Autor: |
Griffen A; Adrienne Griffen (agriffen@mmhla.org) is the executive director of the Maternal Mental Health Leadership Alliance in Arlington, Virginia., McIntyre L; Lynne McIntyre is the chief mental health officer at Mammha and a coordinator for Postpartum Support International, in Barcelona, Spain., Belsito JZ; Jamie Zahlaway Belsito is the policy director at the Maternal Mental Health Leadership Alliance in Topsfield, Massachusetts., Burkhard J; Joy Burkhard is the executive director of 2020 Mom, in Los Angeles, California., Davis W; Wendy Davis is the executive director of Postpartum Support International, in Portland, Oregon., Kimmel M; Mary Kimmel is an assistant professor in the Department of Psychiatry, University of North Carolina at Chapel Hill, in Chapel Hill, North Carolina., Stuebe A; Alison Stuebe is a professor in the Department of Maternal-Child Health and the Department of Obstetrics and Gynecology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill., Clark C; Crystal Clark is an associate professor in the Department of Psychiatry and Behavioral Sciences and the Department of Obstetrics and Gynecology, Northwestern University, in Chicago, Illinois., Meltzer-Brody S; Samantha Meltzer-Brody is the department chair in the Department of Psychiatry, University of North Carolina at Chapel Hill. |
Abstrakt: |
In the United States, mental health conditions are the most common complications of pregnancy and childbirth, and suicide and overdose combined are the leading cause of death for new mothers. Although awareness of and action on perinatal mental health is increasing, significant gaps remain. Screening and treatment are widely recommended but unevenly implemented, and policies and funding do not adequately support the mental health of childbearing people. As a result, treatable perinatal mental health conditions can have long-term, multigenerational negative consequences. This article provides an overview of the perinatal mental health landscape in the United States by identifying serious gaps in screening, education, and treatment; describing recent federal and state policy efforts; highlighting successful models of care; and offering recommendations for robust and integrated perinatal mental health care. |