Noralie Schonewille

The conversation about family planning and desire for children in mental healthcare 199 Table 8.1 - Demographic features of focus group participants (n=19). Demographic characteristic Focus group 1 (n=3) 2 (n=5) 3 (n=2) 4 (n=9) Age 20-30 0 2 0 0 31-40 0 0 1 2 41-50 0 1 0 1 51-60 0 2 0 2 61-70 2 0 1 3 Missing 1 0 0 1 Gender Women 3 5 0 9 Men 0 0 2 0 History of pregnancy Yes 3 0 0 9 No 0 5 2 0 Parent Yes 2 0 0 9 No 1 5 2 0 Occupation Employed 0 2 2 2 Unemployed 0 1 0 0 Declared unfit for employment 0 2 0 4 Missing 3 0 0 3 (History of) psychiatric vulnerability, per category1 Anxiety disorders 1 0 0 5 Mood disorders 2 4 2 4 Psychotic disorders 0 0 1 1 Eating disorders 0 0 0 0 Personality disorders 1 0 0 1 Autism 0 3 1 2 Attention disorders 1 2 0 1 Trauma related disorders 3 2 0 3 Table 8.1 provides numbers of participants who assign themselves to the given category. Information may not be available for all 19 participants, as noted by the ‘missing’ lines. 1Multiple disorders per person are possible, all participants described ≥1 disorder. 1. Experiences of patients and close ones with discussing family planning or desire for children Less than one in five patients (18.7%) and less than one in eight close ones (11.6%) had a positive experience with discussing desire for children with an MHP (see Table S8.2). Reasons for a positive experience, as derived from open questions from the patient survey, were: (1) the MHP actively thought along with the patient, (2) there was space for an open conversation, (3) the MHP expressed faith in the patient, (4) there was a trustful relationship, (5) the patient felt taken seriously by the MHP, (6) the MHP listened and the patient felt heard and (7) the MHP showed understanding for the patient’s situation and thoughts on the topic. Reasons for a negative experience (11.6% of patients and 7.7% % of close ones) were MHPs making assumptions, MHPs ignoring the topic, lack of in-depth conversation, MHPs not listening to the patient or changing the topic, and patients not feeling understood or taken seriously (see Table S8.2).

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