Publication - Progress report
Perinatal and infant mental health programme board/Infant mental health implementation and advisory group final report
Final report of the Perinatal and Infant Mental Health Programme Board and the Infant Mental Health Implementation and Advisory Group which concluded in March 2023
Progress Update against Delivering Effective Services Recommendations
Mother and Baby Units (MBUs)
Delivering Effective Services (DES) Recommendation 1
Description:
- MBU staffing
Work Completed
- Staffing levels fully enhanced including parent-infant therapists
Key Partners
- Health boards
DES Recommendation 2
Description
- MBU Peer Support Workers
Work Completed
- Peer Support Workers appointed in both MBUs
Work Remaining
- Role evaluation
Key Partners
- Perinatal Mental Health Network (PMHN) Scotland
- Health boards
DES Recommendation 3
Description
- MBU bed numbers
Work Completed
- Public consultation completed
- Options Appraisal completed
Work Remaining
- N/A
Key Partners
- NSS National Planning
DES Recommendation 4
Description
- MBU equity of access
Work Completed
- Support MBU joint working and agreement on admission based on clinical need
Work Remaining
- Continued consultation with MBU health boards and health boards without regional contracts
- Support work toward joint MBU admission standards
Key Partners
- PMHN Scotland
DES Recommendation 5
Description
- Accommodating partners & families
Work Completed
- Mother and Baby Unit Family Fund (MBUFF) established
- MBUFF review completed, to be published in the coming months.
Work Remaining
- N/A
Key Partners
- N/A
Community Perinatal Mental Health Teams (CPMHTs)
DES Recommendation 2
Description
- CPMHT Peer Support Workers
Work Completed
- N/A
Work Remaining
- Support development of models of peer support posts in CPMHTs
Key Partners
- Health boards
DES Recommendations 6, 7, 8, 9
Description
- CPMHT service development for large, medium and small health boards & regional provision
Work Completed
- CPMHT Service Development Guides published (PMHN Scotland)
- CPMHTs established in almost all health boards
- Regional model agreed
Work Remaining
- Completion of CPMHT provision and staffing
- Regional model implementation with particular focus on small and island health boards
Key Partners
- Health boards
DES Recommendation 10
Description
- CPMHT parent-infant lead provision
Work Completed
- Established in a limited number of health boards
Work Remaining
- Support rollout to larger health boards - ongoing
- Regional model implementation - ongoing
Key Partners
- Health boards
Infant Mental Health Teams (IMH)
DES N/A
Description
- Leadership and Coproduction
Work Completed
- Participation Officer time expanded to address IMH and Equality
- Voice of the Infant Best Practice Guidelines and Infant Pledge produced.
- Participation Officers delivered co-production workshops to all boards
Work Remaining
- Consideration of an Infants Rights Statement.
Key Partners
- Parent and Infant Mental Health Scotland
DES N/A
Description
- Raise awareness and promote understanding of the importance of infant mental health
Work Completed
- IMH Campaign Wellbeing for Wee Ones hosted at Parentclub.scot.
- In partnership with See Me Scotland, SG has produced Addressing Stigma in Perinatal and Infant Mental Health: Good practice guidelines for practitioners, commissioners and providers
Work Remaining
- Relaunch Wellbeing for Wee Ones campaign
- Stigma reduction and awareness raising work needs progressed to ensure a whole population approach is taken
Key Partners
- Parent Club
- Inspiring Scotland
- Parent Club
DES N/A
Description
- Ensure equity of access to IMH services
Work Completed
- IMH needs assessment in one board confirmed ‘inverse care law’.
- Participation Officer appointed to addressing equality
Work Remaining
- Ensure equity of access to IMH services
Key Partners
- Health boards (PIMH services and broader)
DES N/A
Description
- Develop a model for the delivery of IMH services and care pathway development
Work Completed
- IMH services and care pathways have been developed in some health boards
Work Remaining
- Support remaining health boards to develop
Key Partners
- Health boards
- Parent Infant Foundation
DES N/A
Description
- Use and disseminate learning from Quality Improvement work in early adopter boards
Work Completed
- Good practice shared in IMH Forum and Parent Infant Foundation Scottish IMH-Development community. Learning from HV and FNP experience and evaluation
Work Remaining
- Encourage attendance by reps from all boards.
- Continued learning from Quality Improvement work in early adopter boards
Key Partners
- Health boards
DES N/A
Description
- Research, Evaluation and the development of outcome measures
Work Completed
- Ongoing in boards and via national IMH Evaluation group. Papers published about Scottish experience
Work Remaining
- Link in boards as new services develop
Key Partners
- Health boards
Maternity and Neonatal Psychological Interventions Services (MNPI)
DES Recommendation 11
Description
- Perinatal mental health midwives
Work Completed
- Guidance on roles and competencies completed
- Appointments made to the majority of MNPI services
Work Remaining
- Ongoing role evaluation
Key Partners
- PMHN Scotland
- Health boards
DES Recommendation 12
Description
- MNPI service provision and training for larger boards
Work Completed
- MNPI provision in most larger board areas
- Psychological interventions training undertaken by some PMH midwives
Work Remaining
- Completion of MNPI provision
- Psychological interventions training for all PMH midwives in MNPI services
Key Partners
- NHS Education Scotland (NES)
DES Recommendation 13
Description
- MNPI provision for smaller boards
Work Completed
- Funding provided and some services established
Work Remaining
- Completion of provision in all board areas
- Continue to support and review model of service delivery in smaller boards
Key Partners
- Health boards
- PMHN Scotland
DES N/A
Description
- Enhance the delivery of services to neonates with complex needs returning to their home area after inpatient specialist interventions
Work Completed
- MNPI service development has led to support for babies and their families in the context of prematurity and other physical health challenges
Work Remaining
- Ensure the voices of the infant is equally centred across all MNPI services
Key Partners
- N/A
Regional Provision and Equality of Care
DES Recommendation 4
Description
- MBU equity of access
Work Completed
- Decisions on admission based on clinical need
Work Remaining
- Ongoing consultation and engagement with MBU boards and boards without regional contracts
Key Partners
- N/A
DES Recommendations 6, 9, 10
Description
- CPMHT regional provision
Work Completed
- Regionality paper published
- Appointments to most posts with regional responsibilities
Work Remaining
- Regional model full implementation
- Work with health boards to ensure regional roles are protected
Key Partners
- Health boards
DES Recommendation 18
Description
- 3rd Sector involvement in regional networks
Work Completed
- Several boards have incorporated third sector into forums on service design and provision
- Third sector funds established, administered by Inspiring Scotland
Work Remaining
- Review best model for regional oversight
- Monitor and close gaps in third sector involvement with regional structures
Key Partners
- Health boards
- Inspiring Scotland
DES Recommendation 23
Description
- Board implementation groups and regional networks
Work Completed
- Board implementation groups established in all areas
Work Remaining
- Review best model for regional oversight
Key Partners
- Health boards
DES Recommendation 25
Description
- Care pathways
Work Completed
- National Care Pathways published (PMHN Scotland)
Work Remaining
- Monitoring of incorporation of national pathways into locally developed care pathways
Key Partners
- PMHN Scotland
DES N/A
Description
- Develop a regional or national framework which ensures access to IMH services across rural areas
Work Completed
- Initial model of regional support and provision developed
Work Remaining
- Support boards to implement regional provision and to engage with third sector partners
Key Partners
- NHS boards
- Third sector partners
Resources for Women and Families
DES Recommendation 14
Description
- Self-help and digital resources
Work Completed
- National Care Pathways videos for women and families published online (PMHN Scotland)
- Silvercloud cCBT module rollout
Work Remaining
- Further consultation to consider the development of single access point for online information
Key Partners
- PMHN Scotland
- NES
DES Recommendation 17
Description
- Awareness of 3rd Sector services
Work Completed
- Inspiring Scotland directory of 3rd sector services published
- Completed Addressing stigma in perinatal and infant mental health
Work Remaining
- Further consultation to consider the development of single access point for online information
Key Partners
- Inspiring Scotland
- See Me
- PMHN Scotland
Psychological Therapies
DES Recommendation 15
Description
- Monitoring of waiting times for psychological therapies
Work Completed
- Perinatal mental health national dataset developed and launched (PMHN Scotland)
Work Remaining
- Complete national dataset rollout
- Incorporate into service specification or mental health standards work
Key Partners
- PMHN Scotland
DES Recommendation 16
Description
- Additional psychological therapies workforce
Work Completed
- Programmes for DClinPsy, CAAP, CBT, child psychotherapy and EPP in place
Work Remaining
- Review learning from current programme
Key Partners
- NES
DES Recommendation 17
Description
- Awareness of 3rd Sector services providing counselling and support
Work Completed
- Inspiring Scotland directory of 3rd sector services published
- Raising Awareness and stigma reduction work completed
Work Remaining
- Support development of local and national information resources
Key Partners
- Inspiring Scotland
- PMHN Scotland
- Health boards
Third Sector
DES Recommendation 17
Description
- Awareness of 3rd Sector services providing counselling and support
Work Completed
- Inspiring Scotland directory of 3rd sector services published
- Local and national information resources developed.
Work Remaining
- N/A
Key Partners
- N/A
DES Recommendation 18
Description
- 3rd Sector involvement in regional networks
Work Completed
- Several boards have incorporated third sector into forums on service design and provision
Work Remaining
- Review best model for regional oversight
- Monitor and close gaps in third sector involvement with regional structures
Key Partners
- Health boards
DES Recommendation 19
Description
- Peer support
Work Completed
- Peer Support Action Plan published
- Two annual Peer Support Events held
- Bump, Birth and Beyond Guide to planning and delivering peer support published with Scottish Recovery Network
Work remaining
- N/A
Key Partners
- N/A
Education and Training
DES Recommendation 20
Description
- Staff knowledge, skills and attitudes
Work Completed
- Tiered training programmes in place for specialist and universal staff, based on Perinatal Mental Health Curricular Framework
Work Remaining
- N/A
Key Partners
- NES
DES Recommendation 21
Description
- Induction training for all staff new to specialist services
Work Completed
- Training programmes in place
Work Remaining
- Review learning from current programme
Key Partners
- NES
DES Recommendation 22
Description
- Digital resource for training
Work Completed
- Programmes maintained on Turas/NES webpages
Work Remaining
- N/A
Key Partners
- NES
DES N/A
Description
- Training and Workforce Development and Retention
Work Completed
- Delivery of NES training modules as per curricular framework, accessible by third sector, universal and specialist staff
Work Remaining
- Continued training resource required to support new staff recruited and maintain skills in current workforce
Key Partners
- NES
- Third Sector
Governance, Workforce and Monitoring
DES Recommendation 23
Description
- Board implementation groups and regional networks
Work Completed
- Health board implementation groups established in all areas
Work Remaining
- Review best model for regional oversight
Key Partners
- Health boards
DES Recommendation 24
Description
- Workforce plan
Work Completed
- Review of workforce challenges by workforce subgroup
Work Remaining
- PIMH needs and characteristics reflected in upcoming mental health workforce plan
Key Partners
- Health boards
DES Recommendation 26
Description
- RCPsych Perinatal Quality Network membership
Work Completed
- Both MBUs and two of 4 larger CPMHTs are accredited members
Work Remaining
- Support larger CPMHTs to join
Key Partners
- PMHN Scotland
- Health boards
DES Recommendation 27
Description
- National perinatal mental health dataset
Work Completed
- Perinatal mental health national dataset developed and launched (PMHN Scotland)
Work Remaining
- Complete national dataset rollout
Key Partners
- PMHN Scotland
- Health boards
Substance Misuse
DES Recommendation 28
Description
- Substance misuse service review
Work Completed
- Supporting Women, Reducing Harm report published (PMHN Scotland) and public event held
Work Remaining
- Working group to be established by Drugs Policy team in collaboration with Mental Health and Children & Families Policy team.
Key Partners
- Statutory and third sector services
Contact
Email: PIMH@gov.scot
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