DAPPER-studie

INTERVENTION: RCT: Daycare vs treatment as usual (TAU). At the Erasmus MC psychiatry department there's a weekly daycare for (max 8) psychiatric, pregnant women. This multidisciplenary treatment consists of the following components: 1. Theme discussion guided by a social psychiatric nurse; 2. Psychoeducation by a psychiatrist; 3. Psychomotor therapy, focused on contact between mother and child; 4. Cognitive‐behavioral therapy; 5. Relaxation therapy. The individual outpatient care (TAU) is a low frequency counseling / treatment provided by a social psychiatric nurse or doctor in training as a psychiatrist, with the primary goal of psychological education and symptom reduction, related to psychiatric symptoms. CONDITION: ; Personality disorder, Delivering women, Psychiatric disorders, Group therapy ; ; PRIMARY OUTCOME: To evaluate the efficiency of the daycare for psychiatric, pregnant women.; ; Degree of (maternal) psychiatric complain reduction, based on psychiatric questionnaires, ie % EPDS <13. SECONDARY OUTCOME: 1. Mother: Psychiatric morbidity: ; ; A. Degree of psychiatric complain reduction, based on psychiatric questionnaires, ie % mean BSI and % Hamilton depression scale; ; ; B. Degree of other (related psychiatric) care use. ; ; 2. Mother: Obstetric outcome: ; ; A. Degree of psychiatric‐ and drugfree days; ; ; B. Degree of other (obstetric) care use. ; ; 3. Child: Obstetric outcome: ; ; A. Birth weight, gestational age, apgar‐score, fetal death and first week hospitalization. INCLUSION CRITERIA: 1. Pregnant (>12 weken); 2. Psychiatric and/or personality disorder; 3. Informed consent.