21-Day Dyad Clinical Stabilization Trajectory
Day 11
Projected Symptom Remission
86 / 100
Dyadic Attachment Index
18%
Separation Trauma Residual
Maternal Psychosis Severity (YMRS/BPRS proxy)
Mother-Infant Dyadic Attachment Index
Supervised Infant Care Independence
Comparative Care Model Matrix
| Care Domain | UK Specialized MBU Protocol | Standard Inpatient Separation |
|---|---|---|
| Dyad Placement | Mother and baby admitted together in single en-suite room with nursery cot. | Mother admitted to general adult psych ward; infant remains home or in foster care. |
| Specialized Staffing | Perinatal psychiatrists + registered nursery nurses available 24/7 for safe handling. | General psychiatric nurses without infant care or postpartum physiologic training. |
| Pharmacovigilance | Active lactation-compatible neuroleptic titration protocols; infant monitoring on-site. | Lactation suppression frequently enforced; limited postpartum endocrine oversight. |
| Attachment & Trauma | Graduated maternal caregiving restores maternal confidence and neural dyad attunement. | Acute separation induces severe maternal guilt, dissociation, and disrupted bonding. |