Avoiding Avoiding Reinvention of the Reinvention of the

Wheel:Wheel:Support for Postpartum Support for Postpartum

Mood DisordersMood Disorders

Veli-Martti Rautio MPH, CK, Veli-Martti Rautio MPH, CK, HBKHBK

Hastings & Prince Edward Hastings & Prince Edward Counties Health UnitCounties Health Unit

What Exactly Is This What Exactly Is This About?About?

The importance of The importance of networking, finding networking, finding interested service providers, interested service providers, and bringing everyone and bringing everyone together to avoid together to avoid “Reinvention of the Wheel” “Reinvention of the Wheel” in order to provide in order to provide Facilitated and Peer Facilitated and Peer Support to Women with Support to Women with Postpartum Mood Disorders Postpartum Mood Disorders in Hastings & Prince in Hastings & Prince Edward Counties.Edward Counties.

A Little BackgroundA Little Background Previously worked in Previously worked in

HospitalHospital TBRHSC Cardiac TBRHSC Cardiac

Rehabilitation UnitRehabilitation Unit Completed MPH in May Completed MPH in May

20042004 … …to get out of the to get out of the

hospital environment!hospital environment! I started my position in I started my position in

June 2005June 2005 Responsible for 3 AreasResponsible for 3 Areas

Embracing Adversity!Embracing Adversity! I was the third individual in I was the third individual in

this position in 3 yearsthis position in 3 years Difficult to maintain Difficult to maintain

consistency of program consistency of program developmentdevelopment

Frustration of working group Frustration of working group membersmembers

Loss of interest with no Loss of interest with no attendance in one of the attendance in one of the groupsgroups

I was also new to the region- I was also new to the region- another small problem for my another small problem for my own establishment! own establishment!

What to do? NETWORK!What to do? NETWORK!Community Health Shows!Community Health Shows!SeminarsSeminarsConferencesConferencesFind VIPs* in the areaFind VIPs* in the area

*Very Influential People*Very Influential People *Very Interested People*Very Interested People *Very Informative People*Very Informative People

The Result?The Result?

Health shows, seminars, Health shows, seminars, conferencesconferences

Met people working within similar Met people working within similar areas of concern from all 3 issuesareas of concern from all 3 issues

Met other individuals (although not Met other individuals (although not directlydirectly involved in same areas as involved in same areas as me)me)

Key contacts were made for future Key contacts were made for future projects (M.D.A.O. and O.S.P.)projects (M.D.A.O. and O.S.P.)

Who is Involved (so Who is Involved (so far)...far)...

Hastings & Prince Edward Hastings & Prince Edward Counties Health UnitCounties Health Unit

Ontario Early Years Centre and Ontario Early Years Centre and Family SpaceFamily Space

Mental Health Services Mental Health Services Hastings and Prince EdwardHastings and Prince Edward

Centre for Addictions and Centre for Addictions and Mental Health-Trenton OfficeMental Health-Trenton Office

Prince Edward Children’s Aid Prince Edward Children’s Aid SocietySociety

Prince Edward Child Care Prince Edward Child Care ServicesServices

Mental Health Support Services Mental Health Support Services Hastings & Prince Edward Corp.Hastings & Prince Edward Corp.

Quinte Health CareQuinte Health Care

CommunitCommunity Partners y Partners are the are the most most important important piece of piece of the the puzzle!!!puzzle!!!

Right after the Right after the people we are people we are trying to help!trying to help!

Challenges!Challenges!

PlanningPlanning Meetings...meetings...meetings... Meetings...meetings...meetings...

ConsensusConsensus How do you get everyone on How do you get everyone on board?board?

Gaining TrustGaining Trust Ensuring everyone takes Ensuring everyone takes ownership, contributes, and is ownership, contributes, and is recognised recognised

Planning: Logic Behind Logic Planning: Logic Behind Logic ModelsModels

Gives you target datesGives you target dates Especially when you have a lot of Especially when you have a lot of

mini-projectsmini-projects Keep you on trackKeep you on track

You need to know what track You need to know what track your on first!your on first!

Plan for the whole year in Plan for the whole year in advanceadvance Increase chances to keep Increase chances to keep

meeting datesmeeting dates

Consensus: Keep Everyone Consensus: Keep Everyone Happy?Happy?

Requires compromiseRequires compromise Create an environment Create an environment

where everyone sees where everyone sees some benefitsome benefit

Everyone feels a part of Everyone feels a part of the solution even if all the solution even if all their problems are not their problems are not solvedsolved

The need to leadThe need to lead

Gaining TrustGaining Trust

People can be reluctant to People can be reluctant to contribute:contribute: If they are not being heardIf they are not being heard If they feel left outIf they feel left out If they feel abandonedIf they feel abandoned If they are not seeing If they are not seeing progress progress

Additional FundingAdditional Funding

Unsuccessful at securing Unsuccessful at securing funding through Trillium funding through Trillium FoundationFoundation

Reviewing shortfalls of Reviewing shortfalls of applicationapplication

Reapply in next round for more Reapply in next round for more specific needsspecific needs

Partnering with new member of Partnering with new member of working group to facilitate peer working group to facilitate peer support network.support network.

Successes!!!Successes!!! Contact with C.G.M.H.A.S.Contact with C.G.M.H.A.S.

Centralised Intake Line for Hastings Centralised Intake Line for Hastings and Prince Edward Countiesand Prince Edward Counties

Partnering with M.H.S.S. HPE Partnering with M.H.S.S. HPE Corp.Corp. 5 Regional offices to host and assist 5 Regional offices to host and assist

in developing peer support groups in developing peer support groups Our Sister’s Place and Mood Our Sister’s Place and Mood

Disorders Association of OntarioDisorders Association of Ontario Professional development of Professional development of

individuals working with PMD peer individuals working with PMD peer support groupsupport group

Project SustainabilityProject Sustainability

The project to begin as peer-support The project to begin as peer-support for women with postpartum mood for women with postpartum mood disordersdisorders

If there are leaders in the group from If there are leaders in the group from the treatment field, they must be peers the treatment field, they must be peers as wellas well

Continuous marketing and active Continuous marketing and active partner participation will be essential partner participation will be essential to the continuing success of the projectto the continuing success of the project

OpportunityOpportunity

Potential Pilot Project Potential Pilot Project ParticipantParticipant Dr. C-L. Dennis, U of T NursingDr. C-L. Dennis, U of T Nursing

Evaluate the effect of telephone-Evaluate the effect of telephone-based interpersonal psychotherapy based interpersonal psychotherapy (IPT) on the treatment of (IPT) on the treatment of postpartum depressionpostpartum depression

What Have I Learned?What Have I Learned? The need to utilise existing services is The need to utilise existing services is

absolute in order to use community absolute in order to use community resources most efficiently. This also may resources most efficiently. This also may help with securing additional fundinghelp with securing additional funding

Working groups need to meet regularlyWorking groups need to meet regularly You need people who are well You need people who are well

established and know a LOT of other established and know a LOT of other influential peopleinfluential people

Having 3 different people in a key Having 3 different people in a key position in three years is counter position in three years is counter productiveproductive

Questions?Questions?

Thank You Very Thank You Very Much Much

UnitedUnited We Can We Can fly...fly...