妇女、母亲、儿童和新生儿的综合护理:心理健康、儿科和产前护理设置的方法和模式

Emily C. Dossett, Erica Z. Shoemaker, Sarah E. Nasatir-Hilty, J. Daly, D. Hilty
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引用次数: 8

摘要

“综合”行为卫生保健通常是指在同一地点的临床站点协调初级保健和精神卫生保健服务,或向初级保健临床站点提供精神病学咨询服务。妇女围产期医疗和心理健康是以患者为中心和以家庭为中心的综合护理的理想目标。提出了一个三管齐下的方法:1)确定目前为产前和产后妇女提供心理保健服务的障碍的解决方案;2)了解改善围产期心理健康服务的相关性、步骤和其他主题“如何”方面,以促进母亲和儿童的持续健康;3)了解解决产妇心理健康、婴儿二元治疗和加强育儿支持的具体问题。它借鉴了阶梯式护理、跨学科团队合作、针对疾病和疾病阶段的特定匹配治疗以及一系列个人、夫妻、家庭和团体治疗等领域。这些治疗方法是可获得的,可以减少污名化,并且适合利用技术进行传播。
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Integrated Care for Women, Mothers, Children and Newborns: Approaches and Models for Mental Health, Pediatric and Prenatal Care Settings
“Integrated” behavioral health care most often refers to coordinated primary care and mental health care delivery at a co-located clinical site or psychiatric consultation service to a primary care clinical site. Women’s perinatal medical and mental health is an ideal target for integrated, patient-centered, and family-centered care. A three pronged approach is proposed to: 1) identify solutions for current barriers to mental health care delivery for pre- and postpartum women, 2) understand the relevance, steps toward and other thematic “how to” aspects of improving access to perinatal mental health services for the ongoing health of both mother and child, and 3) learn specifics of addressing maternal mental health, infant dyadic therapy, and enhanced parenting support. It borrows from the areas of stepped care, interdisciplinary teamwork, specific matching of treatments to disorders and stages of illness, and a range of individual, dyad, family and group treatments. These treatments are accessible, reduce stigmatization, and appropriate for dissemination using technology.
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