Please note we can only accept referrals for patients who are up to 12 months postnatal and meet at least one of the criteria below. If you would like to discuss a referral please contact the duty worker on 0191 246 7400.
| Pre-Pregnancy Planning Advice | |
|---|---|
| Current or previous diagnosis of bipolar disorder, eating disorder, schizophrenia, schizoaffective disorder or severe depression previously under the care of a secondary care mental health team and planning pregnancy | Refer to Perinatal CMHT – pre-conceptual advice |
| Pregnancy | |
| Depression and anxiety disorders including, OCD, generalised anxiety, health anxiety, social phobia, panic disorder and agoraphobia in the absence of intent to harm self. | Refer to IAPT Services/ GP |
| Family history of bipolar disorder in first degree relative | In absence of personal illness, ensure close monitoring by maternity and GP |
| Depression or anxiety where first line interventions in primary care have been attempted and were unsuccessful in the absence of intent to harm self | Refer to IAPT |
| Drug or alcohol misuse in absence of primary mental health difficulties | Refer to substance misuse services |
| Previous under care of psychiatrist or secondary mental health team | Discuss with Perinatal Duty Worker |
| Previous inpatient mental health care/ patients discharged from Mother and Baby unit | Refer to Perinatal CMHT |
| Require specialist prescribing advice for psychiatric medications | Refer to Perinatal CMHT |
| Pre-existing bipolar disorder, schizophrenia, postpartum psychosis or other psychotic illness | Refer to Perinatal CMHT |
| Current Suicidal ideation or self- harming behaviours | Refer to Perinatal CMHT / liaise with Duty Worker |
| Postpartum | |
| Depression and anxiety disorders including, OCD, generalised anxiety, health anxiety, social phobia, panic disorder and agoraphobia in the absence of intent to harm self. | Refer to IAPT Services/ GP |
| Depression or anxiety where first line interventions in primary care have been attempted and were unsuccessful | Refer to IAPT Service |
| Postpartum psychosis or other psychotic illness | Refer to Perinatal CMHT |
| Breastfeeding mothers who require specialist prescribing advice | Refer to Perinatal CMHT |
| Maternal mental health impacting on mother and baby bonding | Refer to Perinatal CMHT |
| Patients discharged from Mother and Baby unit | Refer to Perinatal CMHT |
| Current self-harming behaviours or regular thoughts of suicide | Refer to Perinatal CMHT / Liaise with Duty worker |