The impact of our research on perinatal mental health guidance and policies
The findings from our research into perinatal mental health-related causes of near misses – events where a woman comes close to maternal death, but does not die – have influenced clinical guidance for women with serious mental illness and were cited in the 2022 Royal College of Psychiatrists Annual Report, ‘Perinatal Mental Health Services: Recommendations for the provision of Services for childbearing women,’ and NHS England’s ‘Equity and Equality: Guidance for local maternity systems.’
Our research has also informed the development and delivery of the Maternal Mental Health Service (MMHS) programme, which aims to provide psychological interventions, integrated with maternity services, for women experiencing moderate to severe or complex mental health difficulties during pregnancy. Our research has informed recommendations to support the national implementation and sustainability of MMHS, and lessons to support the local development of new MMHS. The research highlighted the need for greater resources and training for women and families going through care proceedings during pregnancy. It also highlighted the need for new training to embed psychological support into maternity care in partnership with the Centre for Child and Family Justice.
The ESMI-III study
The Effectiveness and Implementation of Maternal Mental Health Services (ESMI-III) study was funded through the NIHR Applied Research Collaborations’ (ARCs) Children’s and Maternity Research Priority Programme. It is part of a three-year programme aimed at identifying effective ways to implement evidence-based interventions to improve children’s health and maternity services across England. The study is led by the NIHR ARC South London maternity and perinatal mental health theme at King’s College London, in collaboration with Liverpool, Exeter and Lancaster universities. The study aims to provide timely learning from the implementation of MMHS in ‘Early Implementer’ and ‘Fast Follower’ sites, to identify barriers and facilitators to early implementation and identify optimal service delivery and context-specific barriers to implementation across the pilot sites.
Real-time feedback from the ESMI-III study has informed national implementation workshops, led by NHS England, and has shaped the development of service delivery plans during the pilot phase of the maternity and perinatal mental health transformation plan.
In September 2022, the team published a report which included recommendations for early planning of service delivery, from the first phase of the ESMI-II study. They held the first of a series of stakeholder workshops with service delivery managers and clinicians to map the safeguarding pathway within MMHS and start to develop training and implementation guidance.