There's very little internationally. We submitted a project five times to the health research institute, looking into quantitatively following parents over a period of three to five years. We were told, since the stats were not really good, that there were only about 100 people a year who were bereaved from the death of a child, so we wouldn't have the parents who we wanted to follow. We had to demonstrate that miscarriage is also an important factor, and we have published on the impact of miscarriage on mental health in mothers, up to two years after miscarriage, that they still carry this problem.
I think we really need to be looking at parents—from their trajectory of grief, their trajectory of services, the repercussions on their lives, and going through the next pregnancy and the growth and development of those children afterwards—to see how we can best help those parents. We put all kinds of measures of support in place, but they're not always evaluated.
Chantal and I did four-hour workshops with nurses in emergency rooms. We were able to improve the care of those nurses 100%, not only with parents who were bereaved from the death of a child, but every patient who came in with a mental health problem was greeted differently after this workshop.
It's not a really big investment—four hours—to touch 100 nurses who are going to touch 4,000 families a year, only with the bereavement, and all the others. Sometimes putting the money in the right place, training people correctly, evaluating the results of this training, the projects that we did with Movember that you can see, with the DVDs and things that are online and available.... These are all things that are helping parents and are available.
One thing I wanted to say was that the 20 weeks I mentioned before—ideally we would have a year, but we have to be realistic—needs to be flexible. I think some dads might say they're okay to go back to work after a couple of weeks, but maybe they'll be caught up six months later and find that they have less energy and less productivity. As their spouse is getting better, the dads get worse, and they are surprised at that.
Having access to bereavement support in the work area is also a way—not only psychological support, but bereavement support, naming it: the cat is a cat. Bereavement support, for fathers, for men, might be more agreeable to them to go get that kind of help than to go get psychological support.