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Thursday 21 September 2017
Derbyshire Healthcare NHS Foundation Trust
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Perinatal mental health services - referral information

Mother and baby

Referral procedure and criteria for inpatient services

Inpatient referrals will be accepted from:

  • Consultant psychiatrists 
  • General practitioners (GP) 
  • Consultant obstetricians 
  • Perinatal Community Mental Health Team  
  • Crisis Teams.

 

By contacting either the secretary on 01332 623800 or the ward team on 01332 623828.

Women need to be experiencing one of the following conditions:

  • A puerperal psychosis 
  • Severe postnatal depression 
  • Severe anxiety disorder 
  • Significant disorders of bonding 
  • Relapse of existing mental health problems e.g. schizophrenia, major depressive disorder or bipolar disorder.

 

Priority will be given to women from Derbyshire, but out-of-area referrals will be accepted subject to bed availability. Unfortunately facilities do not exist to manage older children, but an open visiting policy is encouraged.

We would not normally accept referrals for women who:

  • Have an  infant under the care of the local authority
  • In the absence of mental illness have a primary diagnosis of either personality disorder or drug/alcohol misuse.

 

On admission, a named nurse and nursery nurse will be allocated, who will facilitate an individual treatment plan and support package prior to discharge. The team liaises directly with any midwifery or health visiting services involved. In addition to this there is a link midwife and health visitor attached to the unit.


Referral procedure and criteria for community services

Referrals to the community team will be accepted from:

  • Consultant psychiatrists 
  • General practitioners (GP) 
  • Consultant obstetricians and Gynaecologists 
  • Community Mental Health or Crisis Teams 
  • Midwives 
  • Health visitors.

 

By contacting the Perinatal Community Mental Health Team on either 01332 623911 (South Derbyshire) or 01246 515743 (North Derbyshire). Alternatively, you can email dmh-tr.PerinatalNorth@nhs.net (North Derbyshire).

The referral should normally be made in writing to the team. Midwives will have a standard referral template to be used when screening for mental health problems at the booking appointment. Where possible this should be discussed with the woman prior to referral. Referrals will be reviewed by the multi-disciplinary team and prioritised accordingly. We aim to see urgent referrals within one week of referral and routine within five weeks. We do operate a waiting list. Referrers will be advised of the outcome in writing. Weekly referral meetings are held every Tuesday in South Derbyshire and every Wednesday in North Derbyshire.

Referrals will be accepted:

  • Preconceptually

Those with existing serious mental illness, usually schizophrenia, bipolar disorder, severe depressive disorder, who require advice about treatments and the risks associated with pregnancy. These women would normally be already under the care of a Community Mental Health Team.

  • Antenatally

    • Women with serious mental illness, i.e. bipolar disorder, schizophrenia, severe depression/anxiety disorders
    • Women who have developed significant mental health difficulties that cannot be managed in primary care
    • Women at risk of developing serious mental illness following delivery, e.g. those with a history of bipolar disorder or serious postnatal illness in first degree relatives
    • Women with previous history of puerperal psychosis, severe postnatal depression, severe anxiety disorders including OCD
    • Women who have been admitted to a psychiatric unit or treated by psychiatric services in the first year following the birth of a child.


  • Postnatally

Mental health problems either arising for the first time or relapse of existing mental health difficulties. In addition women with significant disorders of bonding or attachment may be seen. Women who are already under the care of mental health services will require a CPA review prior to transfer of care.

We would not normally accept referrals for women who:

  • are being successfully treated in primary care
  • whose infant is older than six months.

 

Essential referral information for inpatient and community services

  • Name, address, date of birth, NHS number (if known)
  • Patient’s current contact details and if appropriate relevant carer/family member details 
  • EDD/baby’s date of birth 
  • Presenting problems and treatments offered to date 
  • Current family circumstances 
  • Any other relevant history, including family history if known 
  • Other agencies involved i.e., health visitor, midwife, social worker (please ensure the referral is copied to GP records, maternity/health visitor records) 
  • Any known risks.