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A Stepped-Collaborative Perinatal Depression Model.

Mary M Rock1

  • 11 Mary M. Rock, DNP, CRNP-BC, FNP-C, CNS-PMH-BC, Geisinger Holy Spirit, Camp Hill, PA, USA.

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Summary
This summary is machine-generated.

A collaborative care model improved timely treatment for perinatal depression, significantly reducing depression scores in women within six months. This model enhances nurse practitioner mental health practice.

Keywords:
collaborative careperinatal/postpartum depressionstepped care

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Area of Science:

  • Nursing Practice
  • Mental Health
  • Collaborative Care Models

Background:

  • Perinatal depression (PD) screening is established, yet treatment options and mental health (MH) provider access remain limited.
  • Nurse practitioners (NPs) can bridge this gap by implementing collaborative treatment models for women experiencing PD.

Purpose of the Study:

  • This DNP inquiry evaluated a stepped collaborative care model (CCM) to assess its effectiveness in improving referral-to-evaluation times and reducing depression scores over six months.
  • The study focused on women within an NP MH practice.

Main Methods:

  • The Edinburgh Postnatal Depression Scale was administered to 37 women at psychiatric evaluation and follow-up MH visits over six months.
  • Data on time from referral to evaluation and depression scores were analyzed following IRB and client approval.

Main Results:

  • The CCM successfully achieved the goal of evaluation within 30 days of referral.
  • Prenatal clients showed a statistically significant decrease in depression scores, while postpartum clients exhibited clinically significant score reductions.

Conclusions:

  • A CCM effectively facilitates prompt treatment initiation (within one month) and reduces depression scores in women, as evidenced by sequential screening.
  • This model offers a framework for evidence-based NP practice in treating perinatal depression.