Intervention	Who
+ Postnatal Interview using the Promotional Guide 36 Includes Whooley questions	Health visitor at 8 weeks
+ Screen parent-infant interaction Parent-Infant Interaction Observation Scale (PIIOS) 74 Ages and Stages Questionnaire75	Health visitor at 8 weeks
+ Support mental wellbeing Teach ‘mindfulness’ skills or invite to stress reduction groups Encourage parent ‘special time’ for self Encourage the use of relaxation techniques	Health visitors Children’s centre practitioners GPs
+ Support for healthy couple relationships One Plus One44	Voluntary sector
+ Support development of social networks Invite to attend infant massage group Encourage to attend children’s centre activities Use of local voluntary sector services to support families (i.e. the national charity Home-Start76)	Health visitors Children’s centre practitioners Voluntary sector services
+ Referral pathways for women with additional needs: Universal Plus Additional visits by health visitor/midwives Group-based support (see above) Family Nurse Partnership49, 50	Health visitors and midwives refer through GPs to specialist perinatal mental health services
+ Referral pathways for women with additional needs: Universal Partnership Plus Domestic abuse support worker Substance/alcohol dependency worker; Parents Under Pressure IAPT (Improving Access to Psychological Therapies) National counselling service for parents with Anxiety and Depression Access to a specialist perinatal and infant mental health services (e.g. Mother and Baby In-Patient and Day Units; parent-infant psychotherapy; Perinatal psychologist	Referrals may be made directly to IAPT services. Women may also self-refer to IAPT services Specialist mental health practitioners (e.g. psychologist; psychiatrists etc.)