Outcomes of Implementing Routine Screening and Referrals for Perinatal Mood Disorders in an Integrated Multi-site Pediatric and Obstetric Setting

Autor:	Christopher S. Greeley, Lucy J. Puryear, Yen H. Nong, Nancy P. Correa, Katherine Cox
Rok vydání:	2019
Předmět:	Adult Postpartum depression medicine.medical_specialty Adolescent Referral Epidemiology Poison control Referring Physician Pediatrics Occupational safety and health 03 medical and health sciences 0302 clinical medicine Pregnancy Surveys and Questionnaires 030225 pediatrics Humans Mass Screening Medicine Referral and Consultation Psychiatric Status Rating Scales 030219 obstetrics & reproductive medicine Delivery of Health Care Integrated Mood Disorders business.industry Public health Public Health Environmental and Occupational Health Obstetrics and Gynecology Middle Aged medicine.disease Quality Improvement Texas Mental health Obstetrics Edinburgh Postnatal Depression Scale Family medicine Pediatrics Perinatology and Child Health Female business
Zdroj:	Maternal and Child Health Journal. 23:1292-1298
ISSN:	1573-6628 1092-7875
DOI:	10.1007/s10995-019-02780-x
Popis:	We report on a successful quality improvement project designed to increase access to perinatal mental health services through universal screening for postpartum depression (PPD) and facilitating referrals for evaluation and treatment, at a multi-site, integrated system of pediatric and obstetric practices in Houston, Texas. Obstetric practices administered screenings twice during pregnancy and at 6 weeks postpartum. Pediatric practices screened women at the 2 week and 2, 4, and 6-month well-baby visit. Women with a score of 10 or higher on the Edinburgh Postnatal Depression Scale (EPDS) or women that reported thoughts of self-harm were offered a referral to a mental health provider. Data on screening and referrals were collected from the electronic medical record. A total of 102,906 screens for PPD were completed between May 2014 and July 2018. Of those, 6487 (6.3%) screened positive. The total number of women referred to treatment were 3893 (3.8%). Of referred women 2172 (55.8%) completed an appointment with a mental health provider within 60 days of referral. Rates of completed appointments varied by the level of integration of the mental health provider and referring physician: women referred by pediatrics in a Level 1 coordinated system completed 20.0% of referrals; obstetrics Level 4 co-located system, 76.6%; and obstetrics Level 5 integrated model, 82.7%. This project demonstrated that with planning, systems review and trained staff, PPD screening can be integrated into obstetric and pediatric practices and high screening and referral rates can be achieved.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f35704247f143b1508a632cd07760b10 https://doi.org/10.1007/s10995-019-02780-x Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.