Infant mental health integration into OB care leads to increased connection to services during the perinatal period

Jennifer M Jester1,2, Cierra Bengel1, Meriam Issa1

  • 1Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.

PubMed

Insights

Integrating infant mental health specialists (IMH-BHC) into OB/GYN clinics increased engagement in home visiting services. This approach may reduce stigma and improve perinatal mental health care access for diverse patient populations.

Area of Science:

  • Perinatal Mental Health
  • Integrated Behavioral Health
  • Infant Mental Health

Background:

  • Perinatal mental health is crucial for maternal and infant well-being.
  • Traditional care models may not adequately address the mental health needs of perinatal patients.
  • Stigma surrounding mental health care can be a barrier to treatment seeking.

Purpose of the Study:

  • To compare referrals and connection to care for perinatal patients receiving integrated infant mental health behavioral health consultant (IMH-BHC) care versus traditional care.
  • To assess the impact of integrated care on engagement with mental health services and home visiting programs.
  • To explore potential benefits of integrated care in reducing emergency room visits and improving follow-up.

Main Methods:

  • A comparative study involving 90 perinatal patients receiving integrated IMH-BHC care and 68 receiving traditional care in the United States.
  • Data collection focused on referral rates, engagement in mental health services, home visiting, and emergency room visits.
  • Participant demographics included a diverse range of racial and ethnic backgrounds.

Main Results:

  • Approximately 80% of families in both groups were offered referrals.
  • Intervention group participants were over three times more likely to engage in IMH home visiting.
  • Treatment families had fewer infant emergency room visits, despite lower follow-up rates for infant referrals.

Conclusions:

  • Integrating IMH providers into OB/GYN clinics can enhance engagement with crucial support services like home visiting.
  • The study suggests that integrated care models may help mitigate mental health stigma and improve access to care.
  • OB/GYN clinics should consider integrating IMH providers to support perinatal mental health outcomes.

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