title: The Early Motherhood Service: an acceptable and accessible perinatal mental health service.
abstract: OBJECTIVE
  The aims of this paper are to quantify the effect of an innovative perinatal mental health program, the Early Motherhood Service, to identify factors contributing to its success, and to make recommendations as to its general applicability across other rural services.
  
  
  METHODS
  The study involved stakeholder evaluation, analysis of available outcome data and analysis of consumer feedback data.
  
  
  RESULTS
  Service functions were grouped into four key areas: increasing awareness of perinatal mental health problems; providing information and advice; providing treatment and support; and education, training and capacity building. Women accessing the service showed significant improvement in outcomes as measured by change over time in the Edinburgh Postnatal Depression Scale and the Health of the Nation Outcome Scale. Consumer feedback demonstrated that the service was highly valued. Key factors identified as contributing to the service's success were broad coverage of perinatal mental health problems; inclusion of early intervention and prevention; outreach capacity; partnership with, support for and capacity building of other health providers; a location which is accessible and non-stigmatizing; and staff comprising senior and skilled clinicians.
  
  
  CONCLUSIONS
  The Early Motherhood Service is an innovative perinatal mental health service. It provides a useful model for the development of such services in rural communities.
authors.affiliation: Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia. Fiona.judd@thewomens.org.au
authors.forename: Fiona
authors.initials: F
authors.lastname: Judd
authors.forename: Lesley
authors.initials: L
authors.lastname: Stafford
authors.forename: Penelope
authors.initials: P
authors.lastname: Gibson
authors.forename: Jennifer
authors.initials: J
authors.lastname: Ahrens
mesh_terms: D001315:Australia; D003258:Consumer Behavior / Q000706:statistics & numerical data*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D001523:Mental Disorders / Q000517:prevention & control*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010043:Outcome and Process Assessment, Health Care / Q000379:methods / Q000706:statistics & numerical data*; D011181:Postnatal Care / Q000379:methods* / Q000706:statistics & numerical data; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D011295:Prenatal Care / Q000379:methods* / Q000706:statistics & numerical data; D016730:Program Development; D019035:Rural Health Services / Q000706:statistics & numerical data