Name
I02 - Use of the Collaborative Care Model in the Perinatal Population: Facilitators and Barriers to Success
Description

The perinatal period (pregnancy through 12 months postpartum) is a time of increased vulnerability to mental health conditions. In fact, depression is the most common complication of childbirth and suicide/overdose is the leading cause of death in the postpartum period. To address this issue, the American College of Obstetrics and Gynecology (ACOG) recommended in their Clinical Practice Guidelines that women be screened for depression and anxiety during the perinatal period to improve identification of mental health conditions and connecting patients to care. Collaborative Care Management (CoCM) is a model of integrated care that facilitates screening, identification, and early intervention with behavioral health conditions, and has demonstrated efficacy in the perinatal population; however, the uptake of this model has been slow and many OB/GYN practices remain hesitant to adopt behavioral health screening and management into their practices. We intend to discuss the unique challenges faced when working with OB/GYN practices to adopt CoCM and how we addressed these challenges. Additionally, we intend to discuss facilitators and barriers to success, as well as outcome data from a 5-year CoCM program in an OB/GYN clinic.

Date & Time
Saturday, October 26, 2024, 10:00 AM - 11:00 AM
Kristin MacGregor Gretchen Jacox Michael Clark David Aziz
Co-Authors
Tammy Torres, PsyD
Jared Regan
Rachel Dalthorp, MD
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Medical, Outcomes, Team-based care
Session Type
Concurrent
SIG or Committee
CoCM, F&H, Medical
Location Name
Mission B
Objective 1
List risk factors associated with perinatal depression as well as the incidence rate and the impact of unrecognized and undertreated PPD on women, their children, families and society.
Objective 2
Describe the unique challenges to implementing the Collaborative Care Model in an OB/GYN setting.
Objective 3
Discuss the outcomes (both clinical and operational) associated with Collaborative Care Model adoption in OB/GYN settings.
Content Reference 1

Hutner, L. A., Catapano, L. A., Nagle-Yang, S. M., Williams, K. E., & Osborne, L. M. (Eds.). (2021). Textbook of Women's Reproductive Mental Health. American Psychiatric Pub.

Content Reference 2

American College of Obstetrics and Gynecology. (2023). Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum. https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline/articles/2023/06/screening-and-diagnosis-of-mental-health-conditions-during-pregnancy-and-postpartum

Content Reference 3

Standeven, L. R., Miller, K. N., Mallow, A., Berger, R., Little, V. (2023). Reduction of anxiety symptoms among women within a collaborative care model and women’s health settings. Primary Health Care Research & Development, 24, e69. doi:10.1017/S1463423623000440

Content Reference 4

LaRocco-Cockburn, A., Reed, S. D., Melville, J., Croicu, C., Russo, J. E., et al. (2013). Improving depression treatment for women: Integrating a collaborative care depression intervention into OB-GYN care. Contemporary Clinical Trials, 36(2),362-370.