Name
A14 - Small But Mighty - Providing Screening and Early Behavioral Health Intervention for At-risk Pregnant Patients in an FQHC Midwifery Clinic
Description

In the state of Tennessee, 13% of all women with a recent live birth reported symptom of post-partum depression according to the United Health Foundation (2024). This prevalence is greater in those who identify as a person of color, are under the age of 24, and/or are new to America (refugee/immigrant). ConnectUs Health, an FQHC located in Nashville, TN serves an elevated number of recently immigrated patients, as well as those who live in the surrounding communities, with many of the patients at a higher risk of social and behavioral health needs. This session will provide an in-depth look at the team- based processes that were developed to identify needs, provide resources, and implement interventions early in pregnancy. The team includes Certified Nurse Midwives, a Women's Health Nurse Practitioner, a Behavioral Health Consultant, a Doula, a Psychiatric Mental Health Nurse Practitioner, and Community Resource Navigators who provide care from the first positive pregnancy test up to a year after birth.

Date & Time
Thursday, October 24, 2024, 12:15 PM - 12:45 PM
Content Level
All Audience
Tags
Cultural Safety and Humility, Prevention, Primary Care Behavioral Health Model, Social determinants of health (SDoH), Substance abuse management (e.g., alcohol, tobacco, illicit drugs), Team-based care, Underserved populations (e.g. LGBTQ)
Session Type
Concurrent
SIG or Committee
JMC, PCBH
Location Name
Bonham D
Objective 1
Review perinatal screening tool and workflow
Objective 2
Discuss various interventions to support optimal holistic wellbeing during pregnancy using a team based approach
Objective 3
Provide overview of how caseload is managed and tracked
Content Reference 1
America's Health Rankings analysis of CDC, Pregnancy Risk Assessment Monitoring System or state equivalent, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Content Reference 2
Family Health and Wellness, Maternal Mortality in Tennessee 2021 (2023). Nashville, TN; TN Dept of Health (America's Health Rankings analysis of Federally Available Data, Maternal and Child Health Bureau, Health Resources and Services Administration, United Health Foundation, AmericasHealthRankings.org, accessed 2024.)
Content Reference 3
Lomonaco-Haycraft, K. C., Hyer, J., Tibbits, B., Grote, J., Stainback-Tracy, K., Ulrickson, C., … Hoffman, M. C. (2019). Integrated perinatal mental health care: a national model of perinatal primary care in vulnerable populations. Primary Health Care Research & Development, 20, e77. doi:10.1017/S1463423618000348
Content Reference 4
Puryear, L. J., Nong, Y. H., Correa, N. P., Cox, K., & Greeley, C. S. (2019). Outcomes of Implementing Routine Screening and Referrals for Perinatal Mood Disorders in an Integrated Multi-site Pediatric and Obstetric Setting. Maternal and Child Health Journal, 23(10), 1292+. https://link.gale.com/apps/doc/A598771296/HWRC?u=tel_p_plndc&sid=bookmark-HWRC&xid=14f80f44