INFORMATION FOR HEALTHCARE PROVIDERS
What resources does Project Healthy Moms offer to educate providers?
Project Healthy Moms offers a variety of services for provider education and resource linkage.
- PMAD Screening and Identification Training: Project Healthy Moms’ PMAD Screening and Identification Trainings will be aimed at providers (i.e. physicians, nurses, social workers, etc) who come in contact with childbearing women. Healthcare providers who are involved in maternal and child health will be trained through the “Screening and Identification Training” to screen mothers and recognize signs and symptoms of PMADs. Participants in the trainings will be educated about the spectrum of PMADs, consequences of untreated PMADs, risk factors, and components of recovery. The training will ensure that healthcare professionals are able to correctly and routinely identify and refer women who may be suffering from PMADs in their practices. To schedule a training, please contact Jewell Gooding at firstname.lastname@example.org or at 678-904-1970
- Online Tool Kit: Project Healthy Moms provides an online Perinatal Depression Screening Tool Kit to providers who interact with pregnant and/or postpartum women throughout Georgia. Tool-Kits include evidence-base for screening, a screening tool and scoring sheet in English and Spanish, Georgia specific referral list, and English and Spanish brochure/poster templates to promote dialogue between provider and mother. The online Tool Kit can be found here.
- MHA of Georgia’s Project Healthy Moms offers a resource list of healthcare provides and outlets for self-care that specialize in providing care for pregnant or postpartum women. Please note that although we know that seeking professional help is vital, a woman can complement her treatment plan with self-care and other support strategies. This resource list is comprehensive and includes many resources that may be combined. To view and download this list, click here.
- Pregnant Pause is a monthly newsletter intended to keep Georgia healthcare providers up-to-date with the current events surrounding perinatal mood and anxiety disorders. By publishing this newsletter, Project Healthy Moms and MHA of Georgia hope to increase awareness identification, treatment and support of PMADs. If you have missed our previous issues, click here. If you would like to sign up to receive the monthly newsletter, click here.
What are the screening recommendations for perinatal depression?
American Academy of Pediatrics (AAP)
- Screening for Maternal Perinatal Depression
This article by Frances P. Glascoe provides tools and model approaches for screening for perinatal depression.
- Incorporating recognition and management of perinatal and postpartum depression into pediatric practice (Earls, 2010)
This report recommends screening using the Edinburgh Postnatal Depression Scale at the 1-, 2-, 4-, and 6-month well-child visits.
American College of Obstetricians and Gynecologists (ACOG) and American Psychiatric Association (APA)
- The Management of Depression During Pregnancy: A Report from the American Psychiatric Association and The American College of Obstetricians and Gynecologists (2009)
- News release about the ACOG/APA report
- ACOG 2010 Committee Opinion on screening for depression during and after pregnancy states that “screening for depression has the potential to benefit a woman and her family and should be strongly considered. Women with a positive assessment require follow-up evaluation and treatment if indicated. Medical practices should have a referral process for identified cases. Women with current depression or a history of major depression warrant particularly close monitoring and evaluation.
What other online educational resources are available for healthcare providers who serve pregnant and/or postpartum women?
There are a variety of online webinars, PowerPoint presentations, and other in-person educational opportunities aimed specifically at healthcare providers who serve pregnant and/or postpartum women. Here is one that may be helpful:
- MedEd PPD has developed a series of nine free online learning modules to educate healthcare providers on a variety of topics including postpartum depression screening and practice barriers to treating postpartum depression. The modules were created by MDs and PhDs with a background in perinatal mood and anxiety disorders. To access the online learning modules, click here.
- The American Academy of Family Physicians Postpartum Depression Toolkit provides educational slides, tools for screening and diagnosis, and information about treatment, patient self-help, follow up, and monitoring.
As awareness of PMADs and their prevalence among mothers grows, research on PMADs has increased. Here is a list of links to recent publications on perinatal mood and anxiety disorders, screening, treatment, and other related topics:
Prevalence and risk factors
Depressive disorders during pregnancy: Prevalence and risk factors in a large urban sample
Melville, J., Gavin, A., Guo, Y., Fan, M., & Katon, W. (2010).Obstetrics and Gynecology
Mental health and access to services among US women of reproductive age
Farr, S., Bitsko, R., & Hayes, D. (2010). American Journal of Obstetrics and Gynecology
Psychiatric disorders in pregnant and postpartum women in the United States
Vesga-Lopez, O., Blanco, C., Keyes, K., Olfson, M., Grant, B.F., & Hasin, D.S. (2008). Archives of General Psychiatry
Obsessional thoughts and compulsive behaviors in a sample of women with postpartum mood symptoms
Abramowitz, J., Meltzer-Brody, S., Leserman, J., Killenberg, S., Rinaldi, K., Mahaffey, B., & Pederson, C. (2010). Archives of Women’s Mental Health
Prenatal and postpartum depression in fathers and its association with maternal depression: A meta-analysis
Paulson, J.F. & Bazemore, S.D. (2010). Journal of the American Medical Association
Perinatal depression: prevalence, screening accuracy, and screening outcomes
Gaynes, B.N., Swinson, T., Gartlehner, G., Brody, S., & Miller, W.C. (2005). Evidence Report/Technology Assessment: Agency for Healthcare Research and Quality
Screening and treatment
- Incorporating recognition and management of perinatal and postpartum depression into pediatric practice
Earls, M.F. (2010). Pediatrics
- American College of Obstetricians and Gynecologists Committee Opinion: Screening for Depression During and After Pregnancy.
ACOG-Committee on Obstetric Practice. (2010). Obstetrics and Gynecology
- Diagnosis, pathophysiology, and management of mood disorders in pregnant and postpartum women.
Yonkers, K.A., Vigod, S., & Ross, L.E. (2011). Obstetrics and Gynecology
- Assessment and treatment of bipolar II postpartum depression: A review
Sharma, V., Burt, V.K., & Ritchie, H.L. (2010). Journal of Affective Disorders
- A randomized controlled trial of culturally relevant, brief interpersonal psychotherapy for perinatal depression
Grote, N., Swartz, H., Geibel, S., Zuckoff, A., Houck P., & Frank, E. (2009). Psychiatric Services
- Relapse of major depression during pregnancy in women who maintain or discontinue antidepressant treatment
Cohen, L., et al. (2006). Journal of the American Medical Association
- Postpartum depression peer support: Maternal perceptions from a randomized controlled trial
Dennis, C. (2009). International Journal of Nursing Studies
Health effects upon mother and baby
- Perinatal Mood Disorders and their impact upon the health of mother and baby
A review of the literature by MHA of Georgia (2010)
- Parenthood and mental health: A bridge between infant and adult psychiatry
Tyano, S., Keren, M., Herman, H., & Cox, J. (2010).
Perinatal mood disorders and culture/ethnicity/race
- Postpartum depression and culture: Pesado corazon
Callister, L., Beckstrand, R., & Corbett, C. (2010). The American Journal of Maternal Child Nursing
- Violence and other stressful life events as triggers of depression and anxiety: What psychosocial resources protect African American mothers?
Mitchell, S. & Ronzio, C. (2010). Maternal and Child Health Journal
- Risk factors for prenatal depressive symptoms among Hispanic women
Fortner, R.T., Pekow, P., Dole, N., Markenson, G., Chasan-Taber, L. (2010). Maternal and Child Health Journal