title: Access to Secondary Mental Health Services in a Cohort of New Zealand Mothers.
abstract: To explore access to secondary mental health services for New Zealand women during pregnancy and for up to 1 year post-delivery. A retrospective cohort analysis of public hospital maternity data linked to mental health collections. 27 in 1000 pregnancies were associated with access to secondary mental health services (736/27,153). Independent of ethnicity, young age (<20 years) was associated with access (RR1.84; 95 %CI 1.42-2.38; P < .0001). Smoking (1.48; 1.24-1.78; P < .0001), alcohol (1.3; 0.97-1.71; P < .0001) and substance use (3.57; 2.61-4.88; P < .0001) during pregnancy were independent risk factors associated with access. Antenatal period provides an opportunity for navigating to services to ensure timely access to secondary mental health services.
authors.affiliation: Women's Health Research Centre, Department of Primary Health Care and General Practice, University of Otago, Wellington, 6242, Wellington, New Zealand. sara.filoche@otago.ac.nz.
authors.forename: Sara K
authors.initials: SK
authors.lastname: Filoche
authors.affiliation: Women's Health Research Centre, Department of Primary Health Care and General Practice, University of Otago, Wellington, 6242, Wellington, New Zealand.
authors.forename: Bev
authors.initials: B
authors.lastname: Lawton
authors.affiliation: Biostatistical Group, Dean's Department, University of Otago, 6242, Wellington, New Zealand.
authors.forename: James
authors.initials: J
authors.lastname: Stanley
mesh_terms: D000328:Adult; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008605:Mental Health Services; D009035:Mothers / Q000523:psychology*; D009520:New Zealand; D012189:Retrospective Studies; D055815:Young Adult
keywords: Access; Pregnancy; Secondary mental health services