There is a need to improve the use of existing parenting centres in order to provide appropriate support and care for families. Suggested uses of the parenting centres
include day stay services, father groups in the evenings, parenting classes, sleeping and settling classes, music therapy groups to promote attachment and bonding, PND groups, and so forth. If these supports are in place, the need for in-patient care for some women may be reduced.
6.8 Conclusion
Previous PND research has focused on the incidence and prevalence of PND in rural and urban communities; the effectiveness and acceptability of traditional treatment methods; and more recently, the experiences of women with PND. However, this study identified that the paucity of general health care and specialist mental health care services plays an integral part in the woman’s, and her family’s experience of PND in rural and remote Tasmania. Although music as therapy was largely viewed as an acceptable treatment option for women, there is a need to address the
fundamental issues around trust, access, stigma, and professional education. This fundamental shift must include public, professional and political recognition of PND before music, as a complementary therapy, may be introduced within the
Tasmanian health care context.
In the current austere climate, the future of PND services remains unknown at best, and bleak at worst. However, if research focussing on PND and music therapy continues, then it can be further legitimised within public spheres and on political agendas. Such research may include clinical trials and longitudinal studies regarding music as therapy for PND, HCPs perceptions of CAM therapy for PND, and research to understand the stigma that is attached to PND and its treatments. The results of such research may then have both a political impact on policy, and the powerful medical model that currently guides the perceptions, treatments and services availability for PND.
In addition to further research, appropriate and timely PND service accessibility, acceptability and affordability, including education, for all antenatal and postnatal women, is warranted. Recommendations regarding these challenges have been addressed within the chapter and include a mother and baby unit in the north of
Tasmania, utilising already existing services and technologies, and providing
education regarding PND for women and their partners as well as HCPs. Regardless of the current financial climate, the rates of clinically diagnosed PND remain steady and women and their families will continue to need access to appropriate mental health services within an acceptable timeframe.
At the conclusion of this study it is evident that its greatest significance lies in the researcher’s personal development. It has provided understanding of PND, music therapy and the issues and challenges that rural Tasmanian women and their HCPs face. It has allowed women’s lived experiences to be further understood.
Overcoming the highs and lows of the research journey over the past two years has been an empowering experience. These experiences have instilled great inspiration for opening new research windows in the future, as the researcher is optimistic that personally, this is not the end of a research journey but a stepping-stone into a new one.
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