Module Details

Module Code: NURS N9007
Full Title Perinatal Mental Health
Valid From: Semester 2 - 2018/19 ( February 2019 )
Language of Instruction:English
Duration: 1 Semester
Credits: 10
Module Owner: Kathleen Nallen
Departments: Unknown
Module Description: The aim of the Perinatal Mental Health module is to empower health care professionals to develop their expertise in supporting women experiencing perinatal mental health issues. It will also empower health care professionals to work collaboratively with the women's families and the multidisciplinary team in promoting evidence based compassionate care that empowers women and aids their individualised recovery.
 
Module Learning Outcome
On successful completion of this module the learner will be able to:
# Module Learning Outcome Description
MLO1 Critically discuss the theoretical and philosophical foundations underpinning perinatal mental health.
MLO2 Critically explore and synthesise contemporary evidence related to perinatal mental health.
MLO3 Critically explore the impact of perinatal mental health on the infant, partner and extended family.
MLO4 Demonstrate an ability to communicate effectively with women experiencing perinatal mental health conditions and others involved in their care.
MLO5 Demonstrate the expertise to undertake appropriate assessment and referral of women experiencing perinatal mental health conditions.
MLO6 Critically evaluate individualised therapeutic interventions and recovery principles related to perinatal mental health.
Pre-requisite learning
Module Recommendations
This is prior learning (or a practical skill) that is strongly recommended before enrolment in this module. You may enrol in this module if you have not acquired the recommended learning but you will have considerable difficulty in passing (i.e. achieving the learning outcomes of) the module. While the prior learning is expressed as named DkIT module(s) it also allows for learning (in another module or modules) which is equivalent to the learning specified in the named module(s).
No recommendations listed
 
Module Indicative Content
NOTE:
Conditions explored in units 2,3,4 and 5a will include an overview of screening, diagnosis (DSM 5/ICD 10), interventions and recovery principles. All modular content will be underpinned by a trauma informed approach to care and recovery principles.
Unit 1(a): Introduction to Perinatal Mental Health
• Background and context to Perinatal Mental Health: o Matrescence – psychological adaptation to motherhood o The impact of pregnancy and motherhood on mental health • Relevant national/international report findings/recommendations related to perinatal mental health; Legislation related to Mental Health • Facilitators and barriers to seeking help: o Mental health literacy o Stigma o Self-stigma o Societal expectations of motherhood in the context of mental health. • Cultural diversity in the context of Perinatal Mental Health
Unit 1(b): Theoretical/Philosophical Foundations of PMH
Theoretical/Philosophical Foundations of PMH o Exploring the origins of mental health o Trauma informed philosophy. • Models of care: o Medical Model o Recovery Model o Salutogenesis
Unit 2: Coping mechanisms
• Addiction • Self-harm • Eating Disorders
Unit 3: Living with personality Disorders, Anxiety and Depression
• Personality Disorders • Anxiety: (Generalised Anxiety Disorder, Other Anxiety Disorders) • Obsessive Compulsive Disorder • Depression o Pre-existing Depression o Perinatal Depression • Adjustment disorder and distress
Unit 4: Living with pre-existing/New onset Conditions
Pre-existing Conditions: • Bipolar Disorder • Schizophrenia • Psychosis • Postpartum Psychosis
Unit 5(a): Trauma and recovery
• Post Traumatic Stress Disorder. • Trauma related to labour and birth. • Tokophobia. • Loss and Bereavement.
Unit 5(b): The impact of perinatal mental health across the lifespan
• The impact of perinatal mental health on the newborn, infant, partner, other children and extended family
Unit 6(a): Communication skills
• Interpersonal Communication o Reflect on barriers and facilitators to seeking help in light of new knowledge gained o Communication skills to undertake a conversation on perinatal mental health with woman/family o Communication skills to empower women and their partners to have a conversation about Mental Health
Unit 6(b): Structured Holistic Assessment
Critical review of perinatal Mental Health screening and diagnostic tools • Structured holistic assessment (Psychiatric interview, undertaking a detailed history, risk assessment, Edinburgh Postnatal Depression Scale, Whooley Questions, GAD 2/7)
Unit 7: Therapeutic interventions and recovery principles
• Continuing care: o Role of perinatal mental health support midwife o Mental health liaison o Primary care/secondary care/tertiary care o Ongoing support services for women/families o Sleep management/sleep hygiene o Supporting women who do not wish to be referred • Psychosocial therapeutic interventions for recovery • Pharmacological therapeutic interventions for recovery; implications for breastfeeding
Unit 8: Applied Practice
• Self-Care • Service user ‘The Lived Experience’
Module Assessment
Assessment Breakdown%
Course Work60.00%
Practical40.00%
Module Special Regulation
The continuous assessment (literature review) and practical/skills evaluation (OSCE) must be passed independently.

Assessments

Part Time

Course Work
Assessment Type Continuous Assessment % of Total Mark 50
Marks Out Of 0 Pass Mark 0
Timing n/a Learning Outcome 1,2,3,6
Duration in minutes 0
Assessment Description
Students will undertake a 3500 word literature review related to an aspect of perinatal mental health relevant to their practice. This assessment must be passed independently.
Assessment Type Other % of Total Mark 10
Marks Out Of 0 Pass Mark 0
Timing n/a Learning Outcome 1,2,3,6
Duration in minutes 0
Assessment Description
Online Activities x 4
No Project
Practical
Assessment Type Practical/Skills Evaluation % of Total Mark 40
Marks Out Of 0 Pass Mark 0
Timing n/a Learning Outcome 4,5
Duration in minutes 0
Assessment Description
Students will undertake a structured holistic assessment, and appropriate referral, of a client experiencing perinatal mental health issues. This will be in the form of an Objective Structured Clinical Examination (OSCE). Discipline specific scenarios will address professional diversities. This assessment must be passed independently.
No Final Examination
Reassessment Requirement
A repeat examination
Reassessment of this module will consist of a repeat examination. It is possible that there will also be a requirement to be reassessed in a coursework element.

DKIT reserves the right to alter the nature and timings of assessment

 

Module Workload

This module has no Full Time workload.
Workload: Part Time
Workload Type Contact Type Workload Description Frequency Average Weekly Learner Workload Hours
Lecture Contact Discursive lectures that utilise reflection and reference evidence based practice Every Second Week 3.00 6
Online Learning (non contact) Non Contact E-tivities related to programme content Every Second Week 3.00 6
Directed Reading Non Contact Directed reading related to programme content Every Week 6.00 6
Independent Study Non Contact Independent Study related to programme content Every Week 5.00 5
Total Weekly Learner Workload 17.00
Total Weekly Contact Hours 3.00
 
Module Resources
Recommended Book Resources
  • Cox, J., Holden, J. and Henshaw, C.. (2014), Perinatal Mental Health.The Edinburgh Postnatal Depression Scale (EPDS) Manual., 2nd. RC PSYCH Publications., London.
  • Henshaw C., Cox J. and Barton J.. (2017), Modern Management of Perinatal Psychiatric Disorders, 2nd edn.. RCPSYCH Publications, London..
  • Mann, R. and Evans, J.. (2015), Screening Tools and Methods of Identifying Perinatal depression. In: Milgrom, J. and Gemmill, A.W. (Eds) Identifying Perinatal Depression and Anxiety, Evidence Based Practice in Screening, Psychosocial Assessment and Management., Wiley-Blackwell., Oxford.
  • Martin C.R.. (2012), Perinatal Mental Health. A clinical guide, M&K Publishing, Cumbria..
Supplementary Book Resources
  • Hanzak, E.. (1998), Eyes Without Sparkle: A journey through postnatal illness, CRC Press, Florida.
  • Tyano, S., Keren, M., Herrman, H. and Cox, J.. (2010), Parenthood and Mental Health: A bridge between infant and adult psychiatry., Wiley Blackwell., Oxford.
Recommended Article/Paper Resources
  • Draper, E.S., Gallimore, I.D., Kurinczuk, J.J., Smith, P.W., Boby, T., Smith, L.K., Manktelow, B.N.. (2018) MBRRACE-UK Perinatal Mortality Surveillance Report, UK Perinatal Deaths for Births from Jan. to Dec. 2016. The Infant Mortality and Morbidity Studies, Department of Health Sciences, University of Leicester..
  • Health Service Executive (2017) Specialist Perinatal Mental Health Services. Model of Care for Ireland. Health Service Executive, Dublin.
  • Knight M., Tuffnell D., Kenyon S., Shakespeare J., Gray R. & Kurinczuk J.J. on behalf of MBRRACE-UK (2015). Saving Lives, Improving Mothers’ Care - Surveillance of maternal deaths in the UK 2011-13 and lessons learned to inform maternity care from the UK.
  • National Institute for Health and Care Excellence (2014) Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance. National Institute for Health and Care Excellence, London..
  • O’Hare M.F., Manning E., Corcoran P. & Greene R. A. on behalf of MDE Ireland (2017) Confidential Maternal Death Enquiry in Ireland, Report for 2013 - 2015. MDE Ireland, Cork..
Other Resources
  • [Website], https://www.app-network.org. Action on Postpartum Psychosis.
  • [Website], https://healthyfamilies.beyondblue.org.a u/pregnancy-and-new-parents. Beyond Blue.
  • [Website], https://www.maternalmentalhealth.org.uk. Maternal Mental Health Network.
  • [Website], https://www.rcpsych.ac.uk/expertadvice.a spx. Royal College of Psychiatrists.
  • [Website], web.bestbeginnings.org.uk.
  • [Website], http://www.pnd.ie/. Postnatal Depression Ireland Maternal Mental Health.
  • [Website], https://maternalmentalhealthalliance.org. Maternal Mental Health Alliance Maternal Mental Health, United Kingdom.
 
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