Strategies for improving perinatal depression treatment in North American outpatient obstetric settings
| Autor: | Nancy Byatt, Douglas M. Ziedonis, Rebecca S. Lundquist, Julia V. Johnson, Tiffany A. Moore Simas |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Postnatal Care Postpartum depression Referral MEDLINE Psychological intervention Mothers Depression Postpartum Young Adult Nursing Pregnancy Health care Ambulatory Care medicine Humans business.industry Obstetrics and Gynecology Professional-Patient Relations Patient Acceptance of Health Care medicine.disease Quality Improvement Mental health Perinatal Care Women's Health Services Psychiatry and Mental health Clinical Psychology Reproductive Medicine North America Women's Health Antenatal depression Female business Perinatal Depression |
| Zdroj: | Journal of Psychosomatic Obstetrics & Gynecology. 33:143-161 |
| ISSN: | 1743-8942 0167-482X |
| Popis: | Objective: To identify core barriers and facilitators to addressing perinatal depression and review clinical, programmatic, and system level interventions that may optimize perinatal depression treatment. Method: Eighty-four MEDLINE/PubMed searches were conducted using the terms perinatal depression, postpartum depression, antenatal depression, and prenatal depression in association with 21 other terms. Of 7768 papers yielded in the search, we identified 49 papers on barriers and facilitators, and 17 papers on interventions in obstetric settings aimed to engage women and/or providers in treatment. Results: Barriers include stigma, lack of obstetric provider training, lack of resources and limited access to mental health treatment. Facilitators include validating and empowering women during interactions with health care providers, obstetric provider and staff training, standardized screening and referral processes, and improved mental health resources. Conclusion: Specific clinical, program, and system level changes are recommended to help change the culture of obstetric care settings to optimize depression treatment. |
| Databáze: | OpenAIRE |
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