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Related Concept Videos

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Collaborative Care Model for Perinatal Wellness Support Services - Population-Level Upstream Systems Change

Alexandra Turco1, Emily Feinberg2, Andrea Chu2

  • 1Warren Alpert Medical School of Brown University, Providence, RI, USA.

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Summary
This summary is machine-generated.

Perinatal mood and anxiety disorders (PMADs) affect many birthing people. COMPASS+ is an adapted Collaborative Care Model for Perinatal Wellness Support Services designed to improve mental health outcomes.

Keywords:
Collaborative careHealth disparitiesMaternal mental healthMental health servicesPerinatal mood and anxiety disordersPostpartum depression

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Area of Science:

  • Obstetrics and Gynecology
  • Psychiatry
  • Health Services Research

Background:

  • Perinatal mood and anxiety disorders (PMADs) are common, impacting 600,000-900,000 US birthing people annually, necessitating improved care delivery.
  • The Collaborative Care Model (CCM) shows success in primary care, but its efficacy in obstetric settings is under-researched.
  • Community-based participatory research can enhance CCM implementation by centering community needs.

Purpose of the Study:

  • To assess the effectiveness of COMPASS+ (Collaborative Care Model for Perinatal Wellness Support Services - Population Level Equity-Centered Systems Change), an adapted pCCM.
  • To evaluate implementation strategies for the COMPASS+ model in obstetric care settings.
  • To improve mental health outcomes for birthing people experiencing PMADs.

Main Methods:

  • A stepped wedge randomized trial with an effectiveness-implementation design.
  • The study will assess the effectiveness of the COMPASS+ model.
  • Implementation strategies for COMPASS+ will be evaluated.

Main Results:

  • This section will report on the effectiveness of COMPASS+ in improving patient outcomes.
  • Findings will detail the success of implemented strategies for the COMPASS+ model.
  • The study aims to demonstrate remission of mental health symptoms for patients in the COMPASS+ program.

Conclusions:

  • COMPASS+ represents a promising, adapted Collaborative Care Model for Perinatal Wellness Support Services.
  • This research will provide crucial data on the effectiveness and implementation of COMPASS+ in obstetric care.
  • The study seeks to optimize care delivery for birthing people with PMADs through an equity-centered systems change approach.