The conversation about family planning and desire for children in mental healthcare 213 Table S8.2 - Combined results of surveys amongst mental health professionals and the patient panel. MHPs (n=139) Patients (n=268) Close ones (n=26) Answer category n % n % n % 3.1 Experiences with discussing family planning of patients and close ones Have you felt that your mental health problems have influenced your desire to have or not have children in any way? Yes 181 67.5 11 42.3 I do not know 15 5.6 2 7.7 No 54 20.2 7 26.9 Not applicable 18 6.7 6 23.1 What is your experience with discussing desire for children or family planning with your mental health professional? Positive 50 18.7 3 11.6 Neutral 47 17.6 1 3.9 Negative 31 11.6 2 7.7 Not applicable 140 52.2 20 77.0 3.2 Obstacles and catalysts Do you feel a barrier to discussing family formation and desire to have children with a mental health professional? Yes 85 31.7 7 26.9 I do not know 30 11.2 7 26.9 No 105 39.2 6 23.1 Missing 48 17.9 6 23.1 3.3 Timing matters in a conversation about family planning and desire for children Have you ever initiated a discussion with your patients about desire for children or family planning? With all patients 1 0.7 With many patients 37 26.6 With some patients 77 55.4 With no patients 20 14.4 I do not know 3 2.2 Missing 1 0.7 Has a mental health professional ever initiated a discussion with you about desire for children or family planning? Yes 62 23.1 4 15.4 I do not remember 15 5.6 11 42.3 No 191 191 11 42.3 Do you receive questions about family planning from your patients (and their significant others)? From all patients 0 0.0 From many patients 19 13.7 From some patients 97 69.8 From no patients 20 14.4 I do not know 2 1.4 Missing 1 0.7 Have you ever initiated a discussion with your mental health professional about desire for children or family planning? Yes 82 30.6 4 15.4 I do not remember 16 6.0 11 42.3 No 170 63.4 11 42.3 Do you think the topic of family planning is sufficiently discussed by or with the mental health professional? Yes 28 10.5 0 0.0 I do not know 91 34.0 14 53.9 No 101 37.7 6 23.1 Not applicable 48 17.9 6 23.1 If you were prescribed medication in the past in mental health care, were you asked about any desire to have children in order to take this into account? Yes 40 14.9 3 11.5 I do not know 147 54.9 17 65.4 No 81 30.2 6 23.1 The discussion about desire to have children should occur regularly in mental health care relationships. Fully disagree 19 7.1 2 7.7 Disagree 25 9.3 3 11.5 Neutral 125 46.6 10 38.5 Agree 74 27.6 8 30.8 Fully agree 25 9.3 3 11.5 3.4 Need and responsibility Have you felt the need to discuss family planning with a health professional? Here we mean whether there is a (possible) desire to have children or expand your family. Yes 98 36.6 3 11.5 I do not know 23 13.7 8 30.8 No 120 44.8 10 38.5 Not applicable 27 10.1 5 19.2 The psychiatrist should discuss family planning with every patient and their significant other. (We are referring to patients of reproductive age, or their partner.) Fully disagree 5 3.6 35 12.2 0 0.0 Disagree 18 13.0 43 15.0 3 11.5 Neutral 27 19.4 73 25.5 10 38.5 Agree 66 47.5 77 26.9 8 30.8 Fully agree 23 16.5 40 14.0 5 19.2
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