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Who would she want to be told about her involvement in the service and who would she not want to be told?.Who may she want to be invited into assessment or treatment sessions, or to be involved in aspects of her care?.Who does she consent for information to be shared with?.Who is in the family system, and how does she experience these relationships? Practice tips: box 2 Asking about the family and support network: Open questions and systemic approachesĪsk open questions to discover who is in the family system and who is important to the mother, without making assumptions. Although grief itself should not be pathologised, it is important to ensure that mental health needs and symptoms are not mistakenly attributed to grief Regardless of gestation, age, or reason, such losses can exacerbate pre-existing mental health disorders or precipitate new mental health difficulties.Īny parent who has experienced perinatal loss is at increased risk of depression, anxiety disorders, including tokophobia (extreme fear of childbirth) and birth-related trauma. Some mothers, partners or other family members may have experienced pregnancy loss or the death of a baby before or during the current episode of care. Hold in mind that mothers may not want others involved or may feel conflicted about their involvement, particularly if coercive control features in their relationships.Regularly ask questions about the family system throughout the mother’s involvement with the service, as key relationships and wishes may change.Explore who is in the mother’s family and support network, at the earliest opportunity.provide information about interpersonal traumas such as loss or abuse which may impact on mental health and recovery.form the basis for providing joined-up care between services (see Idea #10: Partnership working and transitions).give clinical indications about the focus of the intervention, such as family therapy or couple work that directly involves others.identify the people who the mother relies on for support.
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Mapping the family is an opportunity to consider relevant family members’ interpersonal experiences, including any experiences of perinatal loss. There may be a range of people in the mother’s family and wider support network who are important to her mental health and may be able to contribute to her recovery, as well as needing support themselves. Idea #1 Mapping the family and support network What’s the idea? Idea #1 Mapping the family and support network.Involving and supporting partners and other family members in specialist perinatal mental health services: good practice guide.