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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.
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.
Abstract:
We compared referrals and connection to care between perinatal patients: 90 receiving OB/GYN care in clinics with integrated behavioral health consultants with infant mental health specialization (IMH-BHC), and 68 receiving traditional care, in the United States. Participants identified as: Native American/Alaskan native, 1.90%; Asian, .63%; African American, 58.23%; Middle Eastern, 6.96%; African National/Caribbean Islander, .63%; Latin-American, 8.86%; and White, 28.48%. Approximately 80% of families in each group were offered referrals. By design, intervention women received mental health services during pregnancy; 16% of women in either group received postpartum mental health services. Intervention group participants were over three times as likely to engage in IMH home visiting. Treatment families were less likely to follow up with infant referrals, but also had fewer infant emergency room visits. All intervention participants met with an IMH-BHC prior to recruitment; however, only 20% self-reported encounters with a mental health professional, indicating these interactions may not be identified by the participants as mental health care; therefore, openness to treatment may be increased for women who feel stigma around mental health care. Given the importance of perinatal mental health, OB/GYN clinics and others serving perinatal patients may consider integrating IMH providers as part of the care team.
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