Implementing a perinatal mood and anxiety disorders program

Area of Science:

• Obstetrics and Gynecology
• Psychiatry
• Public Health

Background:

• Postpartum mood and anxiety disorders (PMADs) are a significant, yet underdiagnosed, complication of childbirth.
• Lack of universal screening in the US leaves many mothers without necessary support.
• Rural areas face unique challenges in accessing maternal mental health services.

Purpose of the Study:

• To develop and implement a nurse-led interdisciplinary program for PMAD screening and referral in rural Northern Arizona.
• To provide education and resources to pregnant and postpartum women.
• To address the needs of a vulnerable population despite resource limitations.

Main Methods:

• A nurse-led interdisciplinary program was established in a hospital setting.
• The program focused on universal screening for PMADs.
• Referral resources were provided to women identified with potential PMADs.

Main Results:

• The program successfully initiated PMAD screening for pregnant and postpartum women.
• It provided essential education and referral resources in a rural setting.
• Implementation occurred despite financial constraints and increased nursing productivity demands.

Conclusions:

• Nurse-led interdisciplinary programs can effectively initiate PMAD screening in underserved areas.
• Such programs are crucial for addressing the gap in maternal mental healthcare.
• Adaptable models are needed to provide care amidst resource challenges.