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Community Ment Health J. 2016 Nov;52(8):964-971. Epub 2016 Jul 11.

Access to Secondary Mental Health Services in a Cohort of New Zealand Mothers.

Author information

1
Women's Health Research Centre, Department of Primary Health Care and General Practice, University of Otago, Wellington, 6242, Wellington, New Zealand. sara.filoche@otago.ac.nz.
2
Women's Health Research Centre, Department of Primary Health Care and General Practice, University of Otago, Wellington, 6242, Wellington, New Zealand.
3
Biostatistical Group, Dean's Department, University of Otago, 6242, Wellington, New Zealand.

Abstract

To explore access to secondary mental health services for New Zealand women during pregnancy and for up to 1 year post-delivery. A retrospective cohort analysis of public hospital maternity data linked to mental health collections. 27 in 1000 pregnancies were associated with access to secondary mental health services (736/27,153). Independent of ethnicity, young age (<20 years) was associated with access (RR1.84; 95 %CI 1.42-2.38; P < .0001). Smoking (1.48; 1.24-1.78; P < .0001), alcohol (1.3; 0.97-1.71; P < .0001) and substance use (3.57; 2.61-4.88; P < .0001) during pregnancy were independent risk factors associated with access. Antenatal period provides an opportunity for navigating to services to ensure timely access to secondary mental health services.

KEYWORDS:

Access; Pregnancy; Secondary mental health services

PMID:
27401165
DOI:
10.1007/s10597-016-0042-2
[Indexed for MEDLINE]

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