'Breaking the cycle': a qualitative study exploring general practitioners' views of infant mental health

Anna De Natale1, Sophie Hall2, Anne McFadyen3

  • 1School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK.

BJGP Open
|June 1, 2023
PubMed

Insights

General practitioners (GPs) in deprived areas understand infant mental health (IMH) issues but need better support. New community-based IMH services are essential, integrating primary care and increasing professional awareness.

Area of Science:

  • Public Health
  • Child and Adolescent Psychiatry
  • General Practice

Background:

  • Infants in deprived areas face higher risks of adverse childhood experiences (ACEs), impacting infant mental health (IMH) and lifelong outcomes.
  • Socioeconomic deprivation is linked to adverse childhood experiences (ACEs), increasing the risk of infant mental health (IMH) issues and long-term health problems.
  • Developing infant mental health (IMH) services requires understanding diverse stakeholder perspectives, particularly from those in high-need communities.

Purpose of the Study:

  • To explore the perspectives and experiences of General Practitioners (GPs) in socioeconomically deprived areas regarding infant mental health (IMH).
  • Investigate GPs' understanding of and engagement with infant mental health (IMH) within communities facing socioeconomic challenges.
  • Identify barriers and facilitators for effective infant mental health (IMH) service delivery from the viewpoint of primary care physicians in deprived settings.

Main Methods:

  • Qualitative study involving 12 General Practitioners (GPs) from 11 practices in deprived urban communities in Scotland.
  • Semi-structured interviews were conducted and thematically analyzed using NVivo software, following the Braun and Clarke framework.
  • Thematic analysis of transcribed interviews explored GPs' views on infant mental health (IMH) provision and service development.

Main Results:

  • GPs in deprived areas possess an intrinsic understanding of infant mental health (IMH) issues, often unrecognized in current service provision.
  • Community perceptions of infant mental health (IMH) are influenced by socioeconomic factors, including potential associations with parental blame.
  • GPs envision improved infant mental health (IMH) services with better connectivity and accessibility, building on past experiences and addressing current shortcomings.

Conclusions:

  • General Practitioners (GPs) in socioeconomically deprived areas have significant insights into infant mental health (IMH) challenges, though may not use the specific term 'IMH'.
  • There is a clear need for new, community-based infant mental health (IMH) services, especially in deprived areas.
  • Future infant mental health (IMH) services must recognize, support, and integrate primary care roles, enhancing training for GPs and healthcare professionals.
Abstract

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