Swartz, Holly A.
Allison, Jeroan J.
Ziedonis, Douglas M.
UMass Chan AffiliationsUMass Worcester Prevention Research Center
School of Medicine
Department of Family Medicine and Community Health
Department of Medicine, Division of Preventive and Behavioral Medicine
Department of Quantitative Health Sciences
Systems and Psychosocial Advances Research Center
Department of Psychiatry
Maternal and Child Health
Mental and Social Health
Psychiatric and Mental Health
Psychiatry and Psychology
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AbstractMost women with perinatal depression do not receive depression treatment. The authors describe the development and beta testing of a new program, PRogram In Support of Moms (PRISM), to improve treatment of perinatal depression in obstetric practices. A multidisciplinary work group of seven perinatal and behavioral health professionals was convened to design, refine, and beta-test PRISM in an obstetric practice. Iterative feedback and problem solving facilitated development of PRISM components, which include provider training and a toolkit, screening procedures, implementation assistance, and access to immediate psychiatric consultation. Beta testing with 50 patients over two months demonstrated feasibility and suggested that PRISM may improve provider screening rates and self-efficacy to address depression. On the basis of lessons learned, PRISM will be enhanced to integrate proactive patient engagement and monitoring into obstetric practices. PRISM may help overcome patient-, provider-, and system-level barriers to managing perinatal depression in obstetric settings.
Psychiatr Serv. 2016 Apr 15:appips201600049. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/45527
Co-author Safiyah Hosein is a medical student at UMass Medical School.