The Perinatal Mental Health programme has been designed to help educate and develop the workforce caring for people with perinatal mental health issues.
This programme currently provides courses across four key areas:
The overall aim of the elearning course is to offer learners an overview of the field of Perinatal and Infant Mental Health and why the perinatal period is unique and important in terms of parent and infant’s lives, development, relationships, mental health and well-being and outcomes for families.
The objectives of the course are to offer learners an overview of Perinatal and Infant Mental Health via delivery of 12 short modules/sessions which cover 3 key, broad sections relating to Perinatal and Parent Infant Mental Health. Objectives will be achieved via delivery across 3 broad sections.
To access please visit Perinatal and Infant Mental Health
1.1 Perinatal and infant mental health: why it matters
This session takes a look at the perinatal period and why it is unique and important in terms of outcomes for families. It also explains how and why perinatal mental health services have evolved within England.
2.1 The journey of pregnancy and maternity care
This session gives an overview of the physiological processes associated with pregnancy and childbirth, and the journey through the maternity system.
2.2 Transition to parenthood
This session provides a sense of the breadth of experiences that parents might have in their transition to parenthood and the importance of keeping this context in mind when assessing the family’s needs.
2.3 Infant development
This session looks at infant development during pregnancy and into the first 1001 days of life. It will provide practitioners with a framework for understanding what an infant might need and want at different developmental stages and what support parents might need to provide this.
2.4 Parent infant relationships
This session introduces the importance of the parent infant relationship. It explores why early relationships are important for babies’ development and the key aspects of a parent infant relationship, taking into consideration what might interfere with these processes.
2.5 Trauma in the perinatal context
This session introduces the impact of trauma in the perinatal period. It will support professionals to identify and respond more sensitively to families who have experienced trauma.
3.1 Working with families in the perinatal period: a framework for good practice
This session provides a framework of good clinical practice for those working with individuals and families in the perinatal period. It explains the importance of trauma informed care and considers how professionals can adopt a “perinatal and parent-infant frame of mind” when working with families.
3.2 Risk assessment and safeguarding in the perinatal period
This session outlines the reasons that professionals need to be particularly aware of risk in the perinatal period, and some of the key perinatal and infant considerations when assessing risk.
3.3 Assessment and management of perinatal mental health difficulties
This session outlines how professionals can recognise perinatal mental health difficulties, understand associated risks, and develop a collaborative treatment plan with the mother or birthing person, family and wider support services.
3.4 Prescribing of psychotropics in pregnancy and breastfeeding
This session explores the evidence around psychotropics in pregnancy and breastfeeding, as part of a holistic management plan. It provides an overview of prescribing mental health medication during pregnancy and breastfeeding, assisting professionals and parents to make collaborative evidenced-based decisions.
3.5 Delivering psychological therapy in the perinatal period
This session explores ways to hold the perinatal and infant frame of mind whilst delivering psychological therapy with parents. It outlines common presentations in the perinatal period and examines frameworks for offering perinatally-informed support.
3.6 Supporting parent infant relationships
This session examines assessment and support in the parent infant relationship. It focuses on how to recognise concerns early and how to support change.
Specialist Perinatal Mental Health Services (SPMHS) provide support to service users with moderate to severe mental health difficulties in the antenatal and postnatal period. This elearning is adapted from a manual produced by the Child Outcomes Research Consortium – a project of the Anna Freud Centre – and offers tools, tips and information to help in implementing routine outcome measurement (ROM) in SPMHS and maternity settings.
The aim of this programme is to provide a helpful framework and useful suggestions for services in how to implement measures. Each service is unique and decisions around how best to implement measures should be made locally, while still being informed by best practice.
Session 1 An introduction to Routine Outcome Monitoring (ROMS)
Session 2 System enablers for implementation of ROMS
Session 3 Using patient reported outcome measures
Session 4 Consideration of other measurement tools and approaches
Session 5 Analysing reporting interpreting aggregated ROM data
To access please visit Routine Outcome Monitoring in Specialist Perinatal Mental Health Services
The team responsible for creating this elearning would like to acknowledge the original authors of the Implementing routine outcome monitoring in specialist perinatal mental health services manual:
We would also like to thank Dr Giles Berrisford. National speciality Advisor for Perinatal Mental Health for NHS England.
This course is designed to provide high quality and evidence-based elearning resources in the field of perinatal mental health.
NHS England has developed a set of five elearning sessions, each taking around 20 to 30 minutes to complete. The sessions assume no specific prior knowledge of perinatal mental healthcare and are designed to be accessed by any health care professional who has contact with people in the time when they’re considering pregnancy, right up until their child is around 1 year old.
All content is referenced, and the learner is signposted to additional detailed learning resources for more advanced learning. The content and structure of the sessions were formally agreed working with subject matters experts across the field.
The sessions commence with 2 introductory sessions, which provide a broad overview of the topic and essential learning points for all health professionals. The 2 subsequent sessions focus on different stages of a mother’s journey – the pregnancy, birth and the first year of a child’s life. The subsequent sessions contain more detailed advice, which may be of interest to particular professional groups, for example, obstetricians choosing to complete session 4 on labour and the immediate post-partum.
The Health Visitor Implementation Plan contains core aims to “improve opportunities to use the full range of health visitor skills and re-emphasise health visitors as key public health professionals” and to “ensure a strong focus on responding to differential needs and improving outcomes, and that systems promote effective join-up between services in ways that best meet local needs.”
Training health visitors to identify and treat postnatal depression, including making referrals to specialist counselling, is a key driver of these aims.
The 2 elearning modules developed by the Institute of Health Visiting, in partnership with NHS England look at:
The resource is made up of expert peer reviewed content and videos, interactions and knowledge checks.
To access please visit Perinatal Mental Health for Health Visitors
Training programme for occupational therapists working in perinatal mental health services.
This elearning course is for occupational therapists working in perinatal mental health services and those who are new to or wishing to work in this specialist area of practice. Sessions may also be of interest to other professionals working in perinatal mental health and maternity services. It has been developed by the Royal College of Occupational Therapists in collaboration with NHS England elearning for healthcare.
The course provides occupational therapists with the information and skills they need to support women’s participation in activities that are important to them, their infants and families, and to facilitate women’s recovery from perinatal mental health problems.
It is recommended that you access the sessions on a laptop or desktop.
Each session includes information, case studies relating to the content of the session and a self-assessment to check participants’ knowledge and understanding. Links to additional information and resources are provided and participants are encouraged to create a ‘personal action plan’ detailing how they will continue their learning and develop their practice.
More information
The course content was written by a group of occupational therapy experts including clinicians, researchers, and individuals with lived experience of perinatal mental health problems. Case studies are based on real life examples and include assessment/intervention plans written by experienced occupational therapists for participants to compare with their own. The course was peer reviewed by a wider group of occupational therapists and checked for quality and consistency by the Royal College of Occupational Therapists’ practice and professional development teams.
To access please visit Perinatal Mental Health for Occupational Therapists
NHS England commissioned the Tavistock and Portman NHS Foundation Trust to develop a skills competency framework for all staff working to support mothers and families across the perinatal care pathway, from preconception to postnatal care.
The framework is designed to increase general awareness of perinatal mental health disorders and associated care skills, supporting advanced and specialist practice. Competencies are the skills, knowledge and behaviours that deliver high quality care and enable the continuous improvement of services.
It has been developed to standardise competencies for perinatal mental health practice across England. This will help to ensure the workforce is confident and suitably skilled to identify need and deliver care to women who have mental health problems during the perinatal period, thereby increasing access to appropriate evidence-based specialist treatment.
This framework lists several competencies over separate domains and is divided into categories for different types of healthcare worker; including those who have limited infrequent contact, to those who work in specialist perinatal services. Over time, this competency framework may be used for recruitment, training and development, and discussions about career progression.
A review has been undertaken around usage of this framework. Further improvements will be made in due course to improve access.
To access please visit Perinatal Mental Health Competency Framework
We would like to thank the following for contributing to the development of the Perinatal Mental Health Parent-Infant eLearning programme:
In order to access the Perinatal Mental Health programme, you will need an elfh account. If you do not have one, then you can register by selecting the Register button below.
To view the Perinatal Mental Health programme, select the View button below. If you already have an account with elfh, you will also be able to login and enrol on the programme from the View button.
The Perinatal Mental Health programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this elearning via ESR means that your completions will transfer with you throughout your NHS career.
Further details are available here.
If you are not an NHS health or care organisation and therefore do not qualify for free access elfh Hub, you may be able to access the service by creating an OpenAthens account.
To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ‘OpenAthens’ portal.
If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Perinatal Mental Health programme, please contact elfh directly.
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