Abstract

Units to admit psychiatrically ill mothers with their babies to psychiatric hospitals were pioneered follow ing Main's description (1958) of the treatment of mothers with their children at the Cassel Hospital. Particular interest in puerperal psychosis and dis orders of bonding and attachment led to units usually providing for babies below six or 12months. Suggesting older infants should also be admitted, Main referred to the benefits in admitting parents to paediatric wards with ill children, and described how toddlers had been admitted with their mothers at the Cassel. Another early unit at Banstead Hospital cared for schizophrenic mothers with their babies and found that joint admissions lead to faster recovery, lower relapse rates and more babies continuing to live with their mothers (Baker et al, 1961).

Highlights

  • Joint admission can be used as an opportunity for mothers to learn how to live with and enjoy their children, (Grunebaum et al (1963)

  • A questionnaire was devised to ask about the exist ence of mother and baby units, local resources to treat mothers and babies and physical resources to help the family to keep in contact with the patient at the time of admission

  • Mother and baby units existed at 38 hospitals

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Summary

Development of mother and baby units

Units to admit psychiatrically ill mothers with their binagbieMs atoinp'ssydcehsicartripictiohnosp(i1ta9l5s8w) eorfe pthioenetreeraetdmfeonltlowof mothers with their children at the Cassel Hospital. Suggest ing older infants should be admitted, Main referred to the benefits in admitting parents to paediatric wards with ill children, and described how toddlers had been admitted with their mothers at the Cassel. Another early unit at Banstead Hospital cared for schizophrenic mothers with their babies and found that joint admissions lead to faster recov ery, lower relapse rates and more babies continuing to live with their mothers (Baker et al, 1961). Aware of difficulties in this area of practice, we were interested to find out whether facilities had progressed and to consider the provision of other facilities for families on psychiatric admission wards

The study
Findings
Regional resources for admitted mothers and their babies
Mother and baby unit on site
The total number of admissions to each of these
TABLEII Details of larger mother and baby units
Details of facilities provided
Mother and baby units with at least five beds
Smaller mother and baby units
Facilities for family visits
Full Text
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