Skip to main content

Table 5 The Top Five Prioritised statements within each theme (based on average score)

From: Promoting children’s health when a parent has a mental health problem: a mixed methods study of the experiences and views of health visitors and their co-workers

ThemeGroupStatementsScoringTotalAverageVoted for as a priority?
Services2Provide support groups for early intervention5,4,4133.25yes
 2Employ a PMH (perinatal mental health) specialist with no caseload3,4,3,2123.00yes
3Health visitors have direct access to tangible support4,1,3,3,5,2181.50yes
2Joint working to bring together all specialities551.25yes
2Improved awareness of the services available among multidisciplinary team (MDT)551.25yes
Communication1Improve communication pathways in MDT4,1,5,5,5,1,5,5,5,1,5,1432.96yes
 4Talk to parents routinely about mental health5,3,3111.57yes
4Ensure the client’s voice is heard when making assessments4,481.14yes
2Listen to the family rather than giving out information441.00no
3Effective discussion with MDT and family5,490.75no
Education and Training2Better understanding of mental health among health visitor team3,2,2,5123.00yes
 4Better training in psychological support to improve interventions4,5,5,2162.29yes
1Education in mental health for health visitor staff1,3,2,3,3,4,4,3,2251.72yes
3Health visitors need training in understanding mental health issues3,5,4121.00yes
4Mental Health First Aid Training (MHFA) needed3,471.00yes
Focus on Strengths3Build a trusting relationship5,2,4,4,1161.33yes
 1Discuss safety plans with the family5,3,5,5181.24yes
3Work with MDT on signs of safety, setting sustainable goals5,2,3,2121.00yes
4Support families to overcome barriers to accessing additional support3,360.86no
1Build a ‘team around the health visitor’1,4,490.62no
Focus on child4Keep focus on child when supporting parental mental health issues5,5,5,5202.86yes
 3Maintain a focus on child wellbeing within MDT2,5,1,3,5,1171.42yes
1Wider definition of risk to include neurodevelopmental risk5,5,3,5181.24yes
3Recognise health visitors’ unique ability to assess home environment4,590.75no
4Develop health visitors” ability to recognise impact upon child440.57no
Referrals2Ensure timely and appropriate referrals to other services330.75no
 4Make clear referral pathways4,150.71no
 1Ensure appropriate referrals with clear roles and responsibilities5,4,1100.69yes
 3Health visitors understand roles and pathways of MDT4,370.58no
 4Health visitors can refer directly to mental health services110.14no