Perinatal mental health services: needs assessment and recommendations
Recommendations across all tiers of service delivery, with the aim of ensuring that Scotland has the best services for women with, or at risk of, mental ill health in pregnancy or the postnatal period, their infants, partners and families.
Appendix 5
Quality indicators for perinatal mental health services Quality indicators for community services
| National Indicator |
Measure |
Type |
|
|---|---|---|---|
| 1. |
Fidelity to model of service provision in board area |
National and local audit |
|
| 2. |
Number of women receiving specialist assessment |
Proportion of total deliveries |
|
| Service Indicator |
Measure |
Type |
|
| 1. |
Time from referral to initial assessment |
Proportion outwith standard |
Process indicator |
| 2. |
Time from referral to psychological therapy commencement, where indicated |
Proportion outwith standard |
Process indicator |
| 3. |
Complaints received |
Number of complaints as proportion of caseload |
Process indicator |
| 4. |
Change in mental health (e.g., HoNOS) |
Change from entry to exit from service |
Clinician rated outcome measure |
| 5. |
Change in symptoms (e.g., CORE-OM) |
Change from entry to exit from service |
Patient rated outcome measure |
| 6. |
Mother-infant relationship (e.g., PBQ) |
Change from entry to exit from service |
Patient rated outcome measure |
| 7. |
Satisfaction with care (e.g., POEM) |
Change from entry to exit from service |
Patient related experience measure |
Quality indicators for MBUs
| National Indicator |
Measure |
Type |
|
|---|---|---|---|
| 1. |
Fidelity to model of service provision in board area |
National and local audit |
|
| 2. |
Number of women, who retain custody of their child, admitted to non-MBU bed |
Proportion of total admissions |
|
| Service Indicator |
Measure |
Type |
|
| 1. |
Time from referral to MBU admission |
Proportion outwith standard |
Process indicator |
| 2. |
Time from referral to psychological therapy commencement, where indicated |
Proportion outwith standard |
Process indicator |
| 3. |
Complaints received |
Number of complaints as proportion of caseload |
Process indicator |
| 4. |
Change in mental health (e.g., HoNOS) |
Change from entry to exit from service |
Clinician rated outcome measure |
| 5. |
Change in symptoms (e.g., CORE-OM) |
Change from entry to exit from service |
Patient rated outcome measure |
| 6. |
Mother-infant relationship (e.g., BMIS or |
Change from entry to exit |
Patient rated outcome |
| Louis-MACRO) |
from service |
measure |
|
| 7. |
Satisfaction with care (e.g., POEM) |
Change from entry to exit |
Patient related |
| from service |
experience measure |
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