PERINATALPOSTPARTAL DEPRESSION SCREENING PROJECT - PowerPoint PPT Presentation
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PERINATALPOSTPARTAL DEPRESSION SCREENING PROJECT
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Baton Rouge, Louisiana. Presented by Becky Decker, LCSW. BACKGROUND: ... Early Childhood Supports and Services Program pilot began in East Baton Rouge Parish; ... – PowerPoint PPT presentation
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Title: PERINATALPOSTPARTAL DEPRESSION SCREENING PROJECT
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PERINATAL/POSTPARTAL DEPRESSION SCREENING PROJECT
- East Baton Rouge Parish Health Unit
- Baton Rouge, Louisiana
- Presented by Becky Decker, LCSW
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BACKGROUND
- Infant Mental Health trainings given to OPH staff
in Louisiana by Charles H. Zeanah, M.D. and Paula
Zeanah, PhD., RN, MSN (2002). - Early Childhood Supports and Services Program
pilot began in East Baton Rouge Parish - OPH developed SCREENING TOOL, began screenings in
EBR Health Unit (PKU visits) - High rates of maternal depression noted.
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PROBLEM ISSUE TO ADDRESS
- High level of Perinatal / Postpartal Depression
reported by East Baton Rouge Parish Health Unit
consumers and Healthy Start Program clients - 33 - 38 of Health Unit respondents
- 18 - 27 of Healthy Start participants.
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SCIENTIFIC JUSTIFICATION
- World Health Organization depression is one of
the leading causes of disability worldwide - Maternal depression increases risk for insecure
attachment, language/cognitive problems and for
social interactive problems in infancy
(Lyons-Ruth, Murray, Field, Healy, et al) - Sensitive caregiving has been shown to modify
infants negative temperament (Washington, et al,
and Kagan, 1994).
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OBJECTIVES
- Increase awareness of Perinatal / Postpartal
illness in women - Increase referrals for social assessment, support
and treatment - Improve medical compliance by identifying
obstacle(s) to care - Reduce incidence of childhood adjustment
disorders by treating parental depression.
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METHODS
- East Baton Rouge OPH collaborated with Early
Childhood Supports and Services (ECSS) to
implement screening tool - MCH Central Office staff developed a 1-page
questionnaire to assess social risk factors - OPH provides staff (nursing and social work) to
screen clients and provide follow-up services.
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RESULTS
- Of 300 questionnaires, approximately 100 (1/3)
were assessed as high-risk for depression or
other social problems - These clients were contacted by OPH social work
staff to offer support, information and
referrals - Those in need of more comprehensive services were
referred to ECSS Program (approx. 1-5).
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CONCLUSIONS
- Most women will request help for depression if
asked - Screenings for Perinatal / Postpartal illness
often indicates more complex social problems at
home - More work needs to be done to develop community
services to treat this illness - Social stigma barrier must be addressed to
encourage treatment for maternal depression.
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PUBLIC HEALTH IMPLICATIONS
- Many new parents suffer from some degree of
depressive illness (27-33 in OPH and HS) - Maternal depression is one of the major factors
shown to affect infant social development - Clients are responsive to depression screenings
in clinical settings - Collaboration with other agencies can lead to
early identification and treatment.
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RESULTS ANTICIPATED
- OPH, Healthy Start and other agencies will
collaborate to continue/expand screenings for
Perinatal/Postpartal depression - Community education / media awareness of this
issue and its effect on children - Reduction of stigma to ask for help
- Development of community support mechanisms
(groups, phone support, etc.).
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FINAL THOUGHTS
- Mental health and physical health are
interconnected and should be treated with equal
importance - Creative ways to combine both aspects of health
in health care settings should be explored - Continued collaboration with other programs are
planned to address depression, substance abuse
and domestic violence in the community.
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