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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives
Shayna K Pierce1, Kristin A Reynolds1,2,3, Lorna S Jakobson1
1Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
Neonatal follow-up programs need better parental mental health support. Addressing barriers like cost and time, and implementing screening, online resources, and peer support can improve access for parents needing care.
Area of Science:
- Neonatal care
- Parental mental health
- Health services research
Background:
- Parental mental health services are often insufficient within neonatal follow-up programs (NFUPs).
- There is a need to understand parental mental health needs and barriers to accessing services in this population.
Purpose of the Study:
- To determine unmet parental mental health needs in a central Canadian NFUP.
- To explore parent and provider perspectives on barriers and opportunities for enhancing mental health service access.
Main Methods:
- Study 1: A mixed-method online survey with 49 parents in a central Canadian NFUP.
- Study 2: Virtual focus groups with 5 NFUP service providers.
- Data analyzed using descriptive statistics, content analysis, and reflexive thematic analysis.
Main Results:
- Parents reported high rates of depression (59.2%), anxiety (51.0%), and PTSD (26.5%), significantly exceeding general postpartum rates.
- Over half of parents (55.1%) were not utilizing mental health services due to resource limitations (parental and organizational) and systemic issues.
- Key opportunities identified include integrated services, mental health screening, online psychoeducation, and peer support.
Conclusions:
- NFUPs require enhanced parental mental health support.
- Addressing identified barriers and implementing proposed opportunities can improve service accessibility and alignment with parent and provider needs.
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