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dc.contributor.authorByatt, Nancy
dc.contributor.authorBiebel, Kathleen
dc.contributor.authorLundquist, Rebecca
dc.contributor.authorMoore Simas, Tiffany A.
dc.contributor.authorDebordes-Jackson, Gifty
dc.contributor.authorAllison, Jeroan J.
dc.contributor.authorZiedonis, Douglas M.
dc.date2022-08-11T08:10:28.000
dc.date.accessioned2022-08-23T17:10:21Z
dc.date.available2022-08-23T17:10:21Z
dc.date.issued2012-11-12
dc.date.submitted2012-11-26
dc.identifier.citationNancy Byatt, Kathleen Biebel, Rebecca S. Lundquist, Tiffany A. Moore Simas, Gifty Debordes-Jackson, Jeroan Allison, Douglas Ziedonis. (2012) Patient, provider, and system-level barriers and facilitators to addressing perinatal depression. Journal of Reproductive and Infant Psychology. 2012 Nov;30(5):436-449. DOI: 10.1080/02646838.2012.743000
dc.identifier.doi10.1080/02646838.2012.743000
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46027
dc.description.abstractObjective: To explore perinatal health care professionals’ perspectives on barriers and facilitators to addressing perinatal depression. Background: Perinatal depression is common and associated with deleterious effects on mother, foetus, child and family. Although the regular contact between mothers and perinatal health care professionals may make the obstetric setting ideal for addressing depression, barriers persist, and depression remains under-diagnosed and under-treated. Methods: Four 90-minute focus groups were conducted with perinatal health care professionals, including obstetric resident and attending physicians, licensed independent practitioners, nurses, patient care assistants, social workers and administrative support staff. Focus groups were transcribed, and resulting data were analysed using a grounded theory approach. Results: Participants identified patient-, provider- and system-level barriers and facilitators to addressing perinatal depression. Provider-level barriers included lack of resources, skills and confidence needed to diagnose, refer and treat perinatal depression. Limited access to mental health care and resources were identified as system-level barriers. Facilitators identified included targeted training for perinatal health care professionals’, structured screening and referral processes, and enhanced support and guidance from mental health providers. Conclusion: A complex set of interactions between women and perinatal health care professionals contributes to perinatal depression being untreated. Service gaps could be closed by addressing identified barriers through integrated obstetric and depression care and enhanced collaborations. Future intervention testing could include targeted training, improved access, and mental health provider support to empower perinatal health care professionals’ to address perinatal depression, and thereby improve delivery of depression treatment in obstetric settings.
dc.language.isoen_US
dc.relation.urlhttp://dx.doi.org/10.1080/02646838.2012.743000
dc.subjectDepression, Postpartum
dc.subjectPerinatal Care
dc.subjectCommunity Mental Health Services
dc.subjectCommunity Mental Health Centers
dc.subjectMental and Social Health
dc.subjectObstetrics and Gynecology
dc.subjectPsychiatry
dc.subjectPsychiatry and Psychology
dc.subjectWomen's Health
dc.titlePatient, provider, and system-level barriers and facilitators to addressing perinatal depression
dc.typeJournal Article
dc.source.journaltitleJournal of Reproductive and Infant Psychology
dc.source.volume30
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/psych_pp/554
dc.identifier.contextkey3489840
html.description.abstract<p><strong>Objective:</strong> To explore perinatal health care professionals’ perspectives on barriers and facilitators to addressing perinatal depression. <strong></strong></p> <p><strong>Background:</strong> Perinatal depression is common and associated with deleterious effects on mother, foetus, child and family. Although the regular contact between mothers and perinatal health care professionals may make the obstetric setting ideal for addressing depression, barriers persist, and depression remains under-diagnosed and under-treated.</p> <p><strong>Methods:</strong> Four 90-minute focus groups were conducted with perinatal health care professionals, including obstetric resident and attending physicians, licensed independent practitioners, nurses, patient care assistants, social workers and administrative support staff. Focus groups were transcribed, and resulting data were analysed using a grounded theory approach. <strong></strong></p> <p><strong>Results:</strong> Participants identified patient-, provider- and system-level barriers and facilitators to addressing perinatal depression. Provider-level barriers included lack of resources, skills and confidence needed to diagnose, refer and treat perinatal depression. Limited access to mental health care and resources were identified as system-level barriers. Facilitators identified included targeted training for perinatal health care professionals’, structured screening and referral processes, and enhanced support and guidance from mental health providers. <strong></strong></p> <p><strong>Conclusion:</strong> A complex set of interactions between women and perinatal health care professionals contributes to perinatal depression being untreated. Service gaps could be closed by addressing identified barriers through integrated obstetric and depression care and enhanced collaborations. Future intervention testing could include targeted training, improved access, and mental health provider support to empower perinatal health care professionals’ to address perinatal depression, and thereby improve delivery of depression treatment in obstetric settings.</p>
dc.identifier.submissionpathpsych_pp/554
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentDepartment of Obstetrics and Gynecology
dc.contributor.departmentDepartment of Psychiatry
dc.source.pages436-449


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