters-Friedman, Susan en
dc.contributor.author Kessler, Ann en
dc.contributor.author Nagle Yang, Sarah en
dc.contributor.author Parsons, Sarah en
dc.contributor.author Friedman, Harriet en
dc.contributor.author Martin, Richard J en
dc.date.accessioned 2018-10-23T02:43:06Z en
dc.date.issued 2013-09 en
dc.identifier.issn 0803-5253 en
dc.identifier.uri http://hdl.handle.net/2292/43246 en
dc.description.abstract To describe characteristics of mothers who would likely benefit from on-site short-term psychiatric services while their infant is in the neonatal intensive care unit (NICU).For 150 consecutive mothers who were referred for psychiatric evaluation and psychotherapeutic intervention in an innovative NICU mental health programme, baseline information was collected. Data regarding their referrals, diagnosis, treatments and infants were analysed.Most mothers were referred because of depression (43%), anxiety (44%) and/or difficulty coping with their infant's medical problems and hospitalization (60%). Mothers of VLBW infants were disproportionately more likely to be referred. A majority of mothers accepted the referral and were treated; most only required short-term psychotherapy. A minority resisted or refused psychiatric assessment; a quarter of these had more difficult interactions with staff or inappropriate behaviours. In these cases, the role of the psychiatrist was to work with staff to promote healthy interactions and to foster maternal-infant bonding.Overall, on-site psychiatric services have been accepted by a majority of referred NICU mothers, and most did not require long-term treatment. A considerable need exists for psychiatric services in the NICU to promote optimal parenting and interactions. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Acta paediatrica (Oslo, Norway : 1992) en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Infant, Newborn, Diseases en
dc.subject Treatment Outcome en
dc.subject Postnatal Care en
dc.subject Infant Mortality en
dc.subject Cohort Studies en
dc.subject Follow-Up Studies en
dc.subject Adaptation, Psychological en
dc.subject Depression en
dc.subject Anxiety en
dc.subject Mother-Child Relations en
dc.subject Mothers en
dc.subject Counseling en
dc.subject Stress Disorders, Post-Traumatic en
dc.subject Psychotherapy, Brief en
dc.subject Pregnancy en
dc.subject Adult en
dc.subject Infant, Newborn en
dc.subject Infant, Very Low Birth Weight en
dc.subject Intensive Care Units, Neonatal en
dc.subject Referral and Consultation en
dc.subject Female en
dc.subject Male en
dc.title Delivering perinatal psychiatric services in the neonatal intensive care unit. en
dc.type Journal Article en
dc.identifier.doi 10.1111/apa.12323 en
pubs.issue 9 en
pubs.begin-page e392 en
pubs.volume 102 en
dc.rights.holder Copyright: The author en
dc.identifier.pmid 23772977 en
pubs.end-page e397 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.subtype Research Support, N.I.H., Extramural en
pubs.elements-id 406350 en
dc.identifier.eissn 1651-2227 en
pubs.record-created-at-source-date 2013-08-05 en
pubs.dimensions-id 23772977 en


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