Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives

Parental mental health services in neonatal follow-up programs (NFUPs) are lacking though needed. This study aimed to determine (1) the unmet mental health needs of parents and (2) the parent and provider perspectives on barriers and opportunities to increase mental health service access. <i>S...

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Main Authors: Shayna K. Pierce, Kristin A. Reynolds, Lorna S. Jakobson, M. Florencia Ricci, Leslie E. Roos
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/7/1174
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author Shayna K. Pierce
Kristin A. Reynolds
Lorna S. Jakobson
M. Florencia Ricci
Leslie E. Roos
author_facet Shayna K. Pierce
Kristin A. Reynolds
Lorna S. Jakobson
M. Florencia Ricci
Leslie E. Roos
author_sort Shayna K. Pierce
collection DOAJ
description Parental mental health services in neonatal follow-up programs (NFUPs) are lacking though needed. This study aimed to determine (1) the unmet mental health needs of parents and (2) the parent and provider perspectives on barriers and opportunities to increase mental health service access. <i>Study 1</i>: Parents in a central Canadian NFUP (<i>N</i> = 49) completed a mixed-method online survey (analyzed descriptively and by content analysis) to elucidate their mental health, related service use, barriers to service use, and service preferences. <i>Study 2</i>: Virtual focus groups with NFUP service providers (<i>N</i> = 5) were run to inform service improvements (analyzed by reflexive thematic analysis). The results show that parents endorsed a 2–4 times higher prevalence of clinically significant depression (59.2%), anxiety (51.0%), and PTSD (26.5%) than the general postpartum population. Most parents were not using mental health services (55.1%) due to resource insecurity among parents (e.g., time, cost) and the organization (e.g., staffing, training, referrals). Consolidating parents’ and service providers’ perspectives revealed four opportunities for service improvements: bridging services, mental health screening, online psychoeducation, and peer support. Findings clarify how a central Canadian NFUP can address parental mental health in ways that are desired by parents and feasible for service providers.
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spelling doaj.art-3d078aafd643434185848f80dd93540a2023-11-18T18:49:14ZengMDPI AGChildren2227-90672023-07-01107117410.3390/children10071174Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider PerspectivesShayna K. Pierce0Kristin A. Reynolds1Lorna S. Jakobson2M. Florencia Ricci3Leslie E. Roos4Department of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, CanadaDepartment of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, CanadaDepartment of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, CanadaChildren’s Hospital Research Institute of Manitoba, Winnipeg, MB R3E 3P4, CanadaDepartment of Psychology, University of Manitoba, Winnipeg, MB R3T 2N2, CanadaParental mental health services in neonatal follow-up programs (NFUPs) are lacking though needed. This study aimed to determine (1) the unmet mental health needs of parents and (2) the parent and provider perspectives on barriers and opportunities to increase mental health service access. <i>Study 1</i>: Parents in a central Canadian NFUP (<i>N</i> = 49) completed a mixed-method online survey (analyzed descriptively and by content analysis) to elucidate their mental health, related service use, barriers to service use, and service preferences. <i>Study 2</i>: Virtual focus groups with NFUP service providers (<i>N</i> = 5) were run to inform service improvements (analyzed by reflexive thematic analysis). The results show that parents endorsed a 2–4 times higher prevalence of clinically significant depression (59.2%), anxiety (51.0%), and PTSD (26.5%) than the general postpartum population. Most parents were not using mental health services (55.1%) due to resource insecurity among parents (e.g., time, cost) and the organization (e.g., staffing, training, referrals). Consolidating parents’ and service providers’ perspectives revealed four opportunities for service improvements: bridging services, mental health screening, online psychoeducation, and peer support. Findings clarify how a central Canadian NFUP can address parental mental health in ways that are desired by parents and feasible for service providers.https://www.mdpi.com/2227-9067/10/7/1174mental health service useservice use barriersparents of high-risk infantsneonatal follow-up programservice provider perspectivesmixed-methods
spellingShingle Shayna K. Pierce
Kristin A. Reynolds
Lorna S. Jakobson
M. Florencia Ricci
Leslie E. Roos
Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives
Children
mental health service use
service use barriers
parents of high-risk infants
neonatal follow-up program
service provider perspectives
mixed-methods
title Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives
title_full Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives
title_fullStr Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives
title_full_unstemmed Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives
title_short Unmet Parental Mental Health Service Needs in Neonatal Follow-Up Programs: Parent and Service Provider Perspectives
title_sort unmet parental mental health service needs in neonatal follow up programs parent and service provider perspectives
topic mental health service use
service use barriers
parents of high-risk infants
neonatal follow-up program
service provider perspectives
mixed-methods
url https://www.mdpi.com/2227-9067/10/7/1174
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