Abstract
An increase in the birth rate among mentally ill women and the fact that pregnancy and childcare often exacerbate psychotic and depressive events, indicate a need for family planning services for mentally ill patients. These services should be integrated with various mental health programs because of the special attention and time required when working with mentally ill clients. An example of a coordinated family planning and mental health program exists in Massachusetts where family planning services were instituted in 3 state mental hospitals, in both community and private hospitals with psychiatric wards, and in a mental health guidance center. Follow-up studies show significant contraceptive continuation rates after the patient has been discharged from the hospital.
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