**3. Training and support**

Reviews of both the SAFESTART and Beyond Blue guideline implementations indicate that additional training and support are required for primary health care staff, including midwives and child and family health nurses to undertake psychosocial and depression screening and to provide a more psychosocial emphasis in their work. A comprehensive schedule of recommended psychosocial screening and assessment training at basic, intermediate and advanced [37].

A training model must include the further education of as many midwives as possible on psychosocial screening and risk factors, implementing the assessment/ screening process, processes for follow-up, and the establishment of referral pathways, with ongoing professional development workshops to support staff attrition. However, this will only be successful if the individual health care service is supportive of the intervention, including making a substantive commitment. The private sector will be required to engage and facilitate interdisciplinary collaboration and interest and make a financial commitment to additional resources (including time) for psychosocial screening within their private model of obstetric care [44].
