Abstract
This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric hospital admission by up to 50% [0.9% point reduction (95% CI 0.70–1.22)] in the first postnatal year. The greatest reduction was observed for adjustment disorders. The NPDI appears to be associated with fewer post-birth psychiatric disorders hospital admissions; this suggests earlier detection of psychiatric disorders resulting in early care of women at risk during their perinatal period.
| Original language | English |
|---|---|
| Pages (from-to) | 277-287 |
| Number of pages | 11 |
| Journal | Administration and Policy in Mental Health and Mental Health Services Research |
| Volume | 46 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 15 May 2019 |
| Externally published | Yes |
Keywords
- Depression
- Perinatal depression initiative
- Policy analysis
- Psychiatric disorders
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In: Administration and Policy in Mental Health and Mental Health Services Research, Vol. 46, No. 3, 15.05.2019, p. 277-287.
Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Policy impacts of the Australian National Perinatal Depression Initiative
T2 - psychiatric admission in the first postnatal year
AU - Lee, Wang-Sheng
AU - Mihalopoulos, Cathrine
AU - Chatterton, Mary Lou
AU - Chambers, Georgina M.
AU - Highet, Nicole
AU - Morgan, Vera A.
AU - Sullivan, Elizabeth A.
AU - Austin, Marie-Paule
N1 - Funding Information: Acknowledgements We thank Maxine Croft for her contribution to the design of the study; acquisition, analysis, and interpretation of data for this paper. We also thank Nicole Reilly who contributed substantially to the conception and design of the study and the acquisition of data. Thanks to Natasha Donnelley for her comments on coding of the linked data; Cathie Knox for consumer input; our Associate Investigators Fenglian Xu and Dusan Hadzi-Pavlovic; and research assistants Jolie Hutchinson, Taryn Major, and Sharon Vuckovic. Thanks go to the Western Australia Data Linkage Branch, WA Department of Health; the Centre for Health Record Linkage, NSW Health; and Medicare Australia; Department of Human Services for provision of raw data. We gratefully acknowledge funding from the National Health and Medical Research Council (Partnership Project Grant # 1028554); and funding partner beyondblue: the national depression initiative. St John of God Health Care (Burwood) provided infrastructure support. Cathrine Mihalopoulos was funded on a NHMRC Early Career Fellowship during the conduct of this work (APP1035887). Funding Information: We thank Maxine Croft for her contribution to the design of the study; acquisition, analysis, and interpretation of data for this paper. We also thank Nicole Reilly who contributed substantially to the conception and design of the study and the acquisition of data. Thanks to Natasha Donnelley for her comments on coding of the linked data; Cathie Knox for consumer input; our Associate Investigators Fenglian Xu and Dusan Hadzi-Pavlovic; and research assistants Jolie Hutchinson, Taryn Major, and Sharon Vuckovic. Thanks go to the Western Australia Data Linkage Branch, WA Department of Health; the Centre for Health Record Linkage, NSW Health; and Medicare Australia; Department of Human Services for provision of raw data. We gratefully acknowledge funding from the National Health and Medical Research Council (Partnership Project Grant # 1028554); and funding partner beyondblue: the national depression initiative. St John of God Health Care (Burwood) provided infrastructure support. Cathrine Mihalopoulos was funded on a NHMRC Early Career Fellowship during the conduct of this work (APP1035887). Funding Information: Funding The current study was funded by a NHMRC partnership Grant APP1028554: The Australian perinatal mental health reforms: using population data to evaluate their impact on service utilisation and related cost-effectiveness. Beyondblue was the funding partner on this grant. Cathrine Mihalopoulos was funded by a NHMRC Early Career Fellowship Grant (APP1035887) during the conduct of this work. St John of God Health Care gave substantial infrastructure and inkind support. Publisher Copyright: © 2018, Springer Science+Business Media, LLC, part of Springer Nature. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/5/15
Y1 - 2019/5/15
N2 - This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric hospital admission by up to 50% [0.9% point reduction (95% CI 0.70–1.22)] in the first postnatal year. The greatest reduction was observed for adjustment disorders. The NPDI appears to be associated with fewer post-birth psychiatric disorders hospital admissions; this suggests earlier detection of psychiatric disorders resulting in early care of women at risk during their perinatal period.
AB - This paper helps to quantify the impact of the Australian National Perinatal Depression Initiative (NPDI) on postnatal inpatient psychiatric hospitalisation. Based on individual hospital admissions data from New South Wales and Western Australia, we found that the NPDI reduced inpatient psychiatric hospital admission by up to 50% [0.9% point reduction (95% CI 0.70–1.22)] in the first postnatal year. The greatest reduction was observed for adjustment disorders. The NPDI appears to be associated with fewer post-birth psychiatric disorders hospital admissions; this suggests earlier detection of psychiatric disorders resulting in early care of women at risk during their perinatal period.
KW - Depression
KW - Perinatal depression initiative
KW - Policy analysis
KW - Psychiatric disorders
UR - https://www.scopus.com/pages/publications/85058001409
U2 - 10.1007/s10488-018-0911-9
DO - 10.1007/s10488-018-0911-9
M3 - Article
C2 - 30519862
AN - SCOPUS:85058001409
SN - 0894-587X
VL - 46
SP - 277
EP - 287
JO - Administration and Policy in Mental Health and Mental Health Services Research
JF - Administration and Policy in Mental Health and Mental Health Services Research
IS - 3
ER -