T. Kurimay, HungaryNorth-Central Buda Center, New Saint John Hospital and Outpatient Clinic Buda Family Centred Mental Health Centre, Psychiatry and Psychiatric Rehabilitation, Teaching Department of Semmelweis University
Moderator Of 1 Session
Presenter Of 7 Presentations
Highlights of the Day
How to Organize MH Service to Support New Mothers
ECP0003 - The Role of Perinatal Care in Early Life Trauma Prevention
Mental health support for parents, infants and children as an interdisciplinary, cross-sectoral task has existed for decades in many European countries. A highlighted goal of integrated services (medical, social and educational) is to support competent parenting and the positive parent-child relationship, for the optimal development including mental health of infants and children.
In clinical practice, the role of psychiatrists is often linked to healing and rehabilitation, even though we also have an important role in prevention.
The mental support, treatment and prevention of psychiatric disorders during the pre-, peri- and postnatal period are often not considered being preventive measures.
The perinatal period is the most sensitive and at the same time one of the most important stages of our lives. The traumas suffered during this period affect both the mother and the newborn, in fact it affects the family as a whole.
Models for the prevention of early trauma appear at the level of social community and, inter alia, health and social care.
Traumas are closely linked to social determinants of health.
Gene environment interactions also allow for the transgenerational transmission of trauma.
The presentation introduces individual and family levels of interdisciplinary care, good practices and programs the knowledge of which may be important to psychiatrists. How the practicing psychiatrist can contribute to trauma prevention and how to understand the development of resilience.
The presenter will detail good practices, and highlight the possibilities for all clinicians on ways to work in their respective field with a trauma preventive approach.
S0052 - Family Healing: Contextual Interventions in Perinatal Clinical Practice
In perinatal clinical practice (PCP), the focus of care has shifted from the mother and then the baby-mother dyad to the emphasis on the role of fathers. Individual and therapeutic interventions are multimodal, and in almost all cases interdisciplinary cooperation is assumed. The preferred therapeutic methods for perinatal mental disorders are psychological and psychotherapeutic interventions. Through the life-course model, the central, therapeutic-conceptual role of the family can be understood, which - in clinical practice - reflects the need for “think-family” in psychiatric care.
Hence there is a growing need for evidence-based family-interventions.
Parental mental health disorders may have an impact on family functioning and partner relationship, as well as parent-child interactions, the quality of attachment and relationship with the child.
Even though we have an increasing number of evidence regarding the aims and effectiveness of family interventions, additional evidence is needed to determine what interventions and modalities are effective in the perinatal period. And we also need information when these interventions are contraindicated and regarding their risk.
It is conceivable that there is not much difference between the efficacy of family intervention methods used in other indications and the perinatal application of the same methods.
We have gathered evidence primarily on perinatal depression, which opens the path of family interventions in other disorders.
When thinking in the family as a general framework, it should be filled with evidence-based quantitative and qualitative anchors.
The conceptual framework can be based on systems- and network theory.
The presentation is illustrated with clinical vignettes.