New training date: 10 and 11 July 2019

Location: London

Following previous sell out events, we are offering a further rare opportunity to access a place to train as a Multi-Agency iHV Champion for Perinatal & Infant Mental Health via our highly acclaimed integrated programme.

The programme is an accredited 2 day course which will cover a wide and updated programme content supported by contemporaneous evidence and policy underpinning practice.

This training has been specifically designed to support an onward cascade across a multi-agency audience to ensure that all staff working alongside mothers and their families perinatally can access awareness training.

The iHV is delighted to be supporting UK Maternal Mental Health Matters Awareness Week 2019 which runs from 29 April until 5 May 2019. Perinantal and Infant Mental Health (PIMH) has been a priority for us from day one, and we are proud of our work in mental health.

We firmly believe that there is no health without mental health and that health visitors are uniquely placed to:

  • – prevent mental ill-health in the first instance
  • – promote mental wellbeing of the mother, other family members and the wider community
  • – offer evidence-based interventions to families experiencing mental health problems
  • – refer on for timely specialist support
  • – coordinate integrated care experiences
  • – support relationships between parents and infants, the couple relationship and wider family relationships

In order to deliver a high-quality service, families need health visitors to be in sufficient numbers, with the right capacity, competence and confidence. There is strong support for a universally well-trained workforce that is complemented, supported and strengthened through strong leadership from specialist health visitors in every organisation.

Throughout the week we are going to be sharing examples of how leadership from health visitors who practice at an advanced level (often referred to as Specialist PIMH Health Visitors) are making a difference! Follow #maternalMHmatters on Twitter for all the latest updates.

About Maternal Mental Health Week

Led by the Perinatal Mental Health Partnership (PMHP), the week focuses on mums affected by Maternal Mental Illness uses the general hashtag #maternalmhmatters on social media.

Follow PMHP on Twitter – @PMHPU and Instagram – @perinatalmhpartnership

Each day this week has a theme and specific hashtag:

  • – Monday 29 April – ‘What is Perinatal Mental Health’? – #pmhpwhatispmh
  • – Tuesday 30 April  – What good support looks like – #pmhpsupport
  • – Wednesday 1 May – This is World Maternal Mental Health Day and the theme for the day will be ‘The Village’, focusing on how we work together to remove barriers to services so all mums who need services can access them – #pmhpthevillage
  • – Thursday 2nd May – focus on recovery – #pmhprecovery
  • – riday 3 May – To end the week, we will be encouraging the creation of a virtual ‘Positivity Pot’ so do share articles and blogs about recovery, looking ahead to the future and selfcare – #pmhppositivitypot

How you can get involved:

  • – Highlight what you and / or your organisation are doing to promote mental well being of families and how you/health visiting service supports families affected by perinatal mental illness.
  • – Use the #maternalmhmatters hashtag in conjunction with #healthvisiting on social media when referring to the week and the daily specific hashtags if relating to the daily theme.
  • – Get in touch with us – write a blog/send pics of activities you are doing as part of MMH week/MMH day.
  • – Make contact with local commissioners and share the importance of your role in PIMH, why not take a commissioner out with you/ ask a parent to share their experience , show them the Channel 4 film we made last year, facilitate them to talk with a family who you have supported.
  • – Book on the iHV PIMH Champions training
  • – #PNDHOUR – Following on from the success of the last two years, Rosey from PNDandMe will be running #PNDHOUR every night during the week at 8pm on Twitter. Do join in!

Melita Walker, Mental Health Lead, iHV

 

 

 

 

Exciting and unique development opportunity with the Institute

Professional Development Officer, Perinatal and Infant Mental Health, South of England

The iHV is seeking to appoint health visitor expert in perinatal and infant mental health and practice development to work with them supporting training and various other related projects, as well as covering some national meetings. The post holder will be up to full time but could be 4 days, we would also consider a job share if the post holders were based in different areas of the country.

The post holder, who will have a master’s degree, will ideally be based in the South of England but this isn’t essential and will be prepared to travel within the post, mostly within the UK, but potentially also to European countries. They will ideally be an iHV infant and perinatal mental health champion, have broad experience in these fields, with additional research or project development experience.

A confident self-starter, they will deliver training, attend meetings, develop regional forums for our PIMH Champions and input advice to other work streams on request including to a European project just funded.

The post holder will be highly respected by colleagues for their capacity to drive and deliver local professional developments.

1-year post/secondment in the first instance with expectation of extension.  The Institute offers a competitive pension scheme.

Applications close: 9.00 am Monday 18 March 2019

Interviews:  Thursday 4 April 2019 

New training date: 29 and 30 April 2019

Location: London

Following previous sell out events, we are offering a further rare opportunity to access a place to train as a Multi-Agency iHV Champion for Perinatal & Infant Mental Health via our highly acclaimed integrated programme.

The programme is an accredited 2 day course which will cover a wide and updated programme content supported by contemporaneous evidence and policy underpinning practice.

This training has been specifically designed to support an onward cascade across a multi-agency audience to ensure that all staff working alongside mothers and their families perinatally can access awareness training.

The Institute of Health Visiting (iHV) has published its response to the consultation – Mental Health in the Long-Term Plan for the NHS.

The consultation is to identify opportunities to deliver the NHS’s goal to provide world-class mental healthcare – improving the outcomes for everyone who uses the NHS services.

Dr Cheryll Adams CBE, Executive Director, Institute of Health Visiting said:

“At the Institute, we firmly believe there is no health without mental health, which is why we have perinatal and infant mental health (PIMH) as a priority focus. We welcome the opportunity to respond to this consultation to ensure that all families get consistent, accessible, high quality care and support for their mental health during the perinatal period. Our response reflects the many consultations and surveys we have done with our members and other stakeholders over the recent months and years.”

The Institute’s response includes its top three priorities in mental health:

  • Resourcing health visiting services through joint commissioning which formally requires health visitors to take a specific lead for perinatal and infant mental health;
  • Closing the gap between knowledge of what affects child and family mental health, and how services are commissioned and organised to implement this knowledge;
  • A need to concentrate efforts to create a much wider understanding of the epidemiology of mental illness with so much of it having its origins in the very first years of life.

Dr Adams continued:

“Early intervention for families in the perinatal period will reduce the burden of mental illness across the life-course! We have to get that message over to politicians and policy makers, so that funding is allocated upstream and not disproportionately spent on secondary and tertiary care, fixing problems that could have been prevented from occurring in the first place.

“This submission focuses on how, with the right support from the NHS and partner organisations, health visitors can ensure that all families with children receive the right care and support for their mental health, at the right time, in the right place.”

 

Further to the story on the limited NHS support for Perinatal Mental Illness published by the Guardian today, which lays bare the poor quality of community services for new mothers, iHV reinforces those concerns and advises that today’s situation is likely to have deteriorated significantly since the audit was completed. The leaked report was compiled in Spring 2017 and uses data from 2016.

Dr Cheryll Adams CBE, Executive Director, iHV, said:

“The Institute of Health Visiting warns that the real state of health visiting support for mothers suffering with perinatal mental illness may be significantly worse than that found by the NHS Benchmarking  report 14 months ago, as there have been further cuts to the workforce and the development of a significant postcode lottery of service up and down the country.

“Health visitors across the country continue to strive to deliver an excellent service to children and families, and will do everything in their power to support mothers they find are affected. The challenge they face is that many no longer deliver a universal service after their 6-8 week contact, when depression and other mental illness may not yet have manifested itself.”

From the annual iHV State of Health Visiting survey 2017 (November 2017 and 1413 respondents), 51% reported cuts to HV posts, 16% reported cuts to their skill-mix team, 12% were awaiting news of the scale of expected cuts, or reported frozen posts and students not employed, only 22% said there had been no cuts where they worked.

In addition from the 2017 survey, 15% are always able to offer listening visits to mothers identified as experiencing postnatal depression, with 36% offering them mostly and 27% some of the time. This is worse than in 2015, when 27% were able to offer listening visits all of the time.

The 2017 survey results indicate that health visitors are increasingly focused on the most vulnerable children and families at the expense of the five mandated reviews, and that the Healthy Child Programme is being implemented in an increasingly ‘targeted’ manner, against its fundamental design principles of full access to it being the right of every baby born in England. The result is that HVs cannot be confident that they are identifying needs or providing early primary prevention. 60% state their ability to make a difference is hampered by ‘Focusing only on those most at risk [that] dilutes universal service’; rather, they are managing risk with children and families with known needs.

On Thursday 5 July, the Minister for Mental Health and Inequalities, Jackie Doyle-Price MP, celebrated 70 years of the NHS with Institute of Health Visiting (iHV) Perinatal Mental Health Champions and Perinatal & Infant Mental Health Champions in Manchester.

During the celebration event, the Minister heard about the work of the health visitor, with a specific focus on the critical role that health visitors play in preventing mental illness, promoting mental wellness across the life-course and supporting/offering evidence-based interventions to families suffering from perinatal mental illness. She also heard a very powerful presentation from Jane Fisher, a mother with lived experience, on the importance of her relationship with her health visitor as part of her recovery.

Minister for Mental Health and Inequalities Jackie Doyle-Price meeting iHV PIMH Champions in Manchester to mark #NHS70

 

Dr Cheryll Adams CBE, Executive Director at the Institute of Health Visiting, said:

“5th July was such a special day for the NHS. We were delighted to celebrate its 70th year with some of our wonderful Perinatal & Infant Mental Health Champions in Manchester – a very appropriate location as health visiting started in Salford /Manchester in 1862 and there is a long history of Manchester supporting public health improvement. This was a great opportunity to share with the Minister the fantastic and essential work that health visitors and our Champions provide to mothers and their families.

“Perinatal mental health is key for all parents and their families – at the Institute we recognise the importance of this and have a range of accredited training programmes to ensure that health visitors and other health professionals have the correct information knowledge and understanding to support parents and families to promote and maintain their mental wellbeing. On marking the 70th birthday of the NHS, I am delighted to announce that the iHV has now trained over 1500 Perinatal & Infant Mental Health Champions – and, if each cascaded their knowledge to only 20 colleagues, then that’s over 30,000 healthcare professionals who have better insight to supporting perinatal and infant mental health – quite amazing!

“This celebratory event shone a light on health visitors and our amazing Champions who play such an important role in helping ensure all children have the best start in life.”

Minister for Mental Health and Inequalities Jackie Doyle-Price said:

“I was privileged to spend some of the NHS’ 70th birthday with such fantastic advocates for the Health Visiting profession.

“They really are our eyes and ears for good perinatal health, and do an important job in supporting new parents and families through a child’s early years. I know they are working under increasing pressures, and expect local authorities to make sure they support health visitors in communities across the country.”

Minister for Mental Health and Inequalities Jackie Doyle-Price meeting iHV PIMH Champions in Manchester to mark #NHS70

Andrea Johns FiHV, Professional Lead Wirral- 0-19 and Cheshire East- Health Visiting, commented:

“I was delighted to see that the Minister was focusing on health visitors on the NHS 70th birthday. The role of the health visitor is key to improvements in perinatal and infant mental health. Health visitors are highly skilled in identifying mental health issues and work closely with partner agencies to deliver high quality, evidence-based support in the community.”

Melita Walker FiHV, Mental Health Lead, Institute of Health Visiting, added:

“NHS70 for the health visitors who met with Jackie Doyle-Price will be remembered as a day of celebration and hope. It was brilliant to be able to share the great work that health visitors are doing and also have the opportunity to discuss the challenges and think collaboratively for solutions.”

Multi-Agency Perinatal & Infant Mental Health Champions Training for individualsBookings open now!

Limited places available – so don’t miss out!

Following previous sell-out at our PIMH training events, we are offering a further rare opportunity to access a place to train as a Multi-Agency iHV Champion for Perinatal & Infant Mental Health via our highly acclaimed integrated programme.

  • Sheffield – 24 and 25 October 2018
  • London – 7 and 8 November 2018.

Duration of course: 2 days

Costs: £395 iHV Members/ £425 Non-members.

The programme is an accredited 2-day course which will cover a wide and updated programme content supported by contemporaneous evidence and policy underpinning practice. You will be supplied with a copy of the new combined Perinatal & Infant Mental Health Champions trainer pack and accompanying resources in order to be able to cascade a one day training to your colleagues to raise awareness of perinatal and infant mental health across your organisation or service.

These courses are very popular – so book your place today!  Don’t miss out!

If you would like more information, please contact [email protected]

Well, what a day we had yesterday (24 April) for our Perinatal and Infant Mental Health Conference: The Hidden Challenges!  Almost 200 people convened in Manchester including many of our Perinatal and Infant Mental Health Champions and those working alongside them.

Dr Cheryll Adams CBE opening the PIMH conference

This multi-agency conference was a jam-packed day – with internationally-acclaimed speakers, a theatre production and amazing brave mums and dads talking about their personal stories and lived-experiences. A big thank you to you all!

Documental Theatre at #iHVPIMH18

Amazing feedback

We had fab feedback from Twitter- and we haven’t yet finished going through all the evaluations!

“Amazing day at #iHVPIMH18. Best conference I have been to. Definitely increased my passion for providing quality PIMH services across the UK.”

“Thanks for an inspirational day with excellent speakers my head is overflowing but my heart is full of gratitude to those amazing women and men for sharing their experiences #iHVPIMH18

“Wow what a day.”

“Fabulous conference with inspirational and motivational speakers. Feeling re-energised and can’t wait to continue the excellent work happening in the North West to improve perinatal mental health care.”

“Thank you so much to everyone involved in #iHVPIMH18. It was emotive and inspiring. Lots to take forward into practice and even more passion to #turnthemapgreen

“Excellent day thank you”

“I can’t remember any conference before where I’ve felt so moved , inspired and awe struck by the speakers #IHVPIMH18

“An inspirational conference! Well done everyone who bravely shared their personal stories & all involved”

“Thanks so much for a really fantastic inspirational Conference!”

“Wow! a conference with a difference they said! I wasn’t expecting that—an amazing inspiring day, need time to digest all I have heard and been part of.”

“Thoughts after an amazing #iHVPIMH18 conference in Manchester! “There is always hope” “be consistent” and “talk to dads””

“Loved every second and feel very inspired by the whole day, thank you for the opportunity”

Fantastic and informative day. Thank you #iHVPIMH18

“Thank you 4 today. I have learned so much! An outstanding conference!”

“Thank you for an excellent day”

Storify

For those of you who could not either join us on the day or could not follow the #iHVPIMH hashtag on Twitter, we’ve collected and made a little “Storify” of the tweets so you can follow some of what was shared.

Posters

Well done to all our poster submissions at #iHVPIMH18 – we had lots of amazing posters shared about innovative support for perinatal and infant mental health.

Many thanks to Professor Dame Sarah Cowley and Dr Karen Stansfield for assessing all the poster submissions.

Delivering an e-poster at #iHVPIMH18

the audience enjoying the e-posters – complete with popcorn!!

Our poster winner was Catherine Lowenhoff, PhD student at Oxford Brookes University – Combining evidence from research and practice to produce a draft intervention framework to guide the support that health visitors provide to mothers with mental health problems.

Many congratulations to Catherine who was selected to present her poster to the conference audience – see photo below.

Catherine Lowenhoff, e-poster winner, delivering her poster to the audience at #iHVPIMH18

Catherine Lowenhoff being presented with her winner’s certificate by Dr Cheryll Adams CBE

Well done also to our 2 highly commended posters:

  • Jane Dickens (who collected the certificate in the photo below) and Lisa Milne from Bradford District Care NHS Foundation Trust – Revolutionising the Parent Infant Relationship: Bradford’s Parent Infant relationship Resource Cards;
  • Anulika Ifezue (unfortunately had left to catch her train, so we are sending her certificate to her) from Manchester University NHS Foundation Trust – Breaking professional and organisational barriers in delivering perinatal and infant mental health care.

Dr Cheryll Adams CBE presenting a highly commended certificate to Jane Dickens from Bradford District Care NHS Foundation Trust

Our fabulous pledge wall certainly gained some great foundations yesterday!

The pledge wall at #iHVPIMH18

The iHV has been delighted to work with Victoria Macdonald, Health and Social Care Correspondent at Channel 4 News, to make a short film on the complex role of the health visitor in Perinatal and Infant Mental Health (PIMH) and how the recent cuts to the public health budgets are impacting on the mental health care from health visitors that families may receive. The film is due to be broadcast on Channel 4 news this evening (Wed 4 April) between 7pm and 8pm. 

Update 5/4/18: Link to the film has been added at the bottom of this news story.

Melita Walker, iHV, being interviewed by Victoria Macdonald from Channel 4 news

Victoria has worked for almost 20 years with Channel 4 and is a fantastic advocate for the mental health of women and their families. We are very grateful for her commitment to improving perinatal and infant mental health and look forward to her opening the iHV’s first national multi-agency PIMH Conference (24 April in Manchester) to talk about her experiences of the hidden challenges in PIMH.

Time to develop quality relationships between health visitors and parents is key to public acceptability and effectiveness for promoting sensitive and responsive parenting and to parents disclosing emotional vulnerability when experiencing mental distress. Health visiting services should be staffed and organised in order to facilitate this (Cowley, et al., 2013).

The iHV would like to sincerely thank the team at Channel 4 News and all those who have been involved in supporting the making of this feature – in particular, City Health Care Partnership (CHCP) in Hull, CHCP health visitors Rebecca Price, Debbie Jackson, Fiona Nevet and Shirley Simpson who were absolutely fantastic and kindly gave up their time to support the filming in Hull. Also Mark Edwards, health visitor and Mental Health Advisor, University of Central Lancashire. Mostly, of course, our thanks go to the mums and their families who, in the hope of improving care for families and raising parity of esteem for mental health in the perinatal period, shared their own personal experiences on camera – Jane, Heidi and Dana, we really can’t thank you enough!

 

Shirley Simpson being interviewed by Victoria Macdonald from Channel 4 news

Hannah Bissett, Action on Postpartum Psychosis (APP), commented:

“As the national charity for women and families affected by Postpartum Psychosis, we are excited to hear about the iHV feature on Channel 4 this evening with Victoria Macdonald, including our volunteer Jane. Through our partnership with the iHV, Jane and other volunteers have shared their experiences of postpartum psychosis during iHV’s Perinatal Champions training to add the voice of lived experience to this vital area”.

From left: Shirley Simpson, Rebecca Price, Melita Walker and Victoria Macdonald

From left: Shirley Simpson, Rebecca Price, Melita Walker and Victoria Macdonald


Update 5/4/18: