Fern Britton joins mums and dads to speak out about Maternal Mental Health for Sport Relief. 

• More than 1 in 10 women develop a mental health illness during pregnancy or within the first year after having a baby

• Join the conversation from 11am Weds 24th Feb on Twitter @SPORTRELIEF using #MUMTALK

• Sport Relief cash to help people affected by maternal mental problems

As part of a series of new short films produced by Sport Relief, TV presenter Fern Britton will share her experience of maternal mental health alongside other mums and dads from across the UK, who have also been affected, on Wednesday 24^th February.

The films will be shared on Sport Relief’s Twitter feed to shine a light on maternal mental illness in the UK and help to reduce stigma around the issue. The public will also be encouraged to share their stories and talk about their own experiences. Members of the Maternal Mental Health Alliance, which benefits from Sport Relief cash, will be responding during the day to any people looking for advice or support.

By going to @SportRelief on the day, the nation will gain a unique insight into an issue that affects as many as 1 in 10 women yet is still a big taboo and not talked about openly. Many women feel completely alone and too embarrassed to share their true feelings, with 7 in 10 women affected hiding or downplaying their symptoms.

Without understanding, support, and treatment these mental illnesses have a devastating impact on the women affected and on their partners and families. However, with the right help at the right time women affected by maternal mental health problems do get better. 

By giving women and men a platform to speak out about maternal mental illness, Sport Relief hopes to highlight what help is out there, and encourage more people affected to seek the support they need to recover.

Cash raised through Sport Relief has been helping to fund maternal mental health projects in the UK since 2010. These projects include the Bluebell Care Trust in Bristol, and the Maternal Mental Health Alliance’s ‘Everyone’s Business’ campaign, which raises awareness of the importance of maternal mental health issues at a national level and is helping women and families across the UK to access specialist support.

The contributors featuring in the films have been helped through Bluebell Care Trust and member organisations of the Maternal Mental Health Alliance.

Fern Britton said: “Everyone tells you that having a baby is going to be perfect, so you try to be the perfect mum. However, you're not blooming at all, you're blooming awful. I was lonely, isolated and frightened. I felt lost, like a failure and I couldn't identify with who I was anymore. When the doctor told me what I was feeling was Postnatal Depression it was so liberating, I felt such a sense of relief that I wasn't going mad. Once my family knew, I started to get better. Once I could talk to my family and they understood, it was a wonderful feeling.”

“The minute I said the words to someone, help it was there for me. If I had known how easy it was to get help I would have told someone sooner. Having been through this and getting better myself I would urge any mum who might be feeling in a dark place to tell someone - don't wait! If you tell someone, you will get help, and you will get better.”

The day is being supported by the Maternal Mental Health Alliance, Bluebell Care Trust, the Royal College of General Practitioners, MIND, Channel Mum who are following the stories @SportRelief and sharing their own views and insight using #MumTalk.

Dr Alain Gregoire, Perinatal Psychiatrist and Chair of the Maternal Mental Health Alliance said: “Being a parent is the most difficult thing any of us ever does and when we go through difficult times we need other people, but if we are not mentally well, we feel alone. Knowing you are not alone, that other people care and want to help, and knowing that if you speak out about how you are feeling you will get help, are crucial steps to recovery. Through this day of activity, Sport Relief is giving every one of us the opportunity to help mums and dads who are suffering from mental health problems at this critical time in their lives”

Sport Relief is back from Friday 18th to Sunday 20th March and there are more ways than ever for you to take part, change lives and feel proud. The money raised will transform people's lives in the UK and across the world's poorest communities, including people affected by maternal mental health problems.

About Sport Relief

Sport Relief brings the entire nation together to get active, raise cash and change lives. The money raised by the public is spent by Comic Relief to help people living incredibly tough lives, across the UK and the world’s poorest communities.  It all leads up to the Sport Relief weekend and a fantastic night of TV on the BBC.

Sport Relief 2016 will take place from Friday 18^th to Sunday 20^th March 2016. You can run, swim, cycle or even walk yourself proud at events across the country. There's a distance for everyone, whether you're sporty or not. Find out more at www.sportrelief.com

The Prime Minister announces almost a billion pounds of investment to enhance mental health services across the country.

• £290 million to provide specialist care to mums before and after having their babies
• first ever waiting time targets to be introduced for teenagers with eating disorders and people experiencing psychosis
• nearly £250 million for mental health services in hospital emergency departments
• over £400 million to enable 24/7 treatment in communities as safe and effective alternative to hospital

Read the Gov.uk press release here

Dr Jessica Heron, Senior Research Fellow in Perinatal Psychiatry at Birmingham University and Director of Action on Postpartum Psychosis (APP), which provides information and support to women and families affected by the condition, says:

"APP Action on Postpartum Psychosis welcomes the Government’s announcement today of £290 million investment to provide specialist mental health care to mums before and after having their babies. This funding is desperately needed to help women suffering from maternal mental ill health, their partners and families, and improve health outcomes. The serious shortage of Mother and Baby Units (MBUs) nationally is a real concern in particular, and we hope the investment will help address this. Admission to an MBU allows mothers to keep their babies with them during treatment. Research conducted by APP on women with Postpartum Psychosis, a severe form of maternal mental illness affecting 1-2 births in every thousand, shows that women admitted to specialist MBUs report improved experience of care, feeling safer, more confident in the staff, more informed about their illness, feeling better supported on recovery, experience reduced time to full recovery, and feel more confident with their baby on discharge from care, than women admitted to General Psychiatric units. Yet nationally there are only half as many places in MBUs as needed. A report from the London School of Economics in 2014 estimated the costs of not having an adequate maternal mental health service at approximately £8 billion a year."

News Release - 23 December 2015

Three leading mental health charities have helped EastEnders to dramatise a debilitating mental illness affecting women after childbirth - Postpartum Psychosis - for one of the soap’s biggest storylines over Christmas and into the new year. Experts from APP (Action on Postpartum Psychosis), Bipolar UK and Mind, together with women who have themselves experienced this condition, advised the script writers over several months. They also met the actor Lacey Turner, whose character Stacey Branning becomes ill after giving birth on Christmas Eve, and her on-screen partner.

APP, Bipolar UK and Mind welcome EastEnders raising awareness of Postpartum Psychosis and Bipolar Disorder through Stacey’s story, which will hopefully reduce stigma and encourage affected individuals to seek support.

Postpartum Psychosis is an episode of severe mental illness that normally occurs shortly after giving birth and escalates rapidly. Around 1,400 cases occur each year in the UK i.e. one or two cases in every thousand deliveries. It often occurs without warning to women with no previous mental health problems. Symptoms include hallucinations; delusions; mania (elation), depression, or anxiety; and extreme confusion. Other symptoms can include being unusually talkative, racing thoughts, feeling very energetic, excessive irritability, agitation, and having trouble sleeping. It’s an emergency situation and women experiencing Postpartum Psychosis should receive specialist treatment in a Mother and Baby Unit.

It is not a form of Postnatal Depression. Postpartum Psychosis differs from Postnatal Depression in terms of the symptoms experienced; severity; risk factors; treatments required; and illness course.

Dr Jessica Heron, Senior Research Fellow in Perinatal Psychiatry at Birmingham University and Director of Action on Postpartum Psychosis (APP), which provides information and support to women and families affected by the condition, says:

“The lack of public awareness of Postpartum Psychosis and its symptoms mean that diagnosis and treatment may be delayed, leading to longer, more severe and traumatic episodes, and risking tragic outcomes. The lack of public knowledge impacts recovery too; women and their families feel ashamed, stigmatised and isolated, reluctant to talk about their experience, even to friends and other new mums. Being able to talk to others with personal experience is really important to the recovery process. APP provides an online forum where women and families affected by the illness can talk to others who understand what they have been through.”

With the right treatment and support, the vast majority of women make a full recovery. Whilst unwell, women need help to care for their baby, but most retain a strong bond and enjoy a thriving relationship with their infant. It is extremely rare for babies to be removed from women with Postpartum Psychosis.

High risk women include those with bipolar disorder and schizoaffective disorder, who are at around 25% risk of developing the illness. Women who have previously experienced Postpartum Psychosis have a risk of around 50%. For these women referral to specialist perinatal mental health services before delivery is vital. Women whose mother or sister have experienced Postpartum Psychosis have a higher risk than the general population (around 3%), unless they have a history of severe mental illness themselves, in which case their risk may be in excess of 50%.

It is not always possible to prevent this illness in high risk women, however medication during or straight after the pregnancy/ birth as well as support (such as help with night feeds, monitoring early symptoms) can help to minimise the risk. Women with a diagnosis of Bipolar Disorder who are thinking of starting a family should talk to their health professionals and request referral for specialist preconception advice. During this appointment, you will be able to discuss your current medication, your risk of postpartum psychosis and the care you can expect during pregnancy and following childbirth. Women who are considered high risk should always be assessed before leaving a labour ward.

Alison Kerry, Head of Media, Mind says:

“We have been working with the EastEnders team to develop this storyline over several months and have been impressed by the dedication they have shown in portraying Postpartum Psychosis sensitively. We accompanied some of our supporters who have personal experience of Postpartum Psychosis to Albert Square to meet with the researchers, actors and writers, and we have been involved with ongoing script consultation where the researchers send us different versions of the script and we feedback with comments and suggestions.

“One of the main aims of our input into this storyline is to ensure that we challenge the myths including the idea that women who have Postpartum Psychosis are always a danger to their children, that the illness is a form of postnatal depression and that women never recover. We have also advised the programme to adopt a realistic timetable to ensure that Stacey does not become unwell and then recover in the space of a week!

“Mind’s media advice service works with soaps and dramas to inform storylines when a fictional character has a mental health problem. The main aim of the service is to tackle incorrect and outdated stereotypes.

“We know that soap storylines about mental health problems are very impactful at encouraging people to seek help. A Mind poll found that 25 per cent of people who were experiencing mental health problems were prompted to seek support after seeing a soap or drama cover the topic. We also found plot lines are a fantastic way of getting people to think differently about mental health, with 44 per cent of people saying storylines had helped change their opinion about the kind of person who can develop a mental health problem and a third saying soap stories encouraged them to have conversations about mental health issues.”

Suzanne Hudson, Chief Executive of Bipolar UK, says:

“Women with Bipolar are at a higher risk of becoming unwell during pregnancy or following childbirth and Postpartum Psychosis occurs after about 25% of births to women with Bipolar. Women with Bipolar are at an even greater risk if they, or their mother or sister, have already experienced postpartum illness. Women with Bipolar have more issues to think about when considering starting a family.  With relevant information and careful planning, the majority of women take the decision to try for a baby and make excellent mothers.

Bipolar UK welcomes the opportunity to raise awareness of Bipolar, and particularly Postpartum Psychosis, and in doing so hopefully reduce stigma and encourage affected individuals to seek support.”

Women, families and health care professionals can access information on Postpartum Psychosis, to find out how to recognise the symptoms of the illness and how to get help, from APP, Mind and Bipolar UK:

Action on Postpartum Psychosis (APP) - www.www.app-network.org

Mind - www.mind.org.uk/Stacey

Bipolar UK - www.bipolaruk.org/get-support

The causes of Postpartum Psychosis are still unclear. Studies have found that genetics can play a part. Hormones and disrupted sleep may also be involved, but more research is desperately needed.

Notes for Editors

Additional facts & figures about perinatal mental health

More than 1 in 10 women develop a mental illness during pregnancy or within the first year after having a baby. If untreated, these perinatal mental illnesses can have a devastating impact on the women affected and their families.

Almost a quarter of maternal deaths between six weeks and a year after birth are related to mental health problems, and one in seven deaths in that period is caused by suicide. A recent report suggested that around half of suicides by women while pregnant or after giving birth could be prevented by better standards of care.

In the UK, mental illness in pregnant and postnatal women often goes unrecognised, undiagnosed and untreated.

About APP (Action on Postpartum Psychosis)

APP is a charity hosted by the University of Birmingham, set up to facilitate ground-breaking research into Postpartum Psychosis. APP provides information and a peer support network for women and their families, funded by The Big Lottery; the network is run by women who have themselves experienced Postpartum Psychosis.

APP currently has over 700 network members with personal experience of Postpartum Psychosis and its Peer Support forum has almost 900 users. Since launching four years ago, the APP information website has received over 500,000 unique visitors and APP Information Guides have been downloaded over 5,000 times. There have been more than 10,000 visits to the Personal Stories webpage on APP site and APP videos made by women with experience of PP have been viewed over 26,000 times.

For more information visit:  www.www.app-network.org 

 APP information and support over Christmas/New Year: The APP office is now closed until 4 January 2016.

APP’s Peer Support Forum (www.www.app-network.org/pptalk) is open 24/7 and is available to anyone personally affected by Postpartum Psychosis, including partners, friends and family members.

The APP website (www.www.app-network.org) is a central resource for Postpartum Psychosis information, research and personal experiences. Insider Guides written by those with personal experience of Postpartum Psychosis and leading academic experts are available on: Recovery from Postpartum Psychosis; Support for Partner; Planning Pregnancy and Childbirth (www.www.app-network.org/what-is-pp/app-guides).

APP contacts for media enquiries over Christmas/New Year:

Dr Jessica Heron, Director at Action on Postpartum Psychosis & Senior Research Fellow in Perinatal Psychiatry at Birmingham University j.c.heron@bham.ac.uk

Dr Giles Berrisford, Consultant Perinatal Psychiatrist, Birmingham & Solihull Mental Health Foundation Trust and Chair at Action on Postpartum Psychosis giles.berrisford@bsmhft.nhs.uk

Sara Rowell, Communications Advisor at APP

sarajanerowell@icloud.com, 07808 177677 or 07929 394764

About Bipolar UK

Bipolar UK is the national charity dedicated to supporting individuals and families affected by the much misunderstood and devastating life-long illness of bipolar.

We provide a range of services to enable people with bipolar to take control of their lives, including Information and Support, the eCommunity, Support Groups, Link Mentoring, Workplace Training and our Youth Service. We also work in partnership with research organisations to improve medical treatment and support, and we seek to combat the stigma and discrimination of bipolar.

About bipolar

Bipolar is a severe, life-long illness characterised by significant mood swings from manic highs to suicidal depression. Both men and women of any age and any social and ethnic background can develop bipolar. It can be triggered when work, studies, family and emotional pressures are at their greatest. For women, it can also be triggered by childbirth or menopause.

• More than one million people in the UK have bipolar
• It takes an average of 10.5 years to receive a correct diagnosis
• Bipolar increases risk of suicide by 20 times
• The World Health Organisation identifies bipolar as one of the top causes of lost years of life and health in 15 to 44 year olds.

For more information visit: www.bipolaruk.org/get-support

Bipolar Christmas opening hours: The Bipolar UK office will be closed from 25 December – 4 January 2016.

Our eCommunity (www.bipolaruk.org/ecommunity) is open 24/7 and is a supportive online forum for everyone affected by bipolar. The eCommunity is a safe and secure environment to talk with others, provide and receive support and advice, and share experiences of bipolar. Emails can also be sent to info@bipolaruk.org. These will be monitored by our Information and Support team over the Christmas period.

The Bipolar UK website provides lots of information and advice about bipolar, with a range of leaflets available to read and download.

• Get Support: www.bipolaruk.org/get-support
• Information on postpartum psychosis: https://www.bipolaruk.org/information-on-postpartum-psychosis
• Leaflet on bipolar, pregnancy and childbirth: www.bipolaruk.org/FAQs/leaflets-bipolar-disorder-pregnancy-and-childbirth

About Mind

For more information visit: www.mind.org.uk/Stacey

Mind (info line information here www.mind.org.uk/information-support/helplines/)

Call the Mind infoline on 0300 123 3393 (UK landline calls are charged at local rates, and charges from mobile phones will vary considerably). Or email info@mind.org.uk

Mind Christmas opening hours

Thursday 24 December (Christmas Eve) - 9am to 4pm,  Friday 25 December (Christmas Day to Monday 28 December- closed,  Tuesday 29 December - 9am to 6pm,  Wednesday 30 December - 9am to 6pm,  Thursday 31 December - 9am to 4pm,  Friday 1  January - closed, From Monday 4 January - usual opening hours.

“Saving Lives, Improving Mothers’ Care - Surveillance of maternal deaths in the UK 2011-13 and lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009-13”

Prof Ian Jones, Director, National Centre for Mental Health, Cardiff University and Vice-Chair, Perinatal Faculty, Royal College of Psychiatrists, said:

“For every woman who dies, there are many more who are near misses. The strength of the methodology used is the detailed review of all cases of maternal death in the UK and the depth of information gathered. We can therefore learn lessons that apply more broadly to mental health services not just to those for women in the perinatal period. The findings of the current report are consistent with previous reports and with current knowledge - what is sobering, however, is despite similar findings over the past decade we do not seem to be learning the lessons.

“As with previous reports the latest confidential enquiry into maternal deaths emphasise the importance of good mental health to women at this time. It is vital that the messages are heard and the lessons are learnt - not only by specialist perinatal clinicians but mental health teams more generally, in addition to antenatal services and primary care. A number of ‘red flags’ are described which need to be recognised and responded to. The findings of the report remind us that pregnancy and childbirth are not for all women times of joy but may herald episodes of severe mental illness. We must ensure that women with mental illness in the perinatal period, where ever they live, have access to the specialist services they need.” 

From May to October here at APP we were busier than ever. In brief here are some highlights:

May:

Three day residential PP Art Workshop, Devon. A group of 13 women with experience of PP travelled to the beautiful area of Dittisham to explore, through art, the experience of Postpartum Psychosis. This provided a great opportunity to meet each other, discuss their PP experiences and to translate memories and emotions into Art. Read more about the workshop and see the beautiful work produced and the wonderful feedback from those who attended here> (more…)

APP attended the Birmingham Mother & Baby Unit annual review at the Barberry, Edgbaston, on 14^th Oct to meet with recovered service users and to hear about the great work being done. The focus of the review was service development and to provide a format for service users to feedback ideas for taking things forward.

The day was hosted by Giles Berrisford (Chair of APP) and Catherine Beard (Friends of the Mother & Baby Service) with guest speakers including clinicians, professionals and service users talking about their personal experiences using the services. Throughout the day we heard interesting and thought-provoking presentations about a study of 'Men's experiences of Postpartum Psychosis requiring MBU admission' and ‘Perinatal services from both sides of the fence’ - a personal Postpartum Psychosis story by a trainee GP. After a light lunch with plenty of time for mingling, other sessions included ‘The voice of Dads’, ‘bonding Interventions’ and ‘Meet the Staff’.

It was a friendly, informative and constructive day and an excellent example of collaboration and engagement with service users to continue developing, improving and growing services.