Specialist Perinatal Pathway

Perinatal Community team triage

Who to refer:• Women with a diagnosis of bipolar/psychosis, even when well• Past history of post-partum psychosis• Severe anxiety/depression/OCD /phobia – where there may be suicidal thoughts/self-harm/

significant impact on level of functioning.• Any mental health condition where there are significant concerns regarding mother/ infant

relationship, such as estrangement from baby.• Personality disorders where there is clear concerns regarding mother/infant relationship.• Preconception counselling

Professionals are welcome to telephone the team for advice on 01962 897780.

Discharge back to referrer and GP with advice

regarding pathway. Letter sent to

patient informing of triage decision

Telephone opt in consultations(subthreshold criteria)

Women with mild to moderate conditions, who would benefit from advice on medication in

pregnancy/breastfeeding.

Telephone out consultations(Uncertain if threshold criteria met, or concerns

regarding need for timely assessment)

Second triage level: Aim for telephone consultation within 2 working days from point of triage.

(This pathway should be followed in conjunction with PMHS referral guidelines, and telephone clinic protocol)

Face to Face assessment(Nurse/medic/

psychology led)

Ongoing interventions with PMHS

(This may be joint working with others services e.g. CMHT/EDS/

substance misuse)See PMHS leaflet for list of key interventions.

Once work completed or baby has reached 1 year of age, discharge

back to GP/IAPT/CMHT.

Discharge back to GP/referrer

Signpost/refer to other services/IAPT

Offer Perinatal face to face assessment

Refer to AMHT/ Crisis team or CMHT

for urgent assessment

No perinatal specialist role identified, or PMHS

work complete but requires secondary care

level, refer to CMHT

Admit to Mother and baby unit/

AMH unit

CS45177 – NHS Creative – April 2017