| Referral to mental health treatment/evaluation |
Provided referral for mental health treatment/evaluation individual patients. |
| On-site assessment |
Mental health care assessment by an on-site case manager, social worker, or perinatal care provider (e.g. obstetrician or midwife) in the perinatal care setting. |
| Access to mental health consultation for perinatal care providers |
Perinatal care providers were encouraged to utilize and are given access to expert mental health consultation online or by telephone to guide treatment provision to individual patients after completion of required training. |
| Perinatal care provider training |
Systematic approach to training perinatal care providers in the assessment and treatment of depression and other mental health concerns. |
| Case management |
Involvement of a perinatal care manager from the obstetric clinic site who conducts an initial mental health assessment or refers patients for mental health assessment/treatment. |
| Systematic provision of resources to patients |
Perinatal care team or research team provides mental health resources or referrals to depressed women. |
| Systematic follow-up with provision of resources/referral to patients |
Consistent in-person or telephonic follow-up with depressed women in order to help them access mental health care. |
| Supportive psychotherapy/referral to support group |
Offering depressed women psychotherapy that incorporates principles of interpersonal and cognitive behavioral therapy (supportive psychotherapy) for an undefined number of sessions or inviting depressed women to participate in a group facilitated by case managers (support group). |
| Provider feedback loop |
Provided feedback to providers on their screening and/or treatment rates. |
| Psycho-education/treatment engagement strategies |
The perinatal care or research team discusses screening results or resources for treatment, provides educational material about perinatal depression, or use of tools to facilitate depression discussion in the perinatal care setting. This includes strategies with varying levels of intensity that range from provision of educational material to feedback interventions that involve non-directive counseling strategies for individual patients based on cognitive behavioral therapy. |
| CBT (Cognitive Behavioral Therapy) |
Offering CBT provided by mental health professionals in a non-perinatal care setting. |
| Mental Health Utilization Outcomes |
| Positive screen and referred for treatment |
Screened positive and offered mental health assessment with perinatal care provider and / or referral information or appointment with a mental health provider. |
| Accepted referral for mental health care |
Referred for mental health care assessment and accepted referral. |
| Participated in mental health assessment |
Participated in a mental health care assessment with a perinatal or mental health care provider. |
| Attended follow-up mental health care |
Participated in more than one mental health appointment with a mental health care provider or participated in more than one perinatal care provider appointment that involved mental health care. |
