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It is therefore important to identify the barriers and facilitators to implementing and accessing PMH care.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472423005100_sec_a2\"><jats:title>Aims<\/jats:title><jats:p>To develop a conceptual framework of barriers and facilitators to PMH care to inform PMH services.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472423005100_sec_a3\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Relevant literature was systematically identified, categorised and mapped onto the framework. The framework was then validated through evaluating confidence with the evidence base and feedback from stakeholders (women and families, health professionals, commissioners and policy makers).<\/jats:p><\/jats:sec><jats:sec id=\"S2056472423005100_sec_a4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Barriers and facilitators to PMH care were identified at seven levels: individual (e.g. beliefs about mental illness), health professional (e.g. confidence addressing perinatal mental illness), interpersonal (e.g. relationship between women and health professionals), organisational (e.g. continuity of carer), commissioner (e.g. referral pathways), political (e.g. women's economic status) and societal (e.g. stigma). The MATRIx conceptual frameworks provide pictorial representations of 66 barriers and 39 facilitators to PMH care.<\/jats:p><\/jats:sec><jats:sec id=\"S2056472423005100_sec_a5\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The MATRIx frameworks highlight the complex interplay of individual and system-level factors across different stages of the care pathway that influence women accessing PMH care and effective implementation of PMH services. Recommendations are made for health policy and practice. These include using the conceptual frameworks to inform comprehensive, strategic and evidence-based approaches to PMH care; ensuring care is easy to access and flexible; providing culturally sensitive care; adequate funding of services and quality training for health professionals, with protected time to complete it.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjo.2023.510","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T07:27:18Z","timestamp":1689233238000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":17,"title":["Conceptual frameworks of barriers and facilitators to perinatal mental healthcare: the MATRIx models"],"prefix":"10.1192","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8862-6491","authenticated-orcid":false,"given":"Rebecca","family":"Webb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5613-8509","authenticated-orcid":false,"given":"Elizabeth","family":"Ford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4462-6537","authenticated-orcid":false,"given":"Abigail","family":"Easter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0770-8098","authenticated-orcid":false,"given":"Judy","family":"Shakespeare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2492-1552","authenticated-orcid":false,"given":"Jennifer","family":"Holly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1796-0369","authenticated-orcid":false,"given":"Sally","family":"Hogg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6944-6428","authenticated-orcid":false,"given":"Rose","family":"Coates","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6153-2460","authenticated-orcid":false,"given":"Susan","family":"Ayers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the MATRIx Study Team","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2023,7,13]]},"reference":[{"key":"S2056472423005100_ref63","first-page":"609","article-title":"The workload of GPs: consultations of patients with psychological and somatic problems compared","volume":"55","author":"Zantinge","year":"2005","journal-title":"Br J Gen Pract"},{"key":"S2056472423005100_ref1","volume-title":"MBRRACE-UK: Saving Lives, Improving Mothers\u2019 Care 2020: Lessons to Inform Maternity Care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2016-18","author":"Knight","year":"2020"},{"key":"S2056472423005100_ref74","unstructured":"74 NIHR School for Public Health Research Public Mental Health Programme. 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