1. NATIONAL PERINATAL DEPRESSION INITIATIVE Emotional wellbeing

2. Emotional wellbeing learning objective  Recognize the importance of screening the emotional wellbeing of all Perinatal (antenatal and postnatal) women and develop a system in your practice to ensure this has occurred.

3. One of every four people is affected by mental illness directly or indirectly New Idea, October, 2012 pg 40

4. EvidenceResearch NPDI Objectives NPDI Project National Perinatal Depression Initiative Beyondblue

6. Team Approach beyondblue State & Territory Project Managers Mental Health Policy Unit PMHCS ACT Health Division WYCCHP PANSDI

7. Implementation Plan in ACT WorkforceEducation Universal & Routine Screening EDPS Psychosocial Assessment Community AwarenessEvaluation

8. Workforce & training http://www.wch.sa.gov.au/npdi http://www.blackdoginstitute.org.au/healthpr ofessionals/gps/onlinetrainingprogram.cfm http://thinkgp.com.au/beyondblue

9. Psychosocial Assessment ________ ____________ ________ __________ ________ __________ ____________ _________

10. Psychosocial Toolkit Is a collection of practical resources available to health professionals to assist them in the management of perinatal mental health: Five key tools 1.Up to date and accurate information 2.Assessment and management tools DASS-21 K10 ANRQ PNRQ EDPS 3.Fact sheets for patients/clients 4.Box of helpful hints – Exercise activates, groups and support services 5.Mental health care plans - ATAPS http://www.blackdoginstitute.org.au/healthprofessionals/resources/thepsychologicaltoolkit.cfm

11. Key Considerations  Value of Antenatal education  Integrate psychosocial assessment and EDPS into routine maternal care  Planning for who will provide ongoing care  Availability of appropriate follow-up care  Ensuring continuity of care  Timing of assessment

12. Referral Care Pathways Postnatal screening 6-8 weeks Score 0-9 Likelihood of depression is low No further action Score 10-12 + Psychosocial Assess Possibility of depression Discuss with Client support and Repeat EDPS in 2 weeks Scores > 13 + Psychosocial Assess Likelihood of depression Refer to GP Refer to appropriate support services eg groups, social worker, PMHCS Score 19-30 + Psychosocial Assess Consider the safety of mother & child Contact nominated support person Consult mental health ACT team 1800 629 354 Antenatal screening 26-34 weeks

13. Local Resources General Practitioners – Medicare Local - ATAPS Maternal and Child Health Nurses Support services – Early Days, Relaxing into Parenting/ Bring Baby Home programs Beyond baby blues resources www.beyondblue.com.au www.beyondblue.com.au Support groups - e.g. PANDSI Perinatal Mental Health Consultation Service Psychiatrists / Psychologists

14. Events  PND awareness week 18-24November  PANDSI and ACT Health Directorate ‘More than PND ‘- Twilight seminar  Walk for PND - Gunghalin Child and Family Centre Thursday 22 November, 2012 10-11.30  Launch z-card consumer information

15. Thankyou Contact details Sally Haseler NPDI Project Manager Sally.haseler@act.gov.au Ph 62051028