Improving access to cognitive behavioural therapy groups for postnatal women following partnership work: a service evaluation

Abstract

ABSTRACT Objective: Postnatal depression (PND) can adversely impact the wellbeing of the mother and child. However, accessing mental health support is a challenge for the perinatal population. While most studies have focused on the effectiveness of stand-alone interventions in treating PND, recent studies have highlighted the need for collaboration and inter-agency working. This study evaluated the impact of partnership working on the effectiveness of cognitive behavioural therapy (CBT) groups for women with PND and anxiety in an Improving Access to Psychological Therapies (IAPT) service. Method: This study is a service evaluation conducted within a primary care setting. It compares engagement and outcomes from pre-partnership groups that were delivered before the development of local partnership working arrangements with post-partnership groups developed in collaboration with a secondary care perinatal mental health service (PNMHS). Participants attended either pre-partnership (N = 26) or post-partnership (N = 19) CBT groups. Results: Following developments in partnership working arrangements, the diversity and number of referrals to CBT groups significantly increased, with a 50% increase in self-referrals. Retention from referral to start of treatment was high, with an increase to 100% following partnership working arrangements (88.5% vs. 100%). Completion rates were also higher following partnership working arrangements (84.2% vs. 61.5%). However, these differences and differences in recovery outcomes did not reach statistical significance. Discussion: Overall this study has found promising results for the effectiveness of partnership working on perinatal care, particularly when improving access to mental health services for women with PND and anxiety.