Making a referral

Referrals to the service should be made using the standardised referral form here and emailed to Dhcft.perinatalcmht@nhs.net 
 

Things to consider in your referral:

• Does the women / birthing person consent to the referral 
• Please provide information regarding the date of the loss, type of loss (e.g. miscarriage, stillbirth) and a summary of what happened. 
• Has it been at least one month since the loss 
• Please include any history of previous obstetric loss 
• Details about current mental health (e.g. low mood, anxiety, sleep disturbance, irritability, loss of appetite, hopelessness, blame / guilt, intrusive thoughts, flashbacks, nightmares) 
• Any current medication being prescribed (antidepressants, mood stabilisers, antipsychotics), if not would the person benefit from a medication review by their GP. 
• Any risk in terms of self-harm or thoughts about not wanting to be here. 
• If the person is experiencing suicidal thoughts with intent to harm themselves, the referral should be sent to the Crisis Team. 
• Any safeguarding concerns around other children in the family home being cared for by the person being referred. 

Advice on referrals is available by contacting the Perinatal Professional Advice Line (0300 1237596), Monday to Friday 9 am to 5 pm.