The conversation about family planning and desire for children in mental healthcare: Patients' perspective versus Professionals' perspective in a mixed methods study

Author:

Schonewille Noralie N.123ORCID,van den Eijnden Monique J. M.14,Sahin Ruveyda1,Jonkman Nini H.5,van Kempen Anne A. M. W.6,van Pampus Maria G.7,Scheele Fedde7,van den Heuvel Odile A.289,Broekman Birit F. P.123

Affiliation:

1. Department of Psychiatry and Medical Psychology OLVG Amsterdam The Netherlands

2. Department of Psychiatry, Amsterdam UMC Location Vrije Universiteit Amsterdam Amsterdam The Netherlands

3. Amsterdam Public Health Mental Health program Amsterdam The Netherlands

4. Team Knowledge, Innovation and Research MIND Amersfoort The Netherlands

5. Department of Research and Epidemiology OLVG Amsterdam The Netherlands

6. Department of Neonatology and Pediatrics OLVG Amsterdam The Netherlands

7. Department of Gynecology and Obstetrics OLVG Amsterdam The Netherlands

8. Department of Anatomy & Neuroscience, Amsterdam UMC Location Vrije Universiteit Amsterdam Amsterdam The Netherlands

9. Amsterdam Neuroscience Compulsivity, Impulsivity & Attention program Amsterdam The Netherlands

Abstract

AbstractBackgroundReproductive health and mental health are intertwined, but studies investigating family planning needs and desire for children in mental healthcare are scarce.MethodsWe studied the experiences of (former) patients, those with close relationships with the (former) patients (close ones) and mental health professionals (MHP) on discussing family planning and desire for children in mental healthcare. We combined quantitative (two nationwide surveys) and qualitative data (four focus groups) in a mixed‐methods approach with sequential analytical design.ResultsCombined data from focus groups (n = 19 participants) and two surveys (n = 139 MHPs and n = 294 (former) patients and close ones) showed that a considerable group of MHPs (64.0%), patients (40.9%) and close ones (50.0%) found that family planning should be discussed by a psychiatrist. However, several obstacles impeded a conversation, such as fear of judgment, lack of time and knowledge and limited opportunity for in‐depth exploration of life themes in therapeutic relationships.ConclusionsTo increase the autonomy of patients in discussing family planning, we suggest MHPs explore the desire to discuss family planning with all patients in the reproductive phase of life, prior to discussing contraceptive care. MHPs should receive education about psychiatric vulnerability in relation to family planning and desire for children, and patients and close ones should be empowered to initiate a conversation themselves.

Funder

ZonMw

Publisher

Wiley

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