Perinatal Mental Health: supporting your patients

A key role of general practitioners is to identify and support women with or at risk of developing a mental health condition during the perinatal period.  

MBS Item  
Perinatal mental health screening is an important aspect of antenatal and postnatal care. Are you aware you are eligible to claim the Postnatal Consultation MBS 16407 item? This item involves 

  • Professional attendance by an obstetrician or general practitioner; 
  • Attended between 4 and 8 weeks after the birth; 
  • Consultation is at least 20 minutes duration;
  • Includes a mental health assessment * (including screening for drug and alcohol use and domestic violence)
  • Payable once only for a pregnancy Fee: $71.70 Benefit: 75% = $53.80 85% = $60.95 

*Access the recommended screening and assessment tools include:Psychosocial risk assessment (ANRQ/PNRQ) & Assessment of depression and anxiety (EPDS)   
Ref: COPE (Centre for Perinatal Excellence)  


Clinical services: 
Mother-Baby Unit and Perinatal Psychiatric Clinic, St John of God Medical Centre 

A FREE Medicare-funded perinatal psychiatry registrar clinic is available in the St John of God Medical Centre for women in the perinatal period that cannot afford a consult with a private psychiatrist. 

The clinic provides short term assessment, therapy, and treatment plan and the woman is referred back to the GP for ongoing management. 

The clinic is designed for low income families and requires that the GP means test the patient prior to referral. Please note this clinic is not an acute service, women who are unable to guarantee their safety should be referred to the nearest public hospital.

Click here to access further information 

To make a referral

Next steps:

  • If the woman is deemed appropriate, the medical centre will contact her and offer her an appointment.
  • If the woman does not meet criteria, the Psychiatry Registrar will contact you and advise of reason the clinic is inappropriate and suggest alternatives.
  • Once the woman has been seen at the clinic, you will receive a clinic letter at the address provided; if she does not attend, no letter will be sent. 

 
Further information or enquires, contact St John of God Medical Centre  ph 02 9334 3888 


Support Groups:   
 
Tresillian Postnatal Depression and Circle of Security Parenting Groups

Psychological Support Services (PSS) program is FREE short term psychological support to vulnerable groups which include women who live in the Central and Eastern Sydney region experiencing mild to moderate perinatal depression up to 12months after birth and who are unable to access other available services including Better Access (Medicare subsidised psychological services).

Tresillian will be facilitating a FREE Sequential Postnatal Depression and Circle of Security Parenting (COS-P) Group designed to support mothers with postnatal depression (PND) and anxiety and their families.  

Where: Tresillian Canterbury McKenzie St, Belmore

Free babysitting is offered on the premises. 

Who will benefit from this program?

  • Women in the postnatal period up to 12 months
  • Women who are experiencing postnatal depression and/or anxiety of a non-acute nature
  • Women who reside or work in the CESPHN area 

How long is this program?

  • 12 weeks: 8 x core PND Group sessions, followed by 4 x Circle of Security Parenting Group Sessions


When:

  • Wednesday 20th Feb for 8 weeks, followed by 4 Saturdays 
  • Tuesday 23rd April for 8 weeks, followed by 4 Saturdays
  • Tuesday 25th June for 8 weeks, followed by 4 Saturdays  

How can GPs refer?

  • Please contact CESPHN Mental Health Intake Team ph.1300 170 554 

Click here to access additional information  


PSS Perinatal mental health groups in Rockdale and Kogarah 

Psychological Support Services (PSS) program is FREE short term psychological support to vulnerable groups which include Women who live in the Central and Eastern Sydney region experiencing mild to moderate perinatal depression up to 12months after birth and who are unable to access other available services including Better Access (Medicare subsidised psychological services). 

GPs are invited to refer women to the following two groups that will be facilitated by psychologist Adriana Zapata-Delgado. 

  1. Antenatal wellbeing 

For women in the second or third trimester of pregnancy

Topics include emotions, self-care, mindfulness, self-compassion and exploring changes 

Mondays 9:30-11am

18th Feb to 8th April (8 weeks)

Venue: St George Hospital antenatal clinic 

  1. Mothers Matter 

Support group for women experiencing postnatal depression or anxiety

Thursdays 9:30-11am   

21st Feb to 11 April 2019 (8 weeks)

Venue: Advance Diversity Services, 552 Princes Highway, Rockdale 


How can GPs refer?

Please contact CESPHN Mental Health Intake Team  ph.1300 170 554  

On-line health professional training: “Basic Skills in Perinatal Mental health  
 
COPE (Centre for Perinatal Excellence) offers a FREE on-line training program for health professionals. Basic Skills in Perinatal Mental Health is an accredited training program which supports health professionals to implement best practice, as informed by the 2017 National Perinatal Mental Health Guideline. Completion of the course accrue CPD points for GP ANSC Program educational requirements. 

Patient resource Looking after your perinatal mental health”  
 
We have developed a one-page resource Looking after your perinatal mental health to assist your patients to access information about perinatal mental health during their pregnancy and after birth.

This useful patient resource includes support and helplines contacts, handy apps, helpful websites, access to face-to-face support and crisis assistance.  You may like print copies to include as part of a pregnancy information pack or provide at a consultation