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Updated: Apr 16, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
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State mandates regarding postpartum depression.

Paul J Rowan1, Stephen A Duckett, John E Wang

  • 1Dr. Rowan is with the Department of Management, Policy, and Community Health, University of Texas School of Public Health, Houston (e-mail: paul.j.rowan@uth.tmc.edu ). Mr. Duckett is with Navigant Consulting, Inc., Washington, D.C. Mr. Wang is with the College of Natural Sciences, University of Texas at Austin.

Psychiatric Services (Washington, D.C.)
|March 3, 2015
PubMed
Summary

State policies for postpartum depression are limited in impact. While 13 states enacted peripartum mental health legislation, evidence suggests minimal influence on clinical outcomes for maternal mental health.

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Area of Science:

  • Public Health
  • Health Policy
  • Maternal Mental Health

Background:

  • Postpartum depression (PPD) remains a significant, undertreated public health concern.
  • Effective interventions exist, yet access and implementation vary widely.
  • State-level policy is a potential lever for improving peripartum mental health care.

Purpose of the Study:

  • To identify and categorize state policies addressing peripartum mental health.
  • To assess the potential effectiveness of enacted state policies on maternal mental health outcomes.

Main Methods:

  • Systematic search strategy to identify state legislative initiatives.
  • Legislative tracking to confirm policy enactment.
  • Categorization of policies and review of related evidence for impact assessment.

Main Results:

  • Thirteen states have enacted peripartum mental health policies.
  • Policies include patient education, depression screening mandates, task forces, and public awareness campaigns.
  • Evidence indicates a very limited impact of these policies on clinical outcomes.

Conclusions:

  • Enacted state policies for peripartum mental health are not demonstrably influencing clinical outcomes.
  • Home visiting programs with mental health components are effective for PPD.
  • State policies should consider supporting evidence-based interventions like home visits.