caa a22 4500 469067675 CHVBK 20180323132913.0 cr unu---uuuuu 170328e19920601xx s 000 0 eng 10.1007/BF02521317 doi (NATIONALLICENCE)springer-10.1007/BF02521317 Miller Laura Department of Psychiatry, University of Illinois at Chicago, 912 South Wood St., M/C 913, 60612, Chicago, IL aut Comprehensive care of pregnant mentally ill women [Elektronische Daten] [Laura Miller] Since the onset of deinstitutionalization, there has been an unanticipated and dramatic increase in pregnancies among women with chronic mental illness, with no specific planning for how to address the unique clinical needs of this high-risk population. Shortcomings in delivering care to mentally ill women within general health care systems are reviewed, including failure to assist with family planning, failure to observe worsening mental health during pregnancy, inadequate planning for child custody, lack of access to services, and omitted pelvic examinations. Necessary components of a system to provide comprehensive and coordinated care for pregnant mentally ill women are described. These include assessment of adaptation to pregnancy and competency to care for an infant, somatic and psychotherapeutic treatment, parenting skills training, family planning services, outreach, and close liaison with obstetric services. A Chicago-based collaborative program is described as an example of providing comprehensive, specialized care with limited financial resources. Association of Mental Health Administrators, 1992 The journal of mental health administration Springer-Verlag 19/2(1992-06-01), 170-177 0092-8623 19:2<170 1992 19 11414 https://doi.org/10.1007/BF02521317 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02521317 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Miller Laura Department of Psychiatry, University of Illinois at Chicago, 912 South Wood St., M/C 913, 60612, Chicago, IL aut NATIONALLICENCE 773 0- The journal of mental health administration Springer-Verlag 19/2(1992-06-01), 170-177 0092-8623 19:2<170 1992 19 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer