. Author manuscript; available in PMC: 2018 May 17.

Published in final edited form as: Obstet Gynecol. 2017 Mar;129(3):422–430. doi: 10.1097/AOG.0000000000001902

Box 1.

Maternal Mental Health: Perinatal Depression and Anxiety Patient Safety Bundle: Council on Patient Safety in Women’s Health Care

Readiness (Every Clinical Care Setting)

1
Identify mental health screening tools to be made available in every clinical setting (outpatient obstetric clinics and inpatient facilities)
2
Establish a response protocol and identify screening tools for use based on local resources
3
Educate clinicians and office staff on use of the identified screening tools and response protocol
4
Identify an individual who is responsible for driving adoption of the identified screening tools and response protocol

Recognition and Prevention (Every Woman)

5
Obtain individual and family mental health history (including past and current medications) at intake, with review and updates as needed
6
Conduct validated mental health screening during appropriately timed patient encounters, to include both during pregnancy and in the postpartum period
7
Provide appropriately timed perinatal depression and anxiety awareness education to women and family members or other support persons

Response (Every Case)

8
Initiate a stage-based response protocol for a positive mental health screening result
9
Activate an emergency referral protocol for women with suicidal or homicidal ideation or psychosis
10
Provide appropriate and timely support for women, as well as family members and staff, as needed
11
Obtain follow-up from mental health care providers on women referred for treatment (this should include release of information forms)

Reporting and Systems Learning (Every Clinical Care Setting)

12
Establish a nonjudgmental culture of safety through multidisciplinary mental health rounds
13
Perform a multidisciplinary review of adverse mental health outcomes
14
Establish local standards for recognition and response to measure compliance, understand individual performance, and track outcomes

Modified from Council on Patient Safety in Women’s Health Care. Available at: http://www.safehealthcareforeverywoman.org/. Retrieved November 28, 2016.