Louise M. Howard
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View article: Effectiveness and cost-effectiveness of community perinatal mental health services on access, experience, recovery/relapse and obstetric and neonate outcomes: the ESMI-II mixed-methods study
Effectiveness and cost-effectiveness of community perinatal mental health services on access, experience, recovery/relapse and obstetric and neonate outcomes: the ESMI-II mixed-methods study Open
Background Perinatal mental health disorders affect one in five mothers during pregnancy or within 2 years post childbirth. These disorders can lead to poor pregnancy and childbirth outcomes and maternal deaths. Additionally, they negative…
View article: Brief problem-solving therapy (PST) for women experiencing antenatal depressive symptoms: a randomised, controlled feasibility trial in an antenatal care setting in rural Ethiopia
Brief problem-solving therapy (PST) for women experiencing antenatal depressive symptoms: a randomised, controlled feasibility trial in an antenatal care setting in rural Ethiopia Open
View article: <i>“Feeding was such a huge element of how my illness manifested itself, it can’t just be me.”</i>: A qualitative study of infant feeding experiences and support in women with severe mental illness
<i>“Feeding was such a huge element of how my illness manifested itself, it can’t just be me.”</i>: A qualitative study of infant feeding experiences and support in women with severe mental illness Open
Background There are many benefits of breastfeeding to the physical and emotional wellbeing of mothers and babies but very little is currently known about the infant feeding experiences of women with severe mental illness (SMI). Due to a p…
View article: Exposure to trauma in pregnant women and its association with previous perinatal complications, IPV and antenatal service satisfaction in rural Ethiopia: a cross-sectional facility-based study
Exposure to trauma in pregnant women and its association with previous perinatal complications, IPV and antenatal service satisfaction in rural Ethiopia: a cross-sectional facility-based study Open
Background We aimed to describe the prevalence of exposure to traumatic events and post-traumatic stress disorder (PTSD) in pregnant women attending antenatal care (ANC) in rural Ethiopia. We hypothesised that antenatal PTSD symptoms would…
View article: Preconception parental personality disorder and psychosocial outcomes during the perinatal period: a prospective population-based study
Preconception parental personality disorder and psychosocial outcomes during the perinatal period: a prospective population-based study Open
Purpose Birthing individuals with personality disorder in young adulthood before pregnancy may be at increased risk of potentially modifiable adverse outcomes in the perinatal period that impact parental and child health. We aimed to inves…
View article: Training antenatal care providers to deliver brief problem-solving therapy in rural Ethiopia: a developmental evaluation
Training antenatal care providers to deliver brief problem-solving therapy in rural Ethiopia: a developmental evaluation Open
Background: Task-sharing is the redistribution of tasks usually performed by specialists, to staff with less training and fewer qualifications. Despite the established clinical efficacy of task-shared brief psychological interventions in l…
View article: Perceptions of the impact of military life on relationships and Intimate Partner Violence and Abuse among UK military personnel
Perceptions of the impact of military life on relationships and Intimate Partner Violence and Abuse among UK military personnel Open
Research suggests that the prevalence of Intimate Partner Violence and Abuse (IPVA) use (i.e., perpetration) and experience (i.e., victimisation) is higher among military compared to civilian populations and that military-related factors, …
View article: Women's reproductive mental health: currently available evidence and future directions for research, clinical practice and health policy
Women's reproductive mental health: currently available evidence and future directions for research, clinical practice and health policy Open
Sex and gender differences in the epidemiology of mental disorders are well documented. Less well understood are the drivers of these differences. Reproductive health represents one of the gendered determinants of mental health that may af…
View article: Intergenerational ‘transmission’ of intimate partner violence and abuse: interpretations and implications
Intergenerational ‘transmission’ of intimate partner violence and abuse: interpretations and implications Open
View article: Impact of Housing, Food, and Transportation Insecurities on Patients With Cancer
Impact of Housing, Food, and Transportation Insecurities on Patients With Cancer Open
Cancer incidence is rising among people who are unhoused or experiencing housing insecurity, with barriers to accessing care contributing to high mortality rates. Social determinants of health, such as safe housing, transport.
View article: Exposure to trauma in pregnant women and its association with previous perinatal complications, IPV and antenatal service satisfaction in rural Ethiopia: a cross-sectional facility-based study
Exposure to trauma in pregnant women and its association with previous perinatal complications, IPV and antenatal service satisfaction in rural Ethiopia: a cross-sectional facility-based study Open
Background We aimed to describe the prevalence of exposure to traumatic events and post-traumatic stress disorder (PTSD) in pregnant women attending antenatal care (ANC) in rural Ethiopia. We hypothesised that antenatal PTSD symptoms would…
View article: Towards person-centred maternal and newborn care in Ethiopia: a mixed method study of satisfaction and experiences of care
Towards person-centred maternal and newborn care in Ethiopia: a mixed method study of satisfaction and experiences of care Open
View article: Identifying, assessing and responding to perpetration of domestic abuse: practice guide for mental health professionals
Identifying, assessing and responding to perpetration of domestic abuse: practice guide for mental health professionals Open
SUMMARY Domestic abuse – abusive behaviour perpetrated by an adult towards another adult to whom they are personally connected (e.g. partners, ex-partners or family members) – damages mental health, increases mental health service use and …
View article: Brief problem-solving therapy (PST) for women experiencing antenatal depressive symptoms: randomised, controlled feasibility trial in primary care in rural Ethiopia
Brief problem-solving therapy (PST) for women experiencing antenatal depressive symptoms: randomised, controlled feasibility trial in primary care in rural Ethiopia Open
Background: We adapted problem-solving therapy (PST) to support improved treatment of antenatal depression in maternal care platforms in Ethiopia. In this study, we aimed to: (1) assess acceptability, fidelity, feasibility and potential ef…
View article: Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition
Predictors of mother-infant interaction quality in women at risk of postpartum psychosis: The role of emotion recognition Open
These results are important as they suggest that preventive interventions targeting emotion recognition may be implemented in women at-risk-of-PP, with the aim of improving mother-infant interaction and potentially also the infant long-ter…
View article: Women’s engagement with community perinatal mental health services: a realist evaluation
Women’s engagement with community perinatal mental health services: a realist evaluation Open
Background In recognition of the burden of Perinatal Mental Health problems, NHS England invested £365 million to transform women’s access to mental health care, including investment in Community Perinatal Mental Health Services. This stud…
View article: Identifying, assessing, and responding to perpetration of domestic abuse(DA): a practice guide for professionals working in mental health services
Identifying, assessing, and responding to perpetration of domestic abuse(DA): a practice guide for professionals working in mental health services Open
Domestic abuse(DA) - abusive behaviour perpetrated by an adult towards another adult to whom they are personally connected (e.g. partners, ex-partners, or family members) - has major consequences for public mental health and mental health …
View article: Women’s experiences of attempted suicide in the perinatal period (ASPEN-study) – a qualitative study
Women’s experiences of attempted suicide in the perinatal period (ASPEN-study) – a qualitative study Open
View article: An exploration of service use pattern changes and cost analysis following implementation of community perinatal mental health teams in pregnant women with a history of specialist mental healthcare in England: a national population-based cohort study
An exploration of service use pattern changes and cost analysis following implementation of community perinatal mental health teams in pregnant women with a history of specialist mental healthcare in England: a national population-based cohort study Open
Background The National Health Service in England pledged >£365 million to improve access to mental healthcare services via Community Perinatal Mental Health Teams (CPMHTs) and reduce the rate of perinatal relapse in women with severe ment…
View article: Intimate partner violence across pregnancy and the postpartum and the relationship to depression and perinatal wellbeing: findings from a pregnancy cohort study
Intimate partner violence across pregnancy and the postpartum and the relationship to depression and perinatal wellbeing: findings from a pregnancy cohort study Open
View article: Barriers to Accessing Perinatal Mental Health Services in Ethnic Minority Women in the UK
Barriers to Accessing Perinatal Mental Health Services in Ethnic Minority Women in the UK Open
Background Mental health problems are common among women during the perinatal period (here defined as during pregnancy and the 2 years after birth), affecting up to 20% of women. Although there are effective treatments for perinatal mental…
View article: Towards person-centred maternal and newborn care in Ethiopia: a mixed method study of satisfaction and experiences of care
Towards person-centred maternal and newborn care in Ethiopia: a mixed method study of satisfaction and experiences of care Open
Background Person-centred maternal care is associated with positive experiences in high-income countries. Little is known about the transferability of this concept to non-Western, low-income settings. We aimed to explore women’s experience…
View article: A consensus statement on perinatal mental health during the COVID-19 pandemic and recommendations for post-pandemic recovery and re-build
A consensus statement on perinatal mental health during the COVID-19 pandemic and recommendations for post-pandemic recovery and re-build Open
Introduction The COVID-19 pandemic posed a significant lifecourse rupture, not least to those who had specific physical vulnerabilities to the virus, but also to those who were suffering with mental ill health. Women and birthing people wh…
View article: ‘It’s so Beneficial to be Able to Stop the Cycle’: Perceptions of Intergenerational Transmission of Violence and Parenting Practices Among Pregnant Women and their Abusive Partners
‘It’s so Beneficial to be Able to Stop the Cycle’: Perceptions of Intergenerational Transmission of Violence and Parenting Practices Among Pregnant Women and their Abusive Partners Open
View article: Community perinatal mental health teams and associations with perinatal mental health and obstetric and neonatal outcomes in pregnant women with a history of secondary mental health care in England: a national population-based cohort study
Community perinatal mental health teams and associations with perinatal mental health and obstetric and neonatal outcomes in pregnant women with a history of secondary mental health care in England: a national population-based cohort study Open
The National Institute for Health and Care Research.
View article: Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales
Patterns of mental health service use among perpetrators of domestic homicide: descriptive study of Domestic Homicide Reviews in England and Wales Open
Aims and method We used data from Domestic Homicide Reviews (DHRs) to describe the patterns of mental health service use by perpetrators of domestic homicide in England and Wales. In 186 DHR reports we compared the characteristics of perpe…
View article: Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence: A randomised, controlled feasibility trial in rural Ethiopia
Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence: A randomised, controlled feasibility trial in rural Ethiopia Open
Evidence for the feasibility of brief psychological interventions for pregnant women experiencing intimate partner violence (IPV) in rural, low-income country settings is scarce. In rural Ethiopia, the prevalence of antenatal depressive sy…
View article: Child educational progress in Born in Bradford pregnancies affected by gestational diabetes and also exposed to maternal common mental disorders
Child educational progress in Born in Bradford pregnancies affected by gestational diabetes and also exposed to maternal common mental disorders Open
View article: Exposure-based cognitive-behaviour therapy for anxiety-related disorders in pregnancy (ADEPT): Results of a feasibility randomised controlled trial of time-intensive versus weekly CBT
Exposure-based cognitive-behaviour therapy for anxiety-related disorders in pregnancy (ADEPT): Results of a feasibility randomised controlled trial of time-intensive versus weekly CBT Open
doi:https://doi.org/10.1186/ISRCTN81203286 prospectively registered 27/6/2019.
View article: Impact of Parental Mental Health and Poverty on the Health of the Next Generation: A Multi-Trajectory Analysis Using the UK Millennium Cohort Study
Impact of Parental Mental Health and Poverty on the Health of the Next Generation: A Multi-Trajectory Analysis Using the UK Millennium Cohort Study Open