Improving perinatal depression care: the Massachusetts Child Psychiatry Access Project for Moms - 02/05/16
, Kathleen Biebel, PhD a, Tiffany A. Moore Simas, MD, MPH, MEd a, Barry Sarvet, MD b, Marcy Ravech, MSW c, Jeroan Allison, MD, MS a, John Straus, MD cAbstract |
Objective |
Perinatal depression is common and associated with poor birth, infant and child outcomes. Screening for perinatal depression alone does not improve treatment rates or patient outcomes. This paper describes the development, implementation and outcomes of a new and low-cost population-based program to help providers address perinatal depression, the Massachusetts Child Psychiatry Access Project (MCPAP) for Moms.
Method |
MCPAP for Moms builds providers' capacity to address perinatal depression through (1) trainings and toolkits on depression screening, assessment and treatment; (2) telephonic access to perinatal psychiatric consultation for providers serving pregnant and postpartum women; and (3) care coordination to link women with individual psychotherapy and support groups.
Results |
In the first 18months, MCPAP for Moms enrolled 87 Ob/Gyn practices, conducted 100 trainings and served 1123 women. Of telephone consultations provided, 64% were with obstetric providers/midwives and 16% were with psychiatrists. MCPAP for Moms costs $8.38 per perinatal woman per year ($0.70 per month) or $600,000 for 71,618 deliveries annually in Massachusetts.
Conclusion |
The volume of encounters, number of women served and low cost suggest that MCPAP for Moms is a feasible, acceptable and sustainable approach that can help frontline providers effectively identify and manage perinatal depression.
Le texte complet de cet article est disponible en PDF.Keywords : Depression, Perinatal, Pregnancy, Postpartum, Treatment
Plan
| Disclosures: The first author has received salary and funding support from the Massachusetts Department of Mental Health via the Massachusetts Child Psychiatry Access Project (MCPAP) for Moms and is the Medical Director of MCPAP for Moms. The second author has received salary and funding support from the Massachusetts Department of Mental Health via the MCPAP for Moms and is the Program Director of MCPAP for Moms. The third author serves as a representative to the MA section of the American College of Obstetricians and Gynecologists on the MA Governor's Commission on Postpartum Depression and serves as an Ob/Gyn liaison to MCPAP for Moms. The fourth author has received salary and funding support from the Massachusetts Department of Mental Health via the MCPAP and is the Medical Director of MCPAP. The fifth author has received salary and funding support from the Massachusetts Department of Mental Health via the MCPAP and is the Program Director of MCPAP. The last author has received salary and funding support from the Massachusetts Department of Mental Health via the MCPAP and is the Founding Director of MCPAP. The first author had full access to all the data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis. |
Vol 40
P. 12-17 - mai 2016 Retour au numéro
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