Caring for perinatal patients with mental health considerations can be challenging for clinicians. Working out the best referral pathway is made difficult by a lack of information of the available services and the inclusion criteria. Below is a handy summary to assist you when wanting to refer a patient to perinatal mental health services.

Note that we have a patient-facing webpage with similar information: https://www.wslhd.health.nsw.gov.au/WNH/Clinics-and-Services/Perinatal-Mental-Health

 

Within Western Sydney LHD

SAFE START Mental Health Clinic: A multidisciplinary perinatal services that coordinates antenatal care, mental health services and allied health. Includes brief encounter of up to 4 sessions.

  • Who to refer: A woman with a chronic or subacute mental illness, with or without social considerations. Ideally, the closer to booking-in, the better.
  • How to refer: For Westmead and Blacktown Hospital, referral comes through the SAFE START form in eMaternity and can be further confirmed by emailing the local SAFE START midwife. In Auburn Hospital, there is a paper diary where referrals are written and submitted.

 

Perinatal and Infant Mental Health Services (PIMHS): Community mental health service for women with severe mental illness that is impacting on the relationship with the infant, or a mental illness of perinatal onset.

  • Who to refer: A woman with severe mental illness impacting on the mother-Infant relationship or a mental illness of perinatal onset who does not require immediate hospital admission.
  • How to refer: Mental health line - 1800 011 511 or direct referral from a WSLHD Mental Health Service, e.g. Consultation Liaison or Acute Care Team.

 

Acute Care Team (ACT): Community team seeing consumers who are experiencing acute mental illness.

  • Who to refer: A person experiencing acute mental illness in the community with or without suicidal thoughts, or thoughts of harm to self or others.
  • How to refer: Mental health line - 1800 011 511 or direct referral from a WSLHD Mental Health Service, e.g. Consultation Liaison or Acute Care.
  • Note: ACT can refer to the Emotional Health / Gold Card Clinics which provide a helpful intervention for people with emotional regulation issues or personality traits. More information available at: https://www.wslhd.health.nsw.gov.au/Mental-Health-Services/How-we-help/Community-Services/ehcru

 

Consultation and Liaison Psychiatry – Referral via e-order.

  • Who to refer: Women who are in a non-mental health inpatient setting at Westmead and Blacktown where there is a current clinical concern regarding mental health presentation.
  • How to refer: Referral via e-order.
  • Note: Westmead also have Perinatal Consultation – Liaison. This service is not an acute service and can provide perinatal specific advice and access to perinatal psychiatry for consultation – or (where deemed appropriate by the C/L service) assessment. • Auburn access C/L support from the Westmead Consultation – Liaison Service.

 

Perinatal Psychiatry Consultation and Liaison: Westmead-only service for women who are in a non-mental health inpatient ward.

 

 

Primary Care Network and Non-governmental organisations

For When (https://forwhenhelpline.org.au/): a NGO organisation run in our District by Karitane. They help navigate mental health systems and link people with the right service.

  • Who to refer: Any woman with mental health concerns or illness that may be suitable.
  • How to refer: Patient can self-refer or by referred by clinician via website/phone.

 

KEYS (https://wskeys.com.au/about-the-keys/): a service provided by WentWest Primary Health Network, that can navigate services and work with the person on setting goals and linking to services to meet those goals.

  • Who to refer: Any woman with mental health concerns or illness that may be suitable.
  • How to refer: Patient can self-refer or by referred by clinician via website/phone.