Perinatal psychosocial assessment of women of refugee background |
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| Institution: | 1. Centre for Developmental Psychiatry & Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Victoria, Australia;2. School of Psychology, Faculty of Health, Deakin University, Victoria, Australia;3. Centre for Educational Development Appraisal and Research, University of Warwick, Coventry, United Kingdom;4. Monash Centre for Health Research & Implementation, School of Public Health and Preventive Medicine, Monash University, Victoria, Australia;5. Monash Women’s Maternity Services, Monash Health, Victoria, Australia;6. School of Nursing and Midwifery, Monash University, Australia;7. The Ritchie Centre, Hudson Institute of Medical Research, Victoria, Australia;8. Refugee Health and Wellbeing, Monash Health, Victoria, Australia;1. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia;2. Department of Rural Health, The University of South Australia, Adelaide, Australia;1. Orygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road Parkville, Victoria 3052, Australia;2. Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria 3052, Australia;1. Department of Behavioural Sciences and Learning, Linköping University, SE-581 83 Linköping, Sweden;2. Department of Clinical and Experimental Medicine, Linköping University, Sweden;1. Faculty of Health, Dalhousie University, Halifax, NS, Canada;2. School of Nursing, Faculty of Health, Dalhousie University, Halifax, NS, Canada;3. Nova Scotia Health Authority, Halifax, NS, Canada;4. Division of Neonatal Perinatal Medicine, Department of Pediatrics, Faculty of Medicine, Dalhousie University and IWK Health Centre, Halifax, NS, Canada |
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| Abstract: | BackgroundWomen of refugee background may be particularly vulnerable to perinatal mental illness, possibly due to increased exposure to psychosocial stressors associated with their forced migration and post-resettlement adjustment.AimThis study aimed to compare psychosocial risk factors reported by women of refugee background receiving maternity services at a public hospital, to those reported by Australian-born women in the same hospital. It further aimed to examine the referrals offered, and accepted, by the women of refugee background reporting psychosocial risk factors for perinatal mental illness.MethodsA retrospective hospital record review was conducted to compare the antenatal and postnatal psychosocial risk factors of 100 women of refugee background and 100 Australian-born women who gave birth at a public hospital in Victoria between 1 July 2015 and 30 April 2016, and who had completed the Maternity Psychosocial Needs Assessment.FindingsWomen of refugee background were more likely than Australian-born women to report financial concerns and low social support at antenatal assessment, but were less likely to report prior mental health problems than Australian-born women at either assessment point. Both groups reported low rates of family violence compared to published prevalence rates. Of the women of refugee background assessed antenatally, 23% were offered referrals, with 52% take-up. Postnatally, 11.2% were offered referrals, with 93% take-up.Discussion/conclusionThis study showed elevated rates of psychosocial risk factors among women of refugee background, however, possible under-reporting of mental health problems and family violence raises questions regarding how to assess psychosocial risk factors with different cultural groups. Lower antenatal referral take-up suggests barriers to acceptance of referrals may exist during pregnancy. |
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| Keywords: | Perinatal psychosocial assessment Referrals Refugee Antenatal mental health Postnatal mental health Perinatal mental illness |
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