Perinatal mental illness is a known risk to maternal–infant attachment and healthy infant development. Mothers experiencing complex mental health issues in the first year following birth are less likely to become involved in parenting programs or day stay interventions because of their mental health difficulties and perceived stigma. Currently, most perinatal day or group treatment programs only include the mother and not their infant. This paper describes “Together in Mind,” a perinatal and infant mental health day program developed by the Queensland Centre for Perinatal and Infant Mental Health, targeting mothers with moderate to severe mental illness and their infants under 12 months. The service model was a 6-week, 1 day per week psychoeducation intervention. Psychoeducational material and support were provided across each day session by an adult perinatal mental health clinician, an infant mental health clinician, and a child health nurse working in collaboration. The program was trialed across seven Hospital and Health Service sites in Queensland, Australia, during 2016–18. In total, 24 group day programs were delivered with 84 mothers and their infants. Pre and post intervention quantitative measures and a post-program qualitative survey about participant satisfaction were collected. Statistically significant improvements in all quantitative measures showed a large to medium effect size on the: Health of the Nation Outcome Scale (HoNOS) (d = 0.82; p < .000); Depression, Anxiety and Stress Scale (DASS-21) (d = 0.5; p < .000); Karitane Parenting Confidence Scale (KPCS) (d = 0.63; p < .000); Maternal Postnatal Attachment Scale (MPAS) (d = 0.49; p < .000), Ages and Stages Questionnaire: Social-Emotional (6 months) (d = 0.83; p < .000). The results indicate collaboration and early intervention contributes to strengthening the emerging development of the maternal–infant relationship within the context of complex maternal mental health issues.

中文翻译：

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澳大利亚中重度围产期精神疾病母亲及其婴儿的协作小组干预评估

围产期精神疾病是母婴依恋和婴儿健康发育的已知风险。在出生后第一年遇到复杂心理健康问题的母亲由于心理健康困难和被认为是耻辱，不太可能参与育儿计划或日间干预。目前，大多数围产期日间或团体治疗计划只包括母亲而不是婴儿。本文介绍了“Together in Mind”，这是一项由昆士兰围产期和婴儿心理健康中心开发的围产期和婴儿心理健康日计划，针对患有中度至重度精神疾病的母亲及其 12 个月以下的婴儿。服务模式是为期 6 周、每周 1 天的心理教育干预。心理教育材料和支持由一名成人围产期心理健康临床医生、一名婴儿心理健康临床医生和一名儿童健康护士在每天的会议中提供。该计划于 2016-18 年在澳大利亚昆士兰的七个医院和卫生服务站点进行了试验。总共为 84 位母亲和她们的婴儿提供了 24 个团体日间课程。收集了关于参与者满意度的干预前后定量测量和计划后定性调查。所有定量措施的统计显着改善显示出对以下各项的大到中等影响： 国家健康结果量表 (HoNOS) ( 该计划于 2016-18 年在澳大利亚昆士兰的七个医院和卫生服务站点进行了试验。总共为 84 位母亲和她们的婴儿提供了 24 个团体日间课程。收集了关于参与者满意度的干预前后定量测量和计划后定性调查。所有定量措施的统计显着改善显示出对以下各项的大到中等影响： 国家健康结果量表 (HoNOS) ( 该计划于 2016-18 年在澳大利亚昆士兰的七个医院和卫生服务站点进行了试验。总共为 84 位母亲和她们的婴儿提供了 24 个团体日间课程。收集了关于参与者满意度的干预前后定量测量和计划后定性调查。所有定量措施的统计显着改善显示出对以下各项的大到中等影响： 国家健康结果量表 (HoNOS) (d  = 0.82；p  < .000)；抑郁、焦虑和压力量表 (DASS-21)（d  = 0.5；p  < .000）；Karitane 育儿信心量表 (KPCS)（d  = 0.63；p  < .000）；产妇产后依恋量表 (MPAS)（d  = 0.49；p  < .000），年龄和阶段问卷：社会情绪（6 个月）（d  = 0.83；p  < .000）。结果表明，在复杂的孕产妇心理健康问题的背景下，合作和早期干预有助于加强母婴关系的新兴发展。