Participatory action research: researching with disenfranchised populations

292 community mental health clinicians as advocates for their pregnant clients, has been developed. Additional outcomes include an education package to up-skill clinicians in using the resource, a surveillance system to identify at-risk cases and an information system to enable evaluation of the impact on obstetric and child health outcomes. Conclusion: This primary preventive intervention has the potential to signifi cantly improve obstetric and neonatal outcomes for this high-risk cohort.