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PRogram In Support of Moms (PRISM): Development and Beta Testing.

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  • 1Dr. Byatt and Dr. Ziedonis are with the Department of Psychiatry, Dr. Pbert is with the Department of Medicine, Ms. Hosein is a medical student, Dr. Weinreb is with the Department of Medicine and Community Health, and Dr. Allison is with the Department of Quantitative Heath Sciences, all at the University of Massachusetts Medical School, Worcester (e-mail: nancy.byatt@umassmemorial.org ). Dr. Byatt is also with the Department of Obstetrics and Gynecology, University of Massachusetts Medical School, Worcester. Dr. Swartz is with the Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.

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Summary
This summary is machine-generated.

Most women with perinatal depression (PD) lack treatment. A new program, PRogram In Support of Moms (PRISM), was developed and beta-tested in obstetric settings to improve PD care.

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Area of Science:

  • Perinatal mental health
  • Obstetrics and Gynecology
  • Health Services Research

Background:

  • Perinatal depression affects many women, yet treatment access remains low.
  • Existing healthcare systems present barriers to effective perinatal depression management.

Purpose of the Study:

  • To describe the development and beta-testing of the PRogram In Support of Moms (PRISM) program.
  • To assess the feasibility of integrating PRISM into obstetric practices for improved perinatal depression treatment.

Main Methods:

  • A multidisciplinary team designed and refined PRISM, including provider training, screening tools, implementation support, and psychiatric consultation.
  • PRISM underwent beta testing with 50 patients in an obstetric practice over two months.

Main Results:

  • Beta testing demonstrated the feasibility of the PRISM program.
  • Preliminary results suggest PRISM may enhance provider screening rates and self-efficacy in managing perinatal depression.

Conclusions:

  • The PRISM program shows promise in addressing barriers to perinatal depression care within obstetric settings.
  • Future enhancements will focus on integrating proactive patient engagement and monitoring into PRISM for obstetric practices.