Electronic perinatal and infant mental health (e-PIMH) is a collaborative, clinical telehealth secondary consultation model in perinatal and infant mental health (PIMH), supporting service providers in regional, rural and remote Queensland.
Supporting Rural and Remote Queensland in Recognising Perinatal and Infant Mental Health
Summary
Aim
To identify perinatal and infant mental health issues early, intervene effectively and refer appropriately.
Benefits
Develops awareness, knowledge and skills among healthcare professionals and other workers in rural and remote communities, to identify perinatal and infant mental health issues early and intervene appropriately.
Background
e-PIMH Telepsychiatry is part of the larger telehealth program which includes non-clinical support such as facilitating local referral pathways, and delivering tailored training and education.
Solutions Implemented
Over a seven month period, a non-clinical e-PIMH pilot was implemented in three rural and remote hospital and health services. The pilot engaged different sectors, including local public, private and non-government providers of health and education services. Where appropriate, Indigenous organisations were also engaged, to support the work done with parents/carers in building strong, positive and enjoyable relationships with their infant and/or young child.
Evaluation and Results
Evaluation of the pilot (N=41) reflected improved awareness of PIMH issues due to engagement with e-PIMH. The average weighted score for improved awareness was 8.49 (out of 10) for both perinatal mental health and infant mental health. Respondents believed that this improved outcomes for patients. Respondents also reported that the pilot improved their skills in detecting problems with mental health and wellbeing of clients and provided useful resources and information on where to find relevant resources. When asked 94 per cent of respondents (N=32) felt that the e-PIMH pilot was easy to access and supported their organisation. While 72 per cent agreed that it fit well with their organisation and complimented existing programs (N=33). However the evaluation identified a need for clinical support to complement the non-clinical assistance.
Lessons Learnt
There is an identified need to support services across sectors, both in a clinical and non-clinical context. The model has therefore been adapted to include a clinical component, combining both perinatal and infant mental health expertise to further support local service providers in their work across the PIMH continuum of care.