A Project of the Reproductive Mental Health Service IWK Health Centre Halifax NS, Public Health Agency of Canada & CAPC/CPNP Projects Across Canada A Community-Based Collaborative Initiative MOTHERS’ MENTAL HEALTH TOOLKIT
Mothers’ Mental Health Toolkit The Project Team Dr. Joanne MacDonald Psychiatrist/Project Lead Coleen Flynn, MSW RSW Clinician Therapist Content Lead Tana Woodward, MSW RSW Training Development Kim D’Ambrogi Admin/Project Support
What’s In This Toolkit? Maternal Mental Health Education for Community Service Providers Worksheets for Use with Mothers Wellness to Illness Recognition Resources for Mothers and their Caregivers
What Isn’t In the Toolkit? Depth of Diversity Applications Cultural Specificity Mental Health Treatment or Intervention Limited Rural/Remote Tools Languages Other than Eng/Fr Replacements for MH Services
Toolkit Project Values: Health Promoting Mental Health Literacy Community Informed Family Centered Strengths Based Support Enhancing Knowledge Sharing Collaborative Care & Intervention
Vulnerability & Risk Determinants Poverty Low level of support Family conflict/disruption Trauma Poor housing Transportation limitations Education deficits Unemployment Previous Mental Health Problem Family History of Mental Illness/Addictions
Promoting Mothers’ Mental Health Well Mother Healthy Child Strong Community
Mother’s Mental Health Critical to Infant Attachment & Development
Infant Attachment & Development Contributes to Risk of Child Mental Illness & Behaviour Problems
Maternal Mental Health Problems Mental Health Diagnosis Pre-Pregnancy New Mental Health Problem During Pregnancy or First Year After Birth Severe Adjustment Difficulties Personality Disorders Post-Traumatic Stress Disorder Spectrum Concurrent Addictions Attachment Disturbances Complex Case/High Risk Contributors
How is the Toolkit Organized?
95
How is the Toolkit Organized? 100
1. Mothers’ Wellness & Self-Care
Mothers’ Wellness & Self-Care 17
Mothers’ Wellness & Self-Care 19
2. The Mothering Role
The Mothering Role 51
The Mothering Role 61
The Mothering Role 62
3. Understanding Mothers’ Mental Health
Understanding Mothers’ Mental Health 94
Understanding Mothers’ Mental Health 109
Signs & Symptoms/Diagnostic Possibilities: A Model of Mental Health Literacy
118
Signs & Symptoms/Diagnostic Possibilities: A Model of Mental Health Literacy 119
Signs & Symptoms/Diagnostic Possibilities: A Model of Mental Health Literacy 122
Signs & Symptoms/Diagnostic Possibilities: A Model of Mental Health Literacy 129
4. Assessment & Screening
Assessment & Screening 137
Assessment & Screening 139
5. Interventions & Treatments 5. Interventions & Treatments
Interventions & Treatments 141
6. Supporting Recovery
Supporting Recovery 152
Supporting Recovery 156