Table 1.
No | Statement | Factor 1 | Factor 2 |
---|---|---|---|
1 | The MBU provides time to take part in Baby TP | 1 | 2 |
2 | It is important that Baby TP fits nicely with the ethos of the unit | 0 | −1 |
3 | The skills taught in Baby TP need to generalise to environments other than the MBU | 3 | 6 |
4 | When mothers are unwell, Baby TP will be intolerable | −1 | −3 |
5 | Mental health issues prevent mothers from accessing Baby TP | −3 | −4 |
6 | Baby TP needs to fit with the mothers’ mental health | 4 | −1 |
7 | Baby TP should be flexible to the mothers mental health status | 2 | 3 |
8 | Baby TP will be fluid and flexible | −1 | 0 |
9 | Baby TP will be flexible to cope with unplanned events | 0 | 4 |
10* | The facilitator needs to be skilled in their explanation of Baby TP | 1 | 1 |
11 | Staff rolling out Baby TP need to have a thorough knowledge about mother and baby | 1 | −2 |
12 | Baby TP will make women’s anxieties about their ability to parent worse | −3 | −4 |
13 | It is important for staff to be able to answer questions about Baby TP | 4 | 2 |
14 | Baby TP is a reactive response from “anxious” professionals | −5 | −4 |
15 | Staff need to believe that Baby TP benefits the mother | 1 | 0 |
16 | The techniques of Baby TP flow through to the staff on the MBU | −2 | 1 |
17 | It is important that all staff know which mothers are using the Baby TP techniques | 2 | −1 |
18 | It is important that the mother thinks Baby TP is worthwhile | 4 | 1 |
19 | It is important that mothers are open to change | 2 | 4 |
20 | If the mother has unchangeable situations at home, Baby TP is not going to be helpful | −4 | −6 |
21 | Mothers want to be recognised for the work they are doing in Baby TP | 0 | 2 |
22 | Baby TP is “preachy” | −5 | −3 |
23 | People providing Baby TP should only suggest techniques | −1 | −3 |
24 | A trusting relationship with the Baby TP therapist is important | 5 | 3 |
25 | One-to-one work will make it easier for mothers to say when they find Baby TP difficult | 5 | 1 |
26 | If the relationship between the Baby TP facilitator and mother is not working, neither will Baby TP | −1 | 0 |
27* | It is important that Baby TP complements what staff already know | −1 | −1 |
28* | Doing Baby TP will make mothers feel like “bad parents” | −6 | −6 |
29 | Baby TP might make people feel like they are being unfairly judged or blamed | −4 | −3 |
30 | It is important that mothers doing Baby TP can gauge their progress | 4 | 2 |
31* | It is important for mothers to feel they have achieved something | 5 | 5 |
32 | Baby TP is an extra thing to engage in and will make mothers feel overwhelmed | −4 | −5 |
33 | It is OK for Baby TP to be challenging for mothers | 0 | 3 |
34 | Mothers should have ongoing support in doing Baby TP | 3 | 2 |
35 | It is important that the mother’s family are open to change | −1 | 0 |
36 | Baby TP will help develop skills that can help deal with family problems | −1 | 6 |
37* | It is important that Baby TP sessions do not interfere with family visits on the MBU | −2 | −2 |
38 | It is important that mothers feel in control and responsible for Baby TP | 2 | 0 |
39 | Well delivered Baby TP will maintain overall confidence in the MBU | 1 | 0 |
40 | Baby TP will be helpful for mothers to meet their parenting needs | 2 | 6 |
41 | If a mother is severely depressed, they will not have the motivation to do Baby TP | 1 | −2 |
42 | Whilst staying on the MBU it is easy for mothers to commit to Baby TP | −2 | 2 |
43* | In order to engage in Baby TP, staff expect mothers to be open to learning | 0 | 0 |
44 | Baby TP will use all the mothers energy and focus | −6 | −4 |
45 | It is important that the Baby TP therapist works with both mother and baby | 4 | −3 |
46 | Baby TP will address mothers feelings of uncertainty | 0 | 1 |
47 | It is important that Baby TP engages with the current situation and needs of the mother | 6 | 4 |
48 | It is important that mothers have a positive attitude towards recovery from illness | 2 | 1 |
49* | Taking part in Baby TP will be a positive experience | 1 | 1 |
50* | It is important that mothers discuss Baby TP with other like-minded people | −3 | −3 |
51* | There is no opportunity to practice the Baby TP skills on the MBU | −6 | −6 |
52* | It is important that Baby TP is easy for mothers to do | −1 | −1 |
53* | Baby TP will be about what has gone wrong for mother and baby | −5 | −5 |
54 | Baby TP needs to emphasise the positive so as not to make the mother’s mental illness worse | 2 | 3 |
55 | The way Baby TP is presented to mothers will be important | 3 | 0 |
56 | It is important that Baby TP does not go against what mothers already know | −1 | −4 |
57* | It is important for the mother to recognise what she has done well | 5 | 5 |
58* | It is important for the mother to recognise what she could have done differently | 2 | 2 |
59* | It is important for the mother to recognise what she has done wrong | −2 | −2 |
60 | Staff need to think about what parts of the Baby TP would be helpful for mothers | 3 | 0 |
61 | It is important to encourage staff to reflect | 0 | 3 |
62 | Staff need support and training to feel confident in delivering the Baby TP skills | 6 | 3 |
63 | All staff should have the same training in Baby TP | 1 | 0 |
64* | It is important that both staff and mothers will find Baby TP enjoyable | 1 | 1 |
65 | Staff have too much work to do to support Baby TP skills adequately | −4 | −5 |
66 | Baby TP will be easily incorporated into the workload of staff | −2 | −1 |
67 | Baby TP should not have too much paperwork for staff to do | −3 | 2 |
68* | It is important that Baby TP only takes a small amount of staff time | −3 | −3 |
69 | Baby TP should be a priority for the MBU | −2 | 2 |
70 | Baby TP should not get in the way of other MBU work | −3 | −2 |
71 | Baby TP is about learning new skills | 0 | 1 |
72 | Baby TP provides a safe place for mothers who have mental health issues | −2 | −1 |
73 | It is important Baby TP will highlight the importance of mothers looking after themselves | 0 | 5 |
74 | Engagement with mothers must be the priority in Baby TP | 3 | 5 |
75 | Doing Baby TP would make mother’s feel exposed or a bad mother | −4 | −5 |
76 | Staff attitude affects engagement on Baby TP | 1 | 4 |
77 | Mothers want factual information about parenting | 0 | 4 |
78 | Practical materials are essential | −2 | 3 |
79 | Baby TP comes at the wrong time | −5 | 0 |
80 | The Baby TP therapist needs to really sell the programme to mothers | −3 | −1 |
81 | It is important for all staff on the MBU to have a clear role within Baby TP | 3 | −2 |
82* | All staff should support what is done in Baby TP | −1 | −1 |
83 | It is important that mothers and Baby TP therapists work together to solve the mother’s problems | 2 | 1 |
84 | It is important that staff understand why Baby TP works | 6 | 0 |
85 | Mothers being able to make choices in Baby TP is important | 3 | −1 |
86 | Mothers should decide when they want to do Baby TP sessions | 0 | −2 |
87 | Mothers need to know what they can do and cannot do for Baby TP to work | 0 | −2 |
88* | Baby TP needs to be based on common-sense | −2 | −2 |
Consensus statement [statements 10; 27; 28; 31; 37; 43; 49; 50; 51; 52; 53; 57; 58; 59; 64; 68; 82; 88]