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Community Mental Health Journal

, Volume 52, Issue 8, pp 954–963 | Cite as

Managing Life, Motherhood and Mental Health After Discharge from a Mother–Baby Unit: An Interpretive Phenomenological Analysis

  • Tracy Jayne ConnertyEmail author
  • Rachel Roberts
  • Anne Sved Williams
Original Paper

Abstract

Women who are admitted to a mother–baby psychiatric unit during the postnatal period often experience ongoing difficulties after discharge and require support in the community. This study explored the experiences of women following discharge from a mother–baby unit and their use of services and supports in the community. Semi-structured interviews were conducted with eight women who had been discharged from a mother–baby unit. To gain a comprehensive understanding of the lived experiences of these women, Interpretive Phenomenological Analysis was used to examine the transcripts. The themes identified focused on the transition home from the mother–baby unit as a significant event, the experience of life in the community, and the complex decision-making process involved in community service use. This study provides greater insight into women’s experiences of managing life, motherhood, and mental health in the community and their use of recommended services. Results can inform future post-discharge and transition planning within mother–baby units and inpatient psychiatric facilities.

Keywords

Mother–baby unit Discharge Mental illness and motherhood Lived experience Service use 

Notes

Acknowledgments

We would like to thank all the women who took time out of their busy lives to share their experience and participate in this study. Thank you also to the staff of Helen Mayo House, particularly Chris Yelland and Teresa Girke, for your support and assistance with the long process of recruitment.

Conflict of interest

There are no known conflicts of interest present in this research and the authors certify their responsibility for the conduct of the study and development of this manuscript.

References

  1. Abrams, L. S., Dornig, K., & Curran, L. (2009). Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qualitative Health Research, 19, 535–551. doi: 10.1177/1049732309332794.CrossRefPubMedGoogle Scholar
  2. Brunette, M. F., & Dean, W. (2002). Community mental health care for women with severe mental illness who are parents. Community Mental Health Journal, 38(2), 153–165.CrossRefPubMedGoogle Scholar
  3. Bybee, D., Mowbray, C. T., Oyserman, D., & Lewandowski, L. (2003). Variability in community functioning of mothers with serious mental illness. Journal of Behavioural Health Services and Research, 30(3), 269–289. doi: 10.1007/BF02287317.CrossRefGoogle Scholar
  4. Dolman, C., Jones, I., & Howard, L. M. (2013). Pre-conception to parenting: A systematic review and meta-synthesis of the qualitative literature on motherhood for women with severe mental illness. Archives of Women’s Mental Health, 16, 173–196. doi: 10.1007/s00737-013-0336-0.CrossRefPubMedGoogle Scholar
  5. Gerson, L. D., & Rose, L. E. (2012). Needs of persons with serious mental illness following discharge from inpatient treatment: Patient and family views. Archives of Psychiatric Nursing, 26(4), 261–271. doi: 10.1016/j.apnu.2012.02.002.CrossRefPubMedGoogle Scholar
  6. Goodman, J. H., & Tyer-Viola, L. (2010). Detection, treatment, and referral of perinatal depression and anxiety by obstetrical providers. Journal of Women’s Health, 19(3), 477–490. doi: 10.1089/jwh2008.1352.CrossRefPubMedGoogle Scholar
  7. Huff, E. D. (2000). Outpatient utilization patterns and quality outcomes after first acute episode of mental health hospitalisation: Is some better than none, and is more services associated with better outcome. Evaluation and the Health Professions, 23, 441–456. doi: 10.1177/01632780022034714.CrossRefPubMedGoogle Scholar
  8. Loh, C. C., & Vostanis, P. (2004). Perceived mother–infant relationship difficulties in postnatal depression. Infant and Child Development, 13, 159–171. doi: 10.1002/icd.347.CrossRefGoogle Scholar
  9. Manning, C., & Gregoire, A. (2008). Effects of parental mental illness on children. Psychiatry, 8(1), 7–9. doi: 10.1016/j.mppsy.2008.10.012.CrossRefGoogle Scholar
  10. Nair, R., Bilszta, J., Salam, N., Shafira, N., & Buist, A. (2010). Client evaluation of a specialist inpatient parent–infant psychiatric service. Australasian Psychiatry, 18(6), 573–578. doi: 10.3109/10398562.2010.499946.CrossRefPubMedGoogle Scholar
  11. National Institute for Health and Clinical Excellence. (2007). Antenatal and postnatal mental Heath: Clinical management and service guidance. NICE clinical guideline 45. Retrieved from http://www.depressionepreepostpartum.it/Documenti/Antenatal%20and%20postnatal%20mental%20health.pdf.
  12. O’Connor, A. M. (1995). Validation of a decisional conflict scale. Medical Decision Making, 15(1), 25–30. doi: 10.1177/0272989X9501500105.CrossRefPubMedGoogle Scholar
  13. Oates, M. (2003). Perinatal psychiatric syndromes: Clinical features. Psychiatry, 5(1), 5–9. doi: 10.1383/psyt.2006.5.1.5.CrossRefGoogle Scholar
  14. Oyserman, D., Mowbray, C. T., Meares, P. A., & Firminger, K. B. (2000). Parenting among mothers with a serious mental illness. American Journal of Orthopsychiatry, 70(3), 296–315. doi: 10.1037/h0087733.CrossRefPubMedGoogle Scholar
  15. Oyserman, D., Mowbray, C. T., & Zemencuk, J. K. (1994). Resources and supports for mothers with severe mental illness. Health and Social Work, 19(2), 132–142.PubMedGoogle Scholar
  16. Patient Decision Aids Research Group. (2014). Ottawa decision support framework. Retrieved from https://decisionaid.ohri.ca/odsf.html.
  17. Price, S. K. (2010). Women’s use of multisector mental health services in a community-based perinatal depression program. Social Work Research, 34(3), 145–155. doi: 10.1093/swr/34.3.145.CrossRefGoogle Scholar
  18. Sharma, V., & Mazmanian, D. (2003). Sleep loss and postpartum psychosis. Bipolar Disorders, 5, 98–105. doi: 10.1034/j.1399-5618.2003.0015.x.CrossRefPubMedGoogle Scholar
  19. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretive phenomenological analysis: Theory, method and research. London: Sage.Google Scholar
  20. Sved Williams, A., Ellershaw, S., Mader, L., & Sayfang, M. (2008). Working with severely mentally ill mothers and their infants in a mother–baby inpatient unit. In A. Sved Williams & V. Cowling (Eds.), Infants of parents with mental illness: Developmental, clinical, cultural and personal perspectives (pp. 25–44). Bowen Hills: Australian Academic Press.Google Scholar
  21. Walton, G. D., Ross, L. E., Stewart, D. E., Grigoriadis, S., Dennis, C.-L., & Vigod, S. (2014). Decisional conflict among women considering antidepressant medication use in pregnancy. Archives of Women’s Mental Health, 17, 493–501. doi: 10.1007/s00737-014-0448-1.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Tracy Jayne Connerty
    • 1
    • 2
    Email author
  • Rachel Roberts
    • 1
  • Anne Sved Williams
    • 3
  1. 1.Faculty of Health Sciences, School of PsychologyThe University of AdelaideAdelaideAustralia
  2. 2.Northern Community Mental Health ServiceSA HealthSalisburyAustralia
  3. 3.Perinatal and Infant Mental HealthWomen’s and Children’s HospitalAdelaideAustralia

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