ForWhen Australian perinatal and infant mental health navigation programme: evaluation protocol

Introduction Many parents and carers experience mental health challenges during pregnancy and early postpartum years, and there are cumulative shortfalls in the identification, follow-up, and treatment of those experiencing perinatal and infant mental health (PIMH) challenges. ForWhen is a new national navigation programme in Australia that aims to improve outcomes for families by supporting parents and carers to access PIMH services that best meet their needs. This paper presents the protocol of an evaluation of the ForWhen programme, to be conducted over the first 3 years of its implementation. The specific objectives of the evaluation include examining the characteristics of navigation service delivery, its implementation and clinical impact, and identifying potential moderators of change. Methods and analysis Utilising a mixed-methods design, this evaluation will incorporate three phases that reflect the stages of the programme life-cycle: (1) programme description, (2) implementation evaluation and (3) outcomes evaluation. The evaluation will use a mix of quantitative and qualitative data including deidentified routinely collected service data, participant observations, semistructured interviews, surveys and questionnaires, and a resource audit. Discussion Evaluation findings will be used to inform the development of a refined clinical navigation model, identify barriers and facilitators to successful navigation programme implementation, examine the impact of the ForWhen programme on client clinical outcomes and health service utilisation, understand how the programme is/can be best embedded in the evolving service system, and assess the cost-effectiveness and sustainability of a national navigation programme in improving health outcomes for PIMH in Australia. Ethics and dissemination This research was approved by South Western Sydney Local Health District Human Research Ethics Committee (2021/ETH11611). This study was registered on the Australian New Zealand Clinical Trials Registry (ACTRN12622001443785). Results will be disseminated at conferences, in scientific journals, and in a final evaluation report.

[1]  C. Wade,et al.  Development and Validation of a Short-Form Parenting Self-Efficacy Scale: Me as a Parent Scale (MaaPs-SF) , 2022, Journal of Child and Family Studies.

[2]  I. Hickie,et al.  A Dynamic Approach to Economic Priority Setting to Invest in Youth Mental Health and Guide Local Implementation: Economic Protocol for Eight System Dynamics Policy Models , 2022, Frontiers in Psychiatry.

[3]  Shelley M. Brown,et al.  Health care providers’ perceptions of barriers to perinatal mental healthcare in South Africa , 2021, BMC Public Health.

[4]  L. Chiarello,et al.  A Stepped Care Model of Patient Navigation to Enhance Engagement with Perinatal Mental Health Care , 2020, Health equity.

[5]  L. Howard,et al.  Perinatal mental health: a review of progress and challenges , 2020, World psychiatry : official journal of the World Psychiatric Association.

[6]  Thomas A. Hemphill,et al.  Mental Health Navigation - a Model. , 2020, Health promotion international.

[7]  S. Doucet,et al.  Exploring the roles, functions, and background of patient navigators and case managers: A scoping review. , 2019, International journal of nursing studies.

[8]  A. Wittkowski,et al.  The Experiences of Male Partners of Women with Postnatal Mental Health Problems: A Systematic Review and Thematic Synthesis , 2019, Journal of Child and Family Studies.

[9]  Alex Elswick,et al.  Perinatal Navigator Approach to Smoking Cessation for Women With Prevalent Opioid Dependence , 2019, Western journal of nursing research.

[10]  Keera N. Fishman,et al.  Satisfaction with Mental Health Navigation Services: Piloting an Evaluation with a New Scale , 2018, Community Mental Health Journal.

[11]  M. Simon,et al.  Using a Patient Navigator to Improve Postpartum Care in an Urban Women's Health Clinic. , 2017, Obstetrics and gynecology.

[12]  H. Cabral,et al.  Patient navigation for depressed mothers in Head Start: A pilot study of intervention mechanism , 2017 .

[13]  L. Leach,et al.  Maternal perinatal anxiety: A review of prevalence and correlates , 2017 .

[14]  Maree Johnson,et al.  Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study , 2016, BMC Women's Health.

[15]  B. Gaynes,et al.  The Perinatal Depression Treatment Cascade: Baby Steps Toward Improving Outcomes. , 2016, The Journal of clinical psychiatry.

[16]  H. Cabral,et al.  Patient Navigation for Mothers with Depression who Have Children in Head Start: A Pilot Study , 2016, Social work in public health.

[17]  C. Pariante,et al.  Effects of perinatal mental disorders on the fetus and child , 2014, The Lancet.

[18]  N. Gale,et al.  Using the framework method for the analysis of qualitative data in multi-disciplinary health research , 2013, BMC Medical Research Methodology.

[19]  J. Milgrom,et al.  Disparities in reported psychosocial assessment across public and private maternity settings: a national survey of women in Australia , 2013, BMC Public Health.

[20]  J. Allison,et al.  Patient, provider, and system-level barriers and facilitators to addressing perinatal depression , 2012 .

[21]  Jonathan Karnon,et al.  Model Parameter Estimation and Uncertainty Analysis , 2012, Medical decision making : an international journal of the Society for Medical Decision Making.

[22]  N. Reilly,et al.  The need to evaluate public health reforms: Australian perinatal mental health initiatives , 2012, Australian and New Zealand journal of public health.

[23]  R. Rodríguez,et al.  History and principles of patient navigation , 2011, Cancer.

[24]  Alicia C. Bunger,et al.  Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research Agenda , 2010, Administration and Policy in Mental Health and Mental Health Services Research.

[25]  T. Wand,et al.  Contemporary Mental Health Program Implementation and Evaluation , 2010, Issues in mental health nursing.

[26]  Carmen Lara,et al.  Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative , 2010, International journal of methods in psychiatric research.

[27]  Gerald Gartlehner,et al.  Perinatal Depression: A Systematic Review of Prevalence and Incidence , 2005, Obstetrics and gynecology.

[28]  V. Glover,et al.  A new Mother-to-Infant Bonding Scale: links with early maternal mood , 2005, Archives of Women’s Mental Health.

[29]  David Heaney,et al.  The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. , 2004, Family practice.

[30]  Fadhel Kaboub.  Realistic Evaluation , 2004 .

[31]  S. Wilson.  Methods for the economic evaluation of health care programmes , 1987 .

[32]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[33]  Frank P. Deane,et al.  Measuring help-seeking intentions: Properties of the General Help-Seeking Questionnaire , 2005 .

[34]  Jeffrey R. Harris,et al.  Framework for program evaluation in public health. , 1999, MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports.