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Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians' Training, Current
Ajeng J Puspitasari1, Dagoberto Heredia1, Elise Weber1
1Mayo Clinic, Rochester, MN, USA.
Journal of Primary Care & Community Health
|February 23, 2021
Summary
Many clinicians lack training in managing perinatal mood and anxiety disorders (PMADs), impacting patient care. Improving PMAD management requires enhanced training and integrated services.
Area of Science:
- Perinatal mental health
- Clinical practice
- Healthcare delivery
Background:
- Perinatal mood and anxiety disorders (PMADs) require effective clinical management.
- Current PMAD management practices face implementation challenges.
- Understanding clinician perspectives is crucial for improving perinatal mental healthcare.
Purpose of the Study:
- To explore clinicians' views on current PMAD management.
- To identify strategies for enhancing future PMAD implementation.
- To assess the gap between current practices and established guidelines.
Main Methods:
- Cross-sectional, descriptive study design.
- Electronic survey distributed to 118 clinicians treating perinatal women.
- Data collected from clinicians at community clinics within a US academic medical center.
Main Results:
- 34.7% of clinicians reported no PMAD management training; 66.3% had <10 years of experience.
- Clinicians managed PMADs in only 1-3 out of 10 symptomatic patients on average.
- Screening was often reactive, occurring only when patients expressed symptoms.
Conclusions:
- PMAD screening and management are implemented but require improvement to meet guidelines.
- Clinicians manage PMADs in a limited proportion of perinatal patients.
- Strategies like training, referral lists, and integrated care are essential for better PMAD management and access to services.
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