WORKING IN PARTNERSHIP

What we provide

Consultancy

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With a proved track record, Cocoon can provide specialist knowledge and service development expertise to help support you to develop perinatal mental health services in your area.  From service mapping and co-production all the way through to service delivery and evaluation, Cocoon can offer bespoke expertise and knowledge.  

Training and workshops

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We provide training for all professionals who may be working with new and expectant parents.  From bite size lunchtime training sessions to day long training days, we can offer bespoke training, all delivered by someone with lived experience, to improve knowledge and awareness of perinatal mental health. 

Experts by Experience

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*Coming soon*

Public speaking/presentations

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why invest in perinatal mental health

The Business Case

Suicide remains the leading cause of death in women one year after birth (1)


The report ‘The Costs of Perinatal Mental Health Problems’ (2) found the following:

  • Perinatal depression, anxiety and psychosis carry a long term cost to society of approximately £8.1 billion for each one-year cohorts of births in the UK.   
  • This is the equivalent to the cost of just under £10,000 for every single birth in the country.
  • Nearly three quarters of this cost relates to adverse impacts on the child rather than the mother
  • Over a fifth of total costs (£1.7 billion) are borne by the public sector with the majority      falling on the NHS and Social Services (£1.2billion)
  • The average cost to society of one case of perinatal depression is around £74,000, of which      £23,000 relates to the mother and £51,000 relates to the impact of the child
  • Perinatal anxiety costs about £35,000 per case, of which £21,000 relates to the mother and £14,000 to the child
  • Perinatal psychosis costs around £53,000 per case, although this is likely to be an under-estimate due to lack of evidence about the impact on the child.


Mental health problems are frequently present in cases of child abuse or neglect. An analysis of 175 serious case reviews from 2011-14 found that 53% of cases featured parental mental health problems (3)


In December 2014 NICE reviewed their ‘Antenatal and postnatal mental health: clinical management and service guidance’ and made a clear statement in an article published on their website that ‘Women who have experience of, or are at risk of mental health problems, should get extra support before, during and after their pregnancy' (4)


 Very young infants can be affected by and are highly sensitive to the environment and the quality of care, and are likely to be affected by mothers with mental disorders as well. Prolonged or severe mental illness hampers the mother-infant attachment, breastfeeding and infant care. (5)


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References

1: MBRRACE-UK, 2017, 'Confidential Enquiry into Maternal Death 2017' report

2:  Bauer et al, 2014, ‘The Costs of Perinatal Mental Health Problems’, Centre for Mental Health and London School of Economics  

3:  Sidebotham, P. et al (2016) Pathways to harm, pathways to protection: a triennial analysis of serious case reviews 2011 to 2014: final report (PDF). London: Department for Education (DfE). 

4:  National Institute for Health and Care Excellence https://www.nice.org.uk/news/article/address-gaps-in-mental-health-care-for-new-mothers 

5: World Health Organisation  https://www.who.int/mental_health/maternal-child/maternal_mental_health/en/ 


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