Service changes and visiting during the COVID-19 pandemic

During this COVID-19 pandemic there may be changes in the way some of our services work. Contact the service directly to check how services are being delivered and follow their advice.

Some of our services now offer video consultations. You should speak to your clinician if this is something you would like them to consider. You can find out more about video consultation here.

 

Visiting

Contact the ward you wish to visit in advance for guidance and instructions for a safe visit.

You can read some general  NHS guidance on visiting healthcare inpatient settings.pdf [pdf] 89KB

If you need help in a mental health crisis during the COVID-19 pandemic outside office hours please contact our crisis team: Help in a crisis

For other medical advice and support contact your GP or visit NHS 111

Only visit your local Emergency Department for serious life-threatening conditions that need immediate medical attention including persistent severe chest pain, loss of consciousness, acute confused state, severe breathlessness, severe blood loss, serious burns or suspected stroke.

Who we see

Starting a family can be both an exciting and challenging time. It’s normal to feel emotional and nervous about adjusting to life as a parent.

If however you are experiencing depression and / or anxiety or other significant mental health difficulty or you are at risk of becoming mentally unwell our team can advise and support you. We work across Nottinghamshire and Bassetlaw with women from 13 weeks pregnant (once the pregnancy is confirmed by scan) up to around one year after having their baby.

If you or your family have concerns about your mental health speak to your GP, midwife, health visitor or other health professional involved in your care. They are able to advise whether we are the most appropriate service to help and can make a referral to our service if required. In some circumstances we are not always able to offer appointments to all women referred as a different service may be more suitable.

What happens when your are referred

When we receive a referral, we make contact with you either by phone or letter depending on the urgency of the referral.

We offer appointments here at Green Haven at Hopewood in Nottingham, which is a specialist service for Perinatal Psychiatry. We also see many women in different venues across the County including visiting women at home where this is appropriate.

Where it is appropriate an initial appointment for assessment is offered. This can be face to face at a clinic or a telephone appointment depending on your needs.

The assessment will be carried out by a member of the team who will discuss your mental health and what is important to you in your pregnancy or after you have had your baby. It is an opportunity to talk through your concerns. At the end of the assessment we will make a plan of care. If it is felt that you do not need our service, we will advise and explore alternative support.

If it is felt that your needs are best met from our service a treatment plan will be agreed with you and can involve other members of the team depending on your needs.

As part of the perinatal psychiatric team we have medics, psychiatric nurses, mother infant therapist, nursery nurses, psychologists, peer support workers, social work, and occupational therapists who can work with you and your family in your recovery.

You will have regular one to one appointments during your time with the service to help support you in your recovery.

All our treatment are tailored to you and your needs and includes guidance for partners and families.

Some of the help and types of advice we may offer you include:

  • Preconception advice
  • Individual assessment and therapy
  • Face to face support in the local community or at home to promote independence
  • Range of personal and group interventions to help you understand your mental health and coping strategies to manage your mental health whilst also adapting to pregnancy and having a new baby.
  • Guidance and support for partner and family
  • Support around the relationship between mother and baby to promote attachment
  • Medication advice during pregnancy and after giving birth including breastfeeding
  • Housing and benefit support
  • Peer support

What happens when you are discharged

We are able to work with women and their families until baby is around 1 year old, but we will regularly review this with you and not all women need to stay in our service until this time.

When your mental health is getting better, we will begin to prepare you for staying well in the future. This can include supporting you with a wellness and recovery action plan (WRAP) and moving on from our service.

Sometimes women do not fully recover during the perinatal period and in this case, we will discuss other health and support services moving forward. We will look at this together and help identify the support you might need and make referrals to other services if required. The wishes of the mother are very important to us.

This is an example of a wellness and recovery action plan provided by the mental health charity MIND.

 

 

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