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Published on: January 12, 2018
The role of perinatal psychiatry access programs in advancing mental health equity
Megan E Deichen Hansen1, Amalia Londoño Tobón2, Uruj Kamal Haider3
1Florida State University College of Medicine, Department of Behavioral Sciences & Social Medicine, 1115 W Call St., Tallahassee, FL 32304, United States of America.
Insights
Perinatal Psychiatry Access Programs offer integrated care to improve maternal mental health equity. These programs address inequities across multiple levels, from patients to policy, with community partnerships enhancing their impact.
Area of Science:
- Perinatal Psychiatry
- Public Health
- Healthcare Access
Background:
- Perinatal mental health disparities persist, impacting maternal and infant well-being.
- Existing healthcare models often fail to adequately address the complex needs of perinatal populations.
- Geographic and socioeconomic factors significantly contribute to inequities in perinatal mental healthcare access.
Discussion:
- Perinatal Psychiatry Access Programs (PPAPs) represent an integrated care model designed to enhance mental health equity.
- PPAPs facilitate timely consultation and support for perinatal mental health concerns.
- The model's adaptability allows for implementation across diverse geographic and healthcare settings.
Key Insights:
- PPAPs demonstrate promise in reducing perinatal mental health inequities at patient, clinician, practice, community, and policy levels.
- Descriptive data from national networks and statewide programs support the efficacy of the PPAP model.
- Multi-level interventions are crucial for addressing documented disparities in perinatal mental healthcare.
Outlook:
- Systematic efforts, including community partnerships, are essential to fully realize the potential of PPAPs.
- Further research and policy development can optimize PPAP integration into broader maternal healthcare systems.
- Scaling successful PPAP models can lead to significant advancements in global perinatal mental health equity.
Abstract:
This editorial presents: 1) a review of Perinatal Psychiatry Access Programs as an integrated care model with potential for promoting perinatal mental health equity; and 2) a summary of how the model has been and can be further adapted to help achieve perinatal mental health equity in geographically diverse settings. Within the editorial, we highlight Access Programs as a promising model for promoting perinatal mental health equity. This editorial is supported by original descriptive data on the Lifeline for Moms National Network of Perinatal Psychiatric Access Programs. Descriptive data is additionally provided on three statewide Access Programs. The Access Program model, and the accompanying Network of Access Programs, is a multi-level approach demonstrating promise in reducing perinatal mental health inequities. Access Programs demonstrate potential to implement interventions to address well-documented inequities in perinatal mental healthcare access at the patient-, clinician-, practice-, community-, and policy-levels. For Access Programs to leverage their potential to advance perinatal mental health equity, systematic efforts are needed that include partnership with impacted communities and implementation teams.
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