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Massachusetts Child Psychiatry Access Program for Moms: Utilization and Quality Assessment
Nancy Byatt1, John Straus, Arielle Stopa
1University of Massachusetts Medical School and UMass Memorial Health Care, Worcester, and Massachusetts Child Psychiatry Access Program, Massachusetts Behavioral Health Partnership, Beacon Health Options, and Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
The Massachusetts Child Psychiatry Access Program for Moms (MCPAP for Moms) effectively supports providers in addressing perinatal mental health and substance use disorders. This program demonstrates a feasible, acceptable, and sustainable model for improving access to care.
Area of Science:
- Perinatal mental health
- Substance use disorders
- Public health programs
Background:
- Perinatal mental health and substance use disorders significantly impact maternal and child well-being.
- Access to specialized psychiatric care is often limited for pregnant and postpartum women.
- Existing healthcare systems require enhanced support to manage these complex conditions.
Purpose of the Study:
- To evaluate the utilization and quality of the Massachusetts Child Psychiatry Access Program for Moms (MCPAP for Moms).
- To assess the program's effectiveness in supporting healthcare providers in managing perinatal mental health and substance use disorders.
- To understand the experiences of healthcare providers and patients within the MCPAP for Moms program.
Main Methods:
- Program data collection included clinical encounter data from telephone consultations.
- Qualitative data were gathered through focus groups with healthcare providers and staff.
- In-depth interviews were conducted with patients receiving care through participating practices.
- Data analysis employed an iterative, interpretive process with a grounded theory framework.
Main Results:
- MCPAP for Moms enrolled 145 obstetric practices and trained 1,174 providers in 3.5 years, serving 3,699 women.
- Telephone consultations were utilized by obstetric care providers (42%), midwives (16%), and psychiatrists.
- Providers reported improved detection of depression and increased patient help-seeking and treatment initiation.
- Practices indicated a need for further support in proactive depression care management.
Conclusions:
- MCPAP for Moms demonstrates high utilization and sustained engagement over 3.5 years.
- Qualitative findings confirm the program's feasibility, acceptability, and sustainability.
- The program successfully increases access to evidence-based treatments for perinatal mental health and substance use disorders on a population level.
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