Policy Impacts of the Australian National Perinatal Depression Initiative: Psychiatric Admission in the First Postnatal Year

This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric...

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Bibliographic Details
Published in:Administration and policy in mental health and mental health services research 2019-05, Vol.46 (3), p.277-287
Main Authors: Lee, Wang-Sheng, Mihalopoulos, Cathrine, Chatterton, Mary Lou, Chambers, Georgina M., Highet, Nicole, Morgan, Vera A., Sullivan, Elizabeth A., Austin, Marie-Paule
Format: Article
Language:English
Subjects:
Adjustment disorder
Adolescent
Adult
Age Factors
At risk populations
Australia
Behavior disorders
Childbirth & labor
Clinical Psychology
Depression, Postpartum - diagnosis
Depression, Postpartum - therapy
Female
Health Administration
Health Informatics
Hospitalization
Hospitalization - statistics & numerical data
Humans
Medical History Taking
Medicine
Medicine & Public Health
Mental depression
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - therapy
Mental Health
Mental health care
Original Article
Patient admissions
Perinatal period
Postpartum depression
Postpartum period
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - therapy
Prenatal Care - organization & administration
Prenatal depression
Psychiatry
Public Health
Severity of Illness Index
Socioeconomic Factors
Women
Young Adult
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Summary:This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric hospital admission by up to 50% [0.9% point reduction (95% CI 0.70–1.22)] in the first postnatal year. The greatest reduction was observed for adjustment disorders. The NPDI appears to be associated with fewer post-birth psychiatric disorders hospital admissions; this suggests earlier detection of psychiatric disorders resulting in early care of women at risk during their perinatal period.
ISSN:0894-587X
1573-3289
DOI:10.1007/s10488-018-0911-9