Increasing Access To Perinatal Mental Health Care: The Perinatal Psychiatry Access Program Model.

Journal: Health affairs (Project Hope)

Volume: 43

Issue: 4

Year of Publication: 

Affiliated Institutions:  Ana J. Schaefer (ana.schaefer@downstate.edu), Downstate Health Sciences University, Brooklyn, New York. Thomas Mackie, Downstate Health Sciences University. Ekaanth S. Veerakumar, Downstate Health Sciences University. Radley Christopher Sheldrick, University of Massachusetts, Shrewsbury, Massachusetts. Tiffany A. Moore Simas, University of Massachusetts. Jeanette Valentine, Rutgers University, New Brunswick, New Jersey. Deborah Cowley, University of Washington, Seattle, Washington. Amritha Bhat, University of Washington. Wendy Davis, Postpartum Support International, Portland, Oregon. Nancy Byatt, University of Massachusetts.

Abstract summary 

Perinatal psychiatry access programs offer a scalable approach to building the capacity of perinatal professionals to identify, assess, and treat mental health conditions. Little is known about access programs' implementation and the relative merits of differing approaches. We conducted surveys and semistructured interviews with access program staff and reviewed policy and procedure documents from the fifteen access programs that had been implemented in the United States as of March 2021, when the study was conducted. Since then, the number of access programs has grown to thirty state, regional, or national programs. Access programs implemented up to five program components, including telephone consultation with a perinatal psychiatry expert, one-time patient-facing consultation with a perinatal psychiatry expert, resource and referral to perinatal professionals or patients, trainings for perinatal professionals, and practice-level technical assistance. Characterizing population-based intervention models, such as perinatal psychiatry access programs, that address perinatal mental health conditions is a needed step toward evaluating and improving programs' implementation, reach, and effectiveness.

Authors & Co-authors:  Schaefer Mackie Veerakumar Sheldrick Moore Simas Valentine Cowley Bhat Davis Byatt

Study Outcome 

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Statistics
Citations : 
Authors :  10
Identifiers
Doi : 10.1377/hlthaff.2023.01439
SSN : 1544-5208
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
United States