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Mothers’ Mental Health Toolkit
A Resource for the CommunityPublic Health Agency of Canada – National Projects Fund
Agenda for today• Welcome and Introductions• Activity #1• Introduction to the Toolkit• What’s inside and chapters of this Toolkit• Lunch• Practice using the Toolkit with Case Scenarios• Activity #2• Video• Closing and Goodbye’s
Introductions
• Please tell us your name and where you work.
• Share what inspires you in your interactions with the clients you work with.
If you are experiencing an ear ache…
– What might your symptoms be?– Who might you tell?– When might you seek help?
If you are experiencing depression…
– What might your symptoms be?– Who might you tell?– When might you seek help?
Mental Health Issues• Mental illness is a mental/behavioral pattern
or anomaly that causes either suffering or an impaired ability to function.
• Biological, Psychological and Social factors contribute to mental illness.
• Mental health can be seen on a continuum:Healthy Reacting Injured Illness
Maternal Mental Health Problems• Mental Health Diagnosis Pre-Pregnancy• New Mental Health Problem During Pregnancy or First Year After Birth
• Severe Adjustment Difficulties• Personality Disorders• Post-Traumatic Stress Disorder Spectrum• Concurrent Addictions• Attachment Disturbances• Complex Case/High Risk Contributors• Disorders listed and defined in theToolkit (pg 122-130)
Mothers’ Mental Health Toolkit
• Public resource for community service providers and families for education, advocacy, and treatment support for mothers with mental health problems.
• Developed by Dr. Joanne MacDonald (Psychiatrist, Project Lead) and Colleen Flynn , MSW RSW (Clinical Therapist, Content Lead) of Reproductive Mental Health Service, IWK Health Services in Halifax, Nova Scotia• Revised and training developed for CAPC and CPNP programs through funding from National Projects Fund by the Public Health Agency of Canada.
Toolkit Project Values:
• Health Promoting• Mental Health Literacy• Community Informed• Family Centered• Strengths Based• Support Enhancing• Knowledge Sharing• Collaborative Care & Intervention
Vulnerability & Risk Determinants• Poverty• Low level of support / isolation• Family conflict/disruption• Trauma• Poor Housing• Transportation limitations• Education deficits• Unemployment• Previous Mental Health Problems• Family History of Mental Illness/Addictions
What’s Inside?• Maternal Mental Health Education for
Community Service Providers (long sidebars)
• Worksheets for Use with Mothers (short sidebars)
• Wellness to Illness Recognition
• Resources for Mothers and their Caregivers
What isn’t in the toolkit?
• Depth of Diversity Applications
• Cultural Specificity
• Mental Health Treatment or Intervention
• Limited Rural/Remote Tools
• Languages Other than English/French
• Replacements for
Mental Health Services
Chapters of the Toolkit
• Ch. 1 Mothers’ Wellness and Self-Care• Ch. 2 The Mothering Role• Ch. 3 Understanding Mother’s Mental Health• Ch. 4 Assessment and Screening• Ch. 5 Intervention and Treatments• Ch. 6 Supporting Recovery• Ch. 7 Community Action
Chapter 1 – Mothers’ Wellness and Self Care
The toolkit begins with a chapter on wellness that was designed for use by the mother.
Topics in this chapter include:• Body Health
– Nutrition, fitness and sleep
• Mental Health– Relaxation and stress management
• Emotional Health– Substance use and Self Development
Examples of WorksheetsSelf-Care Checklist Food and Feelings DiaryYour Body Health is Important My Exercise Ideas
Exploring My Substance Use Balancing Needs and Saving Energy Substance Use Checklist What Kind of Person Can I Become
More Worksheets for Mothers
Chapter 2 – The Mothering Role
Chapter 2 looks at the changes a women might feel becoming a new mother and her support system.
Topics in this chapter include:• Definitions/realities of motherhood• Attachment development• Building social supports• Emotional coping strategies• Relationship health• Parenting
Examples of Worksheets The Many Hats of Motherhood Connections That CountCommon Thoughts About Motherhood Your Partner Relationship Helping Ourselves to Calm and Relax It Takes a Village (Living with Parents)
Examples of Information Sheets Attachment Development Tiny Baby, Big Changes Building a Strong Bond with Your Baby Strategies for Positive Communication Emotional Coping Strategies Parenting Through Depression
Examples of Checklists and Tips Do What Helps Us Parent Top 10 Tips for a Partner / Co-Parent Tips for Helping: Providing Support to a Vulnerable Mother Child Outcomes: How Do You Know Your Child has Good Mental Health
Chapter 3 – Understanding Mothers’ Mental Health
Chapter 3 considers the Dimensions of Health and Wellness in body, thoughts and feelings. This chapter has more sections dedicated to the service provider than in previous chapters and begins to look at mental illness including:
• Causes and Contributions• Signs and Symptoms
• Diagnostic Possibilities
Information sheets for service providers including: Mental Health, Family Violence, Risk Factors for
Illness, and Determinants of Progress or Outcome.
Worksheets for mothers including: Abuse and Safety Planning, Power and Control Wheels, and Risk Factors for
Pregnancy or Postpartum Mental Health Problems.
Causes and Contributions, Signs and Symptoms, and Diagnostic Possibilities
{Note: The information given is not to be used to diagnose clients.}
Chapter 4 – Assessment and Screening
Chapter 4 has information on Developing Cultural Awareness and Competency and tips for working with Newcomers. You will also find:
• Perinatal Mental Health Assessment• Postpartum checklist• Edinburgh Postnatal
Depression Scale
Chapter 5 – Intervention and Treatments
Chapter 5 is dedicated to the service provider and offers information on General Interventions, Therapy Principles, and Medications.
{This information is not meant to replace medical interventions; it is given to assist supporting service providers with knowledge.}
Increased knowledge among service providers of mental health issues, diagnoses, and treatments helps to reduce stigma and encourage women toward valuing their wellness and seeking
recovery from illness.
Chapter 6 – Supporting Recovery
This chapter has many worksheets for the mother that can assist her in moving forward with goal planning and healthy thinking.
In addition to these worksheets, this chapter offers: Connecting to Mental Health Services Involvement with the Department of Community Services If Your Children Have Been Taken Out of Your Care
Chapter 7 – Community ActionChapter 7 was designed for the Service Provider with a list of ideas and suggestions for collaborative mental health care as well as examples of
initiatives underway already working well.
Now let’s see what the Toolkit has for you…
• Break into small groups• Review the case study• Answer the questions together as a group• Share what your group discussed witheveryone else
Case Study #1 - Samira
1. Provide a brief description of the mother, history, problems (whatever you want to bring out).
2. What are some possible challenges/issues that she might be facing?
3. What would you like to know more about working with this mother?
4. What could be the role for you or your organization in the mental health of this mother?
5. How might you use the Toolkit Resource with this mom?
Case Study #2 - Julie
1. Provide a brief description of the mother, history, problems (whatever you want to bring out).
2. What are some possible challenges/issues that she might be facing?
3. What would you like to know more about working with this mother?
4. What could be the role for you or your organization in the mental health of this mother?
5. How might you use the Toolkit Resource with this mom?
Case Study #3 - Kerry
1. Provide a brief description of the mother, history, problems (whatever you want to bring out).
2. What are some possible challenges/issues that she might be facing?
3. What would you like to know more about working with this mother?
4. What could be the role for you or your organization in the mental health of this mother?
5. How might you use the Toolkit Resource with this mom?