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Alcohol misuse and mental health problems in parents are both known to contribute to impaired outcomes in children, although little is known about the specific parenting behaviours that might be affected. Mental health problems in parents who misuse alcohol may impact parenting in specific ways, and these may be different for mothers and for fathers. The purpose of this paper is to make a preliminary investigation of alcohol misuse and mental health problems in mothers, and explore ways in which these might affect their parenting.

Semi-structured interviews were carried out with professionals involved in services for mothers who misuse alcohol, including those working in addiction psychiatry, in primary care, and in the provision of parenting services. These interviews were then examined using thematic analysis.

Themes emerged including specific mental health problems (depression, anxiety and personality disorders), and related issues, such as self-medication. Particularly relevant for mothers were post-natal depression, the effect on maternal alcohol misuse and mental health when children are removed, the role of domestic violence, and the importance for identification of home visits by services. Different types of alcohol misuse were linked to different mental states and different parenting behaviours in parents. Findings in the general parenting and substance misuse literature were confirmed, and a new addition was that expressed emotion may play a role in families where mothers misuse alcohol.

The findings increased the understanding of the relationships between maternal alcohol misuse, mental health issues and parenting, raising several new points for consideration.

Post partum depression (PPD) is an important complication of child-bearing. It requires urgent interventions as it can have long-term adverse consequences if ignored, for both mother and child. If PPD has to be prevented by a public health intervention, the recognition and timely identification of its risk factors is must. We in this review have tried to synthesize the results of Asian studies examining the risk factors of PPD. Some risk factors, which are unique to Asian culture, have also been identified and discussed. We emphasize on early identification of these risk factors as most of these are modifiable and this can have significant implications in prevention of emergence of post partum depression, a serious health issue of Asian women.

The purpose of this paper is to evaluate the impact of guided self‐help cognitive behavioural therapy (CBT) for mothers with depression and/or anxiety undertaken in two Sure Start children's centres in the London Borough of Bexley.

A quantitative study was carried out involving 23 participants who attended an initial appointment with a Psychological Well‐being Practitioner and who were assessed and allocated to a guided self‐help CBT intervention (either workbooks or computer‐based). In addition, in‐depth interviews were undertaken with nine participants who had completed the programme.

The study finds that guided self‐help CBT produced a significant clinical benefit for participants with mild to moderate depression and/or anxiety. Narratives with participants also highlighted improved confidence and self‐esteem, positive thinking and better coping strategies, which may have a positive impact on their children and families. This research also demonstrated the importance of a partnership approach to providing therapeutic interventions for vulnerable groups such as those in this study.

The findings represent a “snap‐shot” of the positive effects of guided self‐help CBT for those suffering maternal depression. They demonstrate the need to recognise and support the therapeutic social milieu, particularly in settings that are familiar and accessible. In addition, psychological interventions that include facilitative holistic working and inter‐agency working can be particularly effective.

This paper seeks to illustrate the social and economic impact of services delivered by a small charity to families affected by post-natal depression (PND). It highlights challenges and offers insights to the meaning of “social value” and “value for money” for commissioners of public health services. This has relevance for the introduction of new policies regarding commissioning.

The analysis is based on a social return on investment (SROI) approach. Evidence was gathered from quantitative data, interviews and a literature review. The analysis examined short-, medium- and long-term effects, and attributed monetary values to social outcomes.

The service provides a return of £6.50 for every £1 invested. The analysis established outcomes for service users and long-term impacts on families and children. It illustrated how these services are important in achieving more appropriate service responses, providing value for money to the NHS. Findings also relate to the definition of “social value” and “value for money”.

There is no common accepted method for identifying financial values for a number of the benefits identified in this analysis. By being transparent in how the analysis was carried out, the paper encourages further critical thinking in this area.

Engaging commissioners in this type of analysis may assist them in the use of economic evaluation that includes social values as an input to decision making.

The paper contributes to the understanding of “social value” and “value for money” in the context of public services. This is of importance given that the Social Value Act and “Open Public Services” reform are being implemented in the UK.

The purpose of this paper is to provide a profile of Shelley Seaton.

Shelley gives a short background to her life story and is then interviewed by Jerome.

Shelley tells us about a number of life events that impacted on her mental health issues, starting with childhood bullying and also abusive relationships.

The case study approach privileges the person’s lived experience. It also lets us see the unique complexity of each person’s story.

Shelley received little help in the form of counselling either at school or when she experienced post-natal depression.

When mental health problems start in childhood, schools have a vital role to play. While the bullying stopped when Shelley’s Mum went to the school, the damage was already done. She was given no support to help her through this.

Patricia Deegan has asked, “Could you have survived what this person has survived?” (Deegan, 1996, p. 95). Shelley’s story is a tale of survival.

This study investigates whether a higher level of pre‐natal testosterone, as indicated by the 2D: 4D digit ratio, is a correlate of psychopathy and cognitive empathy. The main research hypothesis predicts that 2D: 4D digit ratios will correlate negatively with psychopathy scores and positively with cognitive empathy scores. The study facilitates a within‐subjects correlational design, using a quasi‐experimental method consisting of questionnaires and digit measurements. Fifty‐four participants volunteered and were gathered via purposive and convenience sampling. Each participant completed a self‐report psychopathy scale, a cognitive empathy test, a verbal IQ test and a scan of both hands. The scans were later measured and computed for digit ratios. T‐tests, multiple partial correlations and multiple regression found that, contrary to the research hypothesis, a higher level of pre‐natal oestrogen, as indicated by a larger 2D: 4D digit ratio, is a positive correlate of psychopathy in females, and a positive correlate of callous affect (psychopathy sub‐scale) in males, at less than 0.01 probability levels. Gender is also a correlate of psychopathy, as males scored significantly higher than females at 0.01 probability levels. This result sheds an interesting new light on the physiological correlates of psychopathy and the role that pre‐natal oestrogen plays in organisational effects on the brain during pre‐ and post‐natal development.

The purpose of this paper is to provide a profile of Michelle Walker.

In this single case study, Michelle gives a short background to the development of her depression and is then interviewed by Jerome.

Michelle sets out the reasons she developed depression. These map onto the research conducted by Brown and Harris some 50 years ago, showing how social factors can create a vulnerability to develop depression.

Single case studies provide us with one person’s narrative. That narrative is, however, unique and can often offer us insights that are lost in large statistical surveys.

Michelle found that the Cognitive Behaviour Therapy (CBT) approach really helped her. However, she should never have had to wait as long as she did for that help. Mental health services must respond quickly, even if only to offer a triage assessment.

Brown and Harris identified four key vulnerability factors for depression in women. Michelle met three of these. How many other women are in a similar situation and are suffering in silence?

We can learn a lot from the factors that helped Michelle recover from her depressive episode: medication, CBT, the support of her mother, education, finding her soulmate and, although she does not say it, her own rugged determination and personal resilience.

This article aims to focus on the role of lived‐experience in mental health education and practice as perceived by undergraduate students.

A small qualitative survey was conducted among Social Work and Mental Health Nursing students who were asked about their own experiences of mental ill health and its possible impact on their practice.

The article is contextualised in the concept of “Wounded Healers” as a number of students had previously (and were currently) experiencing mental distress.

There is a strong sense that students believe that their personal experiences inform their practice, and that this may assist them in empathising constructively with service users, within the boundaries of a professional relationship.

The purpose of this paper is to present an example of effective multi‐agency working between the statutory health services and the voluntary sector in the field of perinatal mental health.

The Perinatal Support Project (PSP) is an example of an innovative voluntary sector solution to the twin problems of perinatal mental health and social exclusion. The paper explores the structure of the PSP in the context of perinatal mental health research before explaining the significance of the role of volunteer “befrienders” in alleviating maternal depression and reducing social isolation. The paper then presents data from the latest independent evaluation into the PSP before calling for more services of this nature.

The paper highlights the individual success of the PSP model in alleviating maternal depression, improving mother‐baby attachment and reducing social isolation. It attests to the benefits of effective multi‐agency partnerships more generally.

There is a scarcity of truly early interventionist services for vulnerable families. This case study serves as an independently evaluated example of good practice for community practitioners and commissioning groups.

The antenatal psychosocial intervention to prevent postnatal depression, Preparing for Parenthood, was evaluated in an additional qualitative study of the participants' experience of the classes. This was to complement the findings of the core study with respect to the intervention's immediate impact on their emotional well‐being. All the women interviewed who attended the intervention considered it a positive experience. However, initial indications are that the intervention did not decrease, overall, the likelihood of a woman's developing postnatal depression. The distinction between developing a ‘pleasant’ and an ‘effective’ health promotion intervention requires careful negotiation and longer‐term assessment.