Perspectives on addressing bipolar disorder in the obstetric setting
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Authors
Masters, Grace AXu, Lulu
Cooper, Katherine M
Moore Simas, Tiffany A
Brenckle, Linda
Mackie, Thomas I
Schaefer, Ana J
Straus, John
Byatt, Nancy
UMass Chan Affiliations
Morningside Graduate School of Biomedical SciencesObstetrics and Gynecology
Psychiatry
T.H. Chan School of Medicine
Document Type
Journal ArticlePublication Date
2022-05-25Keywords
Bipolar disorderCollaborative care
Mental health services
Perinatal
Postpartum
Pregnancy
UMCCTS funding
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Objective: Perinatal Psychiatry Access Programs have emerged to help obstetric professionals meet the needs of perinatal individuals with mental health conditions, including bipolar disorder (BD). We elucidate obstetric professionals' perspectives on barriers and facilitators to managing BD in perinatal patients, and how Access Programs may affect these processes. Methods: We conducted three focus groups with obstetric professionals, two with- and one without-exposure to an Access Program, the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. Focus groups discussed experiences, barriers, facilitators, and solutions to caring for perinatal individuals with BD. Qualitative data were coded and analyzed by two independent coders; emergent themes were examined across exposure groups. Results: Thirty-one obstetric professionals (7 without-exposure, 24 with-exposure) participated. Identified themes included: (1) gaps in perinatal BD education; (2) challenges in patient assessment; (3) MCPAP for Moms as a facilitator for addressing BD; and (4) importance of continued outreach and destigmaization to increase care collaboration. Conclusions: Barriers to obstetric professionals accessing adequate mental healthcare for their patients with BD abound. With psychiatric supports in place, it is possible to build obstetric professionals' capacity to address BD. Perinatal Psychiatry Access Programs can facilitate obstetric professionals bridging these gaps in mental health care.Source
Masters GA, Xu L, Cooper KM, Moore Simas TA, Brenckle L, Mackie TI, Schaefer AJ, Straus J, Byatt N. Perspectives on addressing bipolar disorder in the obstetric setting. Gen Hosp Psychiatry. 2022 Jul-Aug;77:130-140. doi: 10.1016/j.genhosppsych.2022.05.009. Epub 2022 May 25. PMID: 35640435.DOI
10.1016/j.genhosppsych.2022.05.009Permanent Link to this Item
http://hdl.handle.net/20.500.14038/51147PubMed ID
35640435Rights
Copyright © 2022 Elsevier Inc. All rights reserved.ae974a485f413a2113503eed53cd6c53
10.1016/j.genhosppsych.2022.05.009