Tuesday, 24 August 2010

Global links of friendship and developments in postnatal illness

When I had first written my draft of 'Eyes without Sparkle' I wondered if it would have a wider appeal than the UK as postnatal illness is a global problem. To that end I asked the then President of Postpartum Support International, Diana Lynn Barnes, if she would be interested in reading it for me.
There is a wealth of information on their website  http://www.postpartum.net/

Not only did she agree that my book has international appeal she wrote the foreword for my book! I was delighted! That was back in 2004. Since then we have kept in touch by email and a couple of phone calls. Diana also works tirelessly around the issues of postnatal illness and amongst her many talents runs a centre in California for mothers and families. http://www.postpartumhealth.com/html/dlb.html
Diana continues to inspire me!

Over the last six years we have tried to meet on several occasions but it has never been possible - until now! Diana and her gorgeous daughter were in London and Paris for an 18th birthday treat. We finally met up at The Langham http://www.langhamhotels.com/ and had a delicious afternoon tea before I took them to see the delights of Covent Garden.
Although it was our first physical meeting, it felt like meeting an old friend! Here are Diana and I in the foyer of The Langham.

Diana went on to write her own excellent book through being introduced to my publishers,
'The Journey to Parenthood: Myths, Reality and What Really Matters'.http://www.amazon.co.uk/Journey-Parenthood-Reality-Really-Matters/dp/1846190142/ref=ntt_at_ep_dpt_1 

Prior to meeting her I had met another friend, Sam Hill, who had inspired me whilst we paddled in the sea in Mallorca to actually do something with my then manuscript!

Diana will be presenting a paper at the Marce Society conference in October this year. I am so disappointed that I am unable to go this year as I have been at the previous two in Keele and Sydney, and loved meeting some of the key professionals involved in practice and research around perinatal mental health from across the world. I will be keen to read the conference reports.
http://www.marcesociety.com/
Please have a read about what Marce offer.

It was an absolute pleasure to meet Diana and her daughter and I hope it isn't another 6 years before we do it again!

Elaine Hanzak

www.hanzak.com

Monday, 16 August 2010

The end of mixed-sex wards? Yes please!

Following the report on the BBC today about the coalition governments pledge to end mixed sex wards  http://www.bbc.co.uk/news/health-10982566 I was invited to speak on BBC Three Counties radio.
http://news.bbc.co.uk/local/threecounties/hi/

The measures would mean patients sharing sleeping, bathroom and toilet facilities only with people of the same sex. This could be through single rooms or whole wards occupied by men or women only, or mixed wards in which men and women are separated in bays or rooms.
Using a curtain as a divider to split men and women on a ward would not count, however.

I applaud this move and feel it will improve the patients experiences. One of the main benchmarks for patient care concerns privacy and dignity and this is a major move towards this.


I once spent 24 hours on a mixed-sex ward and was dismayed to find that after a daytime nap, my bed clothes and nightie had moved so I was flashing a bare bottom to the man opposite me!

My late grandparents also suffered the loss of their dignity on several occasions for similar reasons and I also recall my Grandma saying how scared she was of a certain other male patient. He probably was harmless but nonetheless his very presence caused her anxiety and therefore for the rest of the family.

Staff I would assume are more pressured on mixed wards as not only can this stretch them further to be 'jack of all trades' but for added safety, privacy and dignity issues.

I am very pleased that the issue of curtains has been raised and that this is NOT enough often to have a decent level of privacy. Recently I was on a gynaecological ward and remember cringing as staff were carrying out intimate procedures on me whilst I could see the feet on the husband of the patient in the next bed to me, under the curtains!

I also feel that another MAJOR improvement for all patient experience would be to limit the number of visitors allowed at any time and also to shorten the visiting hours. They are both far too big. I remember prior to an operation being given a suppository and was literally on a commode the other side of a curtain whilst 8 visitors were at the bed next to me! Not pleasant for any of us! Another time I was very poorly and yet had to put up with literally 13 people around the bed next to me! The staff said they were powerless to prevent it.

Surely in this day and age when there are so many measures to control infection why do we allow crowds of people into hospital wards with all their germs? One of the best ways of recovery for any illness is rest so why, oh why do we inflict hours of futile conversations on people who just really need to sleep? At times as a patient you feel that visitors are literally stealing your air as the ward post-visiting can be so stuffy. And why do people assume that just because you are in hospital that they need to come and see you when you are at your very worst, when normally you may be lucky to get even a Christmas card from them?

As a patient I have always tried to take responsibility for my visitors too and like to feel that they have always spoken quietly and been respectful of others. Sadly not everyone else is as sensitive to needs of others and behave as if they were on a night out in a pub, with raucous laughter and conversation. 

I am not saying we should return to the strict times of old when even children weren't allowed to see their parents but surely we have gone too far into hospital visiting being a social activity for the masses?

I am aware that the cost issue has been used as a reason for this not being carried out. Surely if less people were treading through hospital, less cleaning would be needed so savings could be made that way! If visiting hours were shorter staff could concentrate on the needs of their patients rather than the visitors, making the nursing experience better for all concerned and improved recovery rates.

So yes please, bring on single-sexed wards but also tighter controls and policies around visiting.

Elaine Hanzak

www.hanzak.com

Wednesday, 11 August 2010

NHS North West's Perinatal and Infant Mental Health Improvement Project

This is from a bulletin by MHIP:-

The NHS NW Perinatal and Infant Mental Health (PIMH) Project Steering Group and the Expert Reference Group have now met. In accordance with the project objectives some stakeholder events are now being planned. First to take place will be two Perinatal and Infant Mental Health Care Pathway Development workshops which will be held on Thursday 16th September in Preston and again on Wednesday 10th November in Warrington. The aim is to capture the current high level of activity in developing pathways. Some areas already have a Perinatal and Infant Mental Health pathway in use, others are in the process of developing theirs and others would like to start a pathway. The workshops will provide the opportunity to share practice and ideas and contribute to the overarching North West Perinatal and Infant Mental Health Care Pathway, prior to consultation.

So that we can take a snapshot of commissioning activity across the region a brief survey will be sent out at the end of August to Commissioners across PCTs, and Local Authorities. In addition, a small group of Commissioners will be asked to work with the PIMH Project Lead to develop commissioning guidance that will be published at the end of the project.

In line with improving capacity and capability in the PIMH workforce, a review of existing national and more local specialist, targeted and universal training packages is being carried out. This will enable the development of a menu of recommended evidence based approaches.

You may have lived experience of Perinatal and Infant Mental Health Services and want to know more about the project or get involved in that aspect of work, or have a commissioning role in Perinatal and Infant Mental Health and would like to be involved in developing the commissioning guidance, if so please contact Anne Sheppard on anne.sheppard@northwest.nhs.uk

If you would like to attend one of the two Perinatal and Infant Mental Health Care Pathway Development workshops please register an interest with antonia.osborne@northwest.nhs.uk .


Elaine Hanzak


www.hanzak.com

Wednesday, 28 July 2010

Wellbeing Day on 14th August - give yourself some 'me time'!

Are you in or around Warrington, Cheshire on Saturday 14th August?


if so you may be interested in attending a WellBeing Day  - wellbeing is our natural state of being. When we don’t allow wellbeing we become ill, so take time to treat yourself and allow yourself to be well.


Where?

Friends Meeting House, Buttermarket Street, Warrington WA1 2NR
(corner of Buttermarket St/Academy Way)

When?

10am – 5pm. Refreshments.  Admission £1

Why?

Relax, de-stress, heal and enjoy. 30 minute treatments for £10 with experienced therapists. Choose from treatments including:

  • Facelift Massage 
  • Ear candles (£15)
  • Reflexology 
  • Indian Head Massage
  • Aromatherapy Massage 
  • Sports Massage
  • Shiatsu 
  • Non-surgical facelift
  • Reiki 
  • Readings
Lots to buy: Natural skincare, crystals, angel bears, Aloe products and much more.

To book an appointment in advance or for more information please contact Angelita on 07808 160315 or email appointment@wellbeingday.com

Sadly I can't make it but I have an exciting day meeting Diana Lynn Barnes from USA http://www.postpartumhealth.com/html/dlb.html  (who wrote the foreward for my book). We have been in contact for many years and never met, but she is passing through the UK then.   At last!


Elaine Hanzak


www.hanzak.com

Friday, 9 July 2010

What Mums want!

Well done to Netmums for their latest survey 'What Mums want'.

http://www.netmums.com/campaigns/What_Mums_Want.5008/ 

As the new coalition Government makes its plans for Public Services, Netmums took a good look at what works and what doesn't, and found out about the needs of families from across the country.
cphva logo
In early June 2010, 1,860 Netmums members completed this detailed survey which was produced in partnership with 4Children and Unite/CPHVA (Community Practitioners' and Health Visitors' Association). The key messages are...

New health visitors

Netmums says: The 4,200 new Health Visitors promised by the Government are very much needed.

62% of mums say they either don't have a Health Visitor, or for those that do, they feel they wouldn't be happy to call them.

More cost effective

Netmums says: More health visitors should lead to fewer mums going to visit their (more expensive) GPs

Almost half of mums would go to their GP as a first port of call when they have a child-related problem such as breast-feeding, weaning, child development worry or minor child health problem.

The mums that do talk to a qualified Health Visitor are more likely to feel they have been helped than those who see either a GP or someone else from a health visiting team.

Many mums struggle

Netmums says: Parents needs are great with 82% of mums having  experienced child related problems in the past year and 57% of mums struggling with potentially more serious personal problems

4 out of 10 mums suffered with postnatal depression and a quarter struggled with relationship problems in the past year

Those who are on low incomes are also more likely to suffer - over half of mums on family incomes of under £20,000 a year with a child under the age of 5

But it's not only those on low incomes. A third of mums with a family income of £60,000 - £70,000 are also suffering with PND or anxiety.

Mums often have multiple problems

Netmums says: It takes a skilled worker and a suitable environment to be able to talk through mental health, relationship problems, child behaviour and health issues.

Many of the mental health problems are either caused by or contribute to a whole range of other problems. Having PND means you are 70% more likely to also have relationship problems with your partner, 7 times more likely to struggle to bond with your child, 3 times more likely to have a difficult relationship with a child.

Those who had worries about a child's development, or about their behaviour are also more likely to suffer with anxiety or Postnatal Depression, in fact of all the mums who had a child under the age of 5 and were concerns about child behaviour, 57% had PND or anxiety. 

Children's Centres a place to go

Netmums says: Parents are using Children's Centres as a place to go and while there, also picking up advice and information on a range of issues.

Of the parents living in England with a child under the age of one, 60% said they used their Children's Centre a lot or sometimes, and a further 13% very occasionally.

Netmums Solutions: filling the gaps

It was great to see that mums are using Netmums to build their social networks through the Meet-a-Mum boards and Meetup Groups. In fact, more had met their closest friends through Netmums than through their baby-clinic It's well known that a network of local friends can provide a lot of support to new mums.
The survey showed that our online Health Visitor Drop-in Clinic would be used by 80% of those who knew about it (60% of those surveyed), and was thought particularly helpful as a first port of call by those who didn't have a local health visitor, and for those on low incomes.

Read more: http://www.netmums.com/campaigns/What_Mums_Want.5008/#ixzz0tBQJiHvU
Netmums - the local parenting network



The figures around PND are VERY scary.

I will continue my campaign as much as I can and especially am keen to continue with my training with Ann Girling for Children's centres.
Elaine Hanzak

Sunday, 4 July 2010

Are we cutting our noses off to spite our faces? Funding issues for postnatal and mental illness.

Last week my colleague Ann Girling and I delivered another successful day to staff at Children's centres - this time around Croydon, Surrey.

Read her account here http://blog.onthethreshold.co.uk/2010/07/is-postnatal-depression-about-to-return.html

The staff there acknowledged the importance and effects of postnatal illness in their centres yet in other areas of the country we are being told 'it isn't a priority'.

I appreciate that there are other areas but postnatal illness not only affects the mother, but the baby, partner, other relationships, siblings, employment and society are all influenced by poor maternal health - the costs both personal and financial can be huge and there is a wealth of research to back this up. Tomorrow I am meeting a new father whose wife took her own life due to postnatal illness - try telling him that it isn't a priority!

In Leeds the support group I instigated is up and running at no extra financial cost to anyone - I just wish others could see how practical and emotional support can make a massive difference. To a mother who can be crippled by this illness, contact and support can offer real lifelines back to restored mental health and far more cost effective than years of medication and GP visits. Every time I have the pleasure of cuddling my baby niece Sophie and god-daughter Ruby I appreciate how much the illness robbed me and my family of. That is one of the many reasons I strive to make new parenthood easier and healthier for others.

In another instance I was booked to speak to mental health teams, to give them techniques for improving the care of the people within their influence and also for themselves. Sadly it has been cancelled as the priority is for legal training! It makes me sad to see how 'cuts' or the threat of them is making people panic into protection mode for areas which in the long run may prove very short-sighted. I fear that as a result many new families and those affected by poor mental health (25% of the population!) will suffer needlessly as the people who are supposed to be in place to improve their quality of life are being pushed into self-preservation mode for the sake of bureaucracy. Surely the essence of care should be that - CARE!

I am concerned that we are becoming a nation fearful of law suits and a blame culture and one which threatens the very core of helping others. Will the powers that be listen more when they become part of the growing numbers of 'mentally ill' brought on by the pressures if the job? I wonder then who they will want to help them - those who can fill in forms or know how to help them recover?

I appreciate that this may sound like I am spitting my dummy out over a cancelled speaking opportunity. No matter, as I will keep striving to spread my messages! I felt very sorry for the lady who had so wanted me to deliver the training as she appreciated the value of 'care'. My faith and hope remains and I will continue - as Anita Roddick once said 'if you think small can't make a difference, try sleeping with a mosquito'!

I am off to buzz!


Elaine Hanzak

www.hanzak.com