Name
Implementing Expanded Perinatal Mental Health Screening In Complex Ambulatory and Inpatient Healthcare Settings: Strategies for Successful Integration
Description

Despite efforts to improve maternal mental health screening nationally, significant barriers have persisted. In this project, we implemented improved universal maternal mental health screening in ambulatory and inpatient settings in a public safety net hospital. Our initial goals were to reduce disparities in screening, improve risk assessment and treatment referral, and ultimately help address high mental health related mortality in New Mexico, which is nearly twice the national level. We have evaluated and identified several implementation strategies we believe contributed to the project’s success. We will provide a brief description of a real-world implementation of universal perinatal mental health screening in complex system with implementation strategies and lessons learned for success. Will provide concrete examples of implementation barriers and the strategies used to address them; and provide an interactive learning opportunity for applying those strategies to both hypothetical and audience member's real challenges.

Speakers
Jennifer Crawford, PhD, PMH-C
Co-Authors
Samantha Schmaltz, Anne Gibbons, Jeffrey Weinrach
Content Level
All Audience
Tags
Policy and Systems Change, Quality improvement programs, Research and evaluation
Session Type
Concurrent
Objective 1
Identify three barriers to universal perinatal mental health screening
Objective 2
Discuss three or more specific implementation strategies to facilitate sustained universal screening
Objective 3
Apply those strategies to hypothetical and real-life cases of complex challenges to improving behavioral health screening and referral for at-risk populations.
Content Reference 1

ACOG. Perinatal Mental Health: Patient Screening. Retrieved 1/3/2024. https://www.acog.org/programs/perinatal-mental-health/patient-screening

Content Reference 2

ACOG Committee on Clinical Practice Guidelines. (2023). Screening and diagnosis of mental health conditions during pregnancy and postpartum. Clinical Practice Guideline No. 4. American College of Obstetricians and Gynecologists. Obstet Gynecol, 141(6), 1232-61. *Note: The guideline is no longer easily publicly available from the ACOG site; it can be accessed here: https://static1.squarespace.com/static/56d5ca187da24ffed7378b40/t/6567b01fd71947168a9b1ef7/1701294115835/2023+ACOG+guideline+Screening+and+Diagnosis+of+Mental+Health+Conditions+During+Pregnancy+and+Postpartum_ACOG+Clinical+Practice+Guideline+No.+4_.pdf

Content Reference 3

Trost SL, Beauregard J, Njie F, et al. (2022). Pregnancy-related deaths: Data from Maternal Mortality Review Committees in 36 US States, 2017-2019. Atlanta, GA: Centers for Disease Control and Prevention, US Department of Health and Human Services. https://www.cdc.gov/reproductivehealth/maternal-mortality/erase-mm/data-mmrc.html

Content Reference 4

Holtrop JS, Estabrooks PA, Gaglio B, et al. Understanding and applying the RE-AIM framework: Clarifications and resources. Journal of Clinical and Translational Science. 2021;5(1):e126. doi:10.1017/cts.2021.789