General discussion and future directions 253 The abovementioned interventions would be in line with the Sustainable Development Goals as proposed by the World Health Organization. These goals direct countries, by 2030, to ensure that family planning is available for all citizens, including education and information about sexual and reproductive health. As women with psychiatric vulnerability are dependent on, amongst others, their MHPs to provide information, there is a responsibility for the medical curriculum here. Figure 9.6 - Cycle of transgenerational transmission of psychiatric disorders and trauma. Tailored interventions to support (pregnant) women with psychiatric vulnerability and/or UPs In this paragraph, I propose tailored interventions for women with psychiatric vulnerability that can be employed at the level of individual patients, their significant others, MHPs and society (see Figure 9.7). Individuals with psychiatric vulnerability should receive information about the option to visit perinatal outpatient clinics before, during and after pregnancy. These multidisciplinary clinics in which pediatricians, obstetricians and psychiatrists cooperate, exemplify the vision of shared care between MHPs, obstetricians and pediatricians for women with psychiatric vulnerability and their offspring, however, many patients are not yet familiar with the nationwide availability of this care facility (Chapter 6, Chapter 7, Chapter 8). Adult psychiatry Perinatal health and the postpartum period Infant mental health Child and adolescent psychiatry Treatment of and support for children and adolescents with mental health problems and/or childhood trauma All patients in reproductive life stage - Family check discussion tool - Information provision - Preconception counseling of persons with psychiatric vulnerability All patients beyond reproductive life stage - Reflections on family planning decision-making as an important life theme in conversations with MHP (Referral to) - Perinatal mental health clinic - Family baby units - Infant mental health facilities Use of family check discussion tool for new parents Treatment of infants & parents in infant mental health facilities
RkJQdWJsaXNoZXIy MTk4NDMw