Theme | Group | Statements | Scoring | Total | Average | Voted for as a priority? |
---|---|---|---|---|---|---|
Services | 2 | Provide support groups for early intervention | 5,4,4 | 13 | 3.25 | yes |
2 | Employ a PMH (perinatal mental health) specialist with no caseload | 3,4,3,2 | 12 | 3.00 | yes | |
3 | Health visitors have direct access to tangible support | 4,1,3,3,5,2 | 18 | 1.50 | yes | |
2 | Joint working to bring together all specialities | 5 | 5 | 1.25 | yes | |
2 | Improved awareness of the services available among multidisciplinary team (MDT) | 5 | 5 | 1.25 | yes | |
Communication | 1 | Improve communication pathways in MDT | 4,1,5,5,5,1,5,5,5,1,5,1 | 43 | 2.96 | yes |
4 | Talk to parents routinely about mental health | 5,3,3 | 11 | 1.57 | yes | |
4 | Ensure the client’s voice is heard when making assessments | 4,4 | 8 | 1.14 | yes | |
2 | Listen to the family rather than giving out information | 4 | 4 | 1.00 | no | |
3 | Effective discussion with MDT and family | 5,4 | 9 | 0.75 | no | |
Education and Training | 2 | Better understanding of mental health among health visitor team | 3,2,2,5 | 12 | 3.00 | yes |
4 | Better training in psychological support to improve interventions | 4,5,5,2 | 16 | 2.29 | yes | |
1 | Education in mental health for health visitor staff | 1,3,2,3,3,4,4,3,2 | 25 | 1.72 | yes | |
3 | Health visitors need training in understanding mental health issues | 3,5,4 | 12 | 1.00 | yes | |
4 | Mental Health First Aid Training (MHFA) needed | 3,4 | 7 | 1.00 | yes | |
Focus on Strengths | 3 | Build a trusting relationship | 5,2,4,4,1 | 16 | 1.33 | yes |
1 | Discuss safety plans with the family | 5,3,5,5 | 18 | 1.24 | yes | |
3 | Work with MDT on signs of safety, setting sustainable goals | 5,2,3,2 | 12 | 1.00 | yes | |
4 | Support families to overcome barriers to accessing additional support | 3,3 | 6 | 0.86 | no | |
1 | Build a ‘team around the health visitor’ | 1,4,4 | 9 | 0.62 | no | |
Focus on child | 4 | Keep focus on child when supporting parental mental health issues | 5,5,5,5 | 20 | 2.86 | yes |
3 | Maintain a focus on child wellbeing within MDT | 2,5,1,3,5,1 | 17 | 1.42 | yes | |
1 | Wider definition of risk to include neurodevelopmental risk | 5,5,3,5 | 18 | 1.24 | yes | |
3 | Recognise health visitors’ unique ability to assess home environment | 4,5 | 9 | 0.75 | no | |
4 | Develop health visitors” ability to recognise impact upon child | 4 | 4 | 0.57 | no | |
Referrals | 2 | Ensure timely and appropriate referrals to other services | 3 | 3 | 0.75 | no |
4 | Make clear referral pathways | 4,1 | 5 | 0.71 | no | |
1 | Ensure appropriate referrals with clear roles and responsibilities | 5,4,1 | 10 | 0.69 | yes | |
3 | Health visitors understand roles and pathways of MDT | 4,3 | 7 | 0.58 | no | |
4 | Health visitors can refer directly to mental health services | 1 | 1 | 0.14 | no |