Current delivery of infant mental health services: are infant mental health needs being met?
OBJECTIVE
To identify services supporting the well-being of infants and their families in an area of South Brisbane, Australia, highlight problems of accessing these services and recommend strategies to make them more readily available.


METHODS
Semistructured interviews were conducted with staff from 18 service providers offering antenatal services, or programmes primarily focused on children under the age of 2 years and/or their families. The interview aimed to identify the precise nature of the services offered, problems encountered in providing those services, perceived gaps in services and potential strategies for improvement.


RESULTS
Services were diverse, provided by a range of different professionals, in varying locations (home, community, hospital) and with funding from various sources. The major findings were: (i) the fragmentation of services, lack of communication between them, and lack of continuity in services from one stage of family formation to another; (ii) the shortage of services working with the parents and infant together; and (iii) the difficulty of providing services for some at-risk populations.


CONCLUSIONS
Recommendations included: (i) maintaining a range of different services networked through a centralized resource/referral centre; (ii) expanding joint mother-infant services and providing training for such services; and (iii) supporting outreach services for difficult to engage populations.
Macdonald
Elspeth
E
Kids in Mind Research, Mater Centre for Service Research in Mental Health, Mater Child and Youth Mental Health Service, Brisbane, Qld, Australia. elspeth.macdonald@mater.org.au
Mohay
Heather
H
Sorensen
Debra
D
Alcorn
Neil
N
McDermott
Brett
B
Lee
Erica
E
D002662:Child Health Services / Q000458:organization & administration / Q000600:supply & distribution*; D003156:Community Mental Health Services / Q000458:organization & administration / Q000600:supply & distribution*; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000592:standards*; D008425:Maternal Behavior; D009035:Mothers / Q000523:psychology; D002666:Psychology, Child; D011793:Queensland; D019966:Substance-Related Disorders / Q000628:therapy