The treatment of postnatal depression by health visitors: impact of brief training on skills and clinical practice

Appleby, Louis and Hirst, Emma and Marshall, Sarah and Keeling, Felicity and Brind, Janet and Butterworth, Tony and Lole, Joan (2003) The treatment of postnatal depression by health visitors: impact of brief training on skills and clinical practice. Journal of Affective Disorders, 77 (3). pp. 261-266. ISSN 0165-0327

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Full text URL: http://dx.doi.org/10.1016/S0165-0327(02)00145-3

Abstract

Background: Postnatal depression can be effectively treated by cognitive behavioural counselling (CBC), a simple intervention designed to be delivered by non-specialists in mental health. Methods: Health visitors were trained in CBC and post-training changes in counselling skills, clinical practice and costs were assessed. Results: Following training health visitors showed improved counselling skills, and they carried out more mental health assessments, recorded mental symptoms more often and treated more women themselves. However, their mean number of contacts with depressed women did not change; and the number of urgent contacts diminished. Referrals to general practitioners did not increase but there was an increase in referrals to mental health services. Costs to health visitor practice did not increase. Limitations: Assessment of clinical practice was based on health visitor records. The study uses a ‘before and after’ design rather than randomisation of subjects. Conclusions: Training health visitors in CBC leads to improved counselling skills and corresponding changes in clinical practice, without increasing the costs of health visitor practice

Item Type:Article
Keywords:Depression, Postpartum, Counselling, Community health nursing, Cognitive therapy
Subjects:B Subjects allied to Medicine > B712 Health Visiting
Divisions:College of Social Science > School of Health & Social Care
ID Code:576
Deposited By: Bev Jones
Deposited On:03 May 2007
Last Modified:03 Jun 2013 11:56

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