Margaret Trivasse
Lead Psychologist Therapist
Bradford City Primary Care Mental Health Team
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Depression
Peri-natal depression
Anxiety
Insomnia
Poor appetite
Isolation
Post traumatic stress
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Flashbacks and nightmares
Avoidance, eg confined spaces, people in
uniform
Sleep problems
Irritability or outbursts of anger
Difficulty concentrating or dissociation
Hypervigilance
Exaggerated startle response
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FGM: physical and emotional aspects
Pregnancy as a result of rape
Previous birth trauma
Language: not being able to communicate
needs or understand adequately
Mother’s mental health has impact on unborn
child
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Problems in attending appointments, due to
not understanding letters, having no money
to travel, lack of childcare for other children
Poverty, especially when support is via Azure
card and not cash
Not knowing entitlements and how to apply
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Post natal depression
Problems in bonding
Guilt at not being able to provide adequately
Fear of future for self and child
Difficulties in maintaining adequate hygiene
in asylum properties
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Giving birth alone
Separated from child’s father
Homelessness
Staying alive only for baby, and thinking
Social Services could give better care
Trying to put on brave face for baby so no
space to express own distress
Poverty, especially Azure card, a major issue
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Within City Primary Care Mental Health Team,
maternal mental health is fast-tracked
Counselling, art therapy, mental health
support and groups working with stress
Interpreters are used
Mum’s Wellbeing specialist, offering “Watch,
wait and wonder” (applicable cross-culturally)
and use of interactive video
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Referral is via Single Point of Access 01274
221181 (fax 01274 202579)
Maternal Mental Health Specialist is Lisa Milne
via 01274 322644
Other local agencies include Bradford Action
for Refugees (01274 762100); Red Cross
(01274 223293); Bradford Rape Crisis (01274
723896); BIASAN; HALE project (01274
271088)