Greater Manchester Mental Health NHS Foundation Trust & University of Manchester
Psychiatry
After training in psychiatry at the South London and Maudsley Hospitals I was lecturer at the Institute of Psychiatry, Psychology and Neuroscience in London investigating with Professor Kumar biological and psychosocial mechanisms triggering postpartum bipolar relapse. My research and specialist clinical interest since then have been in psychoneuroendocrinology, reproductive psychopharmacology and perinatal psychiatry in which I have published widely. I have for many years been lecturing at the Masterclasses of the British Association of Psychopharmacology, and the Masterclasses of the Royal College of Psychiatry, have run courses in Perinatal Psychopharmacology at the EPA, and have lectured in many other national and international settings. As a Consultant in General Adult and Perinatal Psychiatry I lead the Northwest Perinatal Psychiatry Service with an inpatient unit and community team for many years and obtained funding for a large specialist perinatal community mental health service in Greater Manchester covering 40,000 births annually. I was a member of the British Clinical Reference Group for Perinatal Mental Health, the Academic Secretary of the Perinatal Faculty of the Royal College of Psychiatrists, the Chair of the North West Affective Disorders Group and am currently the Chair of the EPA Section Women, Gender, and Mental Health.

Moderator of 1 Session

Session Type
Clinical/Therapeutic
Date
Mon, 06.06.2022
Session Time
08:00 - 09:30
Room
Hall C
Session Description
Organised by the EPA Section on Women, Gender and Mental Health. There is increasing evidence that gender shapes the prevalence, clinical presentation, and social and physical consequences of mental illness as well as patient needs. In recent surveys, reviewed by the first speaker, mental health practitioners have identified a lack of knowledge and skills in women’s mental health and the need for specific training. Due to greater exposure to psychosocial risks, including social and material deprivation, some women from black, asian and other minority ethnic groups are at an increased risk of mental illness, but may face barriers to accessing mental health care and cultural stereotypes by mental health professionals. The second speaker will present research from her own and other groups to outline how awareness of these issues can improve patient experience. The third speaker will present results from her qualitative research of how women with postpartum affective psychosis perceived their mental health care and report appropriate training of mental health professionals and the need for specialist care as important themes. The fourth presentation will discuss evidence suggesting that it is important for general adult psychiatrists to have specific skills and knowledge in reproductive counselling for women with severe mental illness and outline specific areas to be included in psychiatric training. In the last presentation the speaker will describe, based on a successful project in the UK and Ireland, the plan, necessary steps and successful ingredients for the development of a comprehensive programme that could be applied to improving training for mental health professionals in women’s mental health.
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Fully Live, Section

Presenter of 2 Presentations

What have we Learnt from the UK Triannual Case Reviews about the Role of Parental Mental Illness in Serious Abuse Related Harm of Young Children ?

Session Type
Clinical/Therapeutic
Date
Sat, 04.06.2022
Session Time
12:30 - 14:00
Room
On Demand 2
Session Icon
On Demand, Section
Lecture Time
13:10 - 13:30

Abstract

Abstract Body

Up to one in four young children have been estimated to be exposed to parental mental illness. Although the majority of affected parents will not harm their children, is is now well established that parental mental illness places children at an increased risk of all types of injury. Both maternal and paternal mental illness are implicated.

Children of parents with mental illness are at the greatest excess risk of being injured in their first year of life, and this applies particularly to violence related harm. Within the first year, the risk is highest during the first three months after birth. A number of parental and family background factors have been identified in the UK triannual serious case reviews of abuse related harm to children and in other publications that can increase or decrease the risk.

These findings have significant implications for clinical practice. In order to mitigate the risks to young children, an early assessment of a parent with a mental illlness, close collaboration between mental health, social care and other involved professionals, and a comprehensive care package which aims to improve parental mental health health, reduce other risk factors and exploit parental strengths and protective social factors, are essential. Mental health professionals have an important role to play in achieving improved outcomes for children at risk and their families.

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