Table 3.

Recommendations to increase treatment engagement

Patient Outreach and Education
Prevention, Monitoring & Convenience	Normalizing Treatment
• Offer preventive education and services • Proactively monitor and follow up after depression screening • Increase convenience through telemedicine, on-site childcare	• Educate patients about depression as a medical condition that affects women from all backgrounds • Demystify treatment options • Educate family members about perinatal depression
Community and Social Determinants of Health
Community Engagement	Diversity & Inclusivity
• Engage community resources, peer health workers to spread awareness • Consult with patient advisories to develop culturally appropriate messages • Monitor patients’ social concerns and refer to social work and community resources	• Increase racial/ethnic and linguistic diversity among clinicians • Create language-specific materials and treatment options
Clinician Training and Support
Integrated Perinatal Depression Management	Cultural Tailoring
• Train OBGYN and mental health clinicians in perinatal depression • Embed a mental health provider in OBGYN who can facilitate depression treatment • Coordinate depression care among a team of providers	• Provide culturally specific training to clinical providers