Massachusetts Child Psychiatry Access Program for Moms: Utilization and Quality Assessment
UMass Chan Affiliations
Systems and Psychosocial Advances Research CenterDepartment of Obstetrics and Gynecology
Department of Psychiatry
Document Type
Journal ArticlePublication Date
2018-08-01Keywords
UMCCTS fundingFemale Urogenital Diseases and Pregnancy Complications
Maternal and Child Health
Mental Disorders
Obstetrics and Gynecology
Psychiatry
Psychiatry and Psychology
Translational Medical Research
Metadata
Show full item recordAbstract
OBJECTIVE: To describe the utilization and quality assessment of a population-based program to help health care providers address mental health and substance use disorders among pregnant and postpartum women, the Massachusetts Child Psychiatry Access Program for Moms (MCPAP for Moms). METHODS: The Massachusetts Child Psychiatry Access Program for Moms builds health care providers' capacity to address perinatal mental health and substance use disorders through 1) trainings and toolkits, 2) telephonic access to perinatal psychiatric consultation, and 3) facilitating referral to community resources. Clinical encounter data were collected during telephone consultations. Focus groups were conducted with health care providers and staff from enrolled practices. In-depth interviews were conducted with patients served by the practices that participated in the focus groups. Transcribed interviews were analyzed by two researchers using an iterative, interpretive process with a grounded theory framework. RESULTS: In the first 3.5 years, MCPAP for Moms enrolled 145 obstetric practices, conducted 145 trainings for 1,174 health care providers, and served 3,699 women. Of telephone consultations provided, 42% were with obstetric care providers-midwives and 16% with psychiatrists. Health care providers perceived that MCPAP for Moms facilitates health care providers detecting and addressing depression and women disclosing symptoms, seeking help, and initiating treatment. Obstetric practices reported that they need additional support to more proactively address and further improve depression care. CONCLUSION: The high volume of encounters, sustained utilization over 3.5 years, and qualitative themes identified from health care providers and patients demonstrate that MCPAP for Moms is a feasible, acceptable, and sustainable approach to increasing access to evidence-based treatments for perinatal mental health and substance use disorders on a population-based level.Source
Obstet Gynecol. 2018 Aug;132(2):345-353. doi: 10.1097/AOG.0000000000002688. Link to article on publisher's site
DOI
10.1097/AOG.0000000000002688Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50317PubMed ID
29995727Related Resources
ae974a485f413a2113503eed53cd6c53
10.1097/AOG.0000000000002688