HNY Policy and Pathway Repository - Humber

The Maternal mental health service is a secondary mental health service offering assessment and treatment for moderate to severe psychological difficulties as a result of baby loss. The various loss’s in our service criteria are :

• Primary Tokophobia (fear of birth) – women not currently pregnant, who have not birthed
• Miscarriage 
• Difficulties conceiving/unsuccessful fertility treatments  
• Stillbirth 
• Termination/Medical termination 
• Neonatal death 
• Ectopic pregnancy 
• The psychological difficulties we expect to see are PTSD presentations, depression and anxiety to a point this is affect their everyday functioning. Complex grief, with complex (complicated) grief are caught up in rumination about the circumstances of death, worries about its consequences, or excessive avoidance of reminders of the loss.

If a patient presents with actively suicidal ideation with plans, deliberate self-harm behaviours that require medical attention

If a patient presents with an episode of psychosis that requires assessment and treatment due to risk to themselves or others

Both of these presentations should be referred to local CMHT or Crisis team’s dependant on severity. The service does not hold a care-coordination or emergency function.  

Exclude Red Flag Symptoms

The service is a psychological service with no crisis function so all referral’s will be processed routinely.

DO NOT REFER

If a women is pregnant she will be seen by the perinatal team, however the women is pregnant and has had several losses we will work jointly with the perinatal team to ensure the best care is provided for the individual.

As a general guide we are a Psychological service that provides treatment for such conditions as PTSD, complex grief, anxiety and depression relating to the maternal period, If a women requires support for grief not treatment than a primary or third sector organisation should be considered. The link attached has several other organisations for each area

Presenting with psychological distress, mental health difficulties and/or bereavement related to miscarriage, medical termination, neonatal death and stillbirth. Anxiety and/or depression stemming from their maternal experience of Loss. This may include assisted pregnancy or IVF.

Patients presenting to foetal medicine service after news of foetal abnormality during pregnancy, and after foeticide or medical termination.

Referrals

Referral assessment service 

Referral form on ARDENS

HCV and Care Partnership Referral Pathway

ER HCV MMHS Referral Pathway

Hull HCV MMHS Referral Pathway

MMHS - Helpful Resources

Current situation & information regarding the loss, pregnancy history, previous losses signs of poor mental health or distress.