Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians' Training, Current Practices and Perceived Strategies to Improve Future Implementation.

Background: This study aimed to explore clinicians' perspectives on the current practice of perinatal mood and anxiety disorder (PMAD) management and strategies to improve future implementation. Methods: This study had a cross-sectional, descriptive design. A 35-item electronic survey was sent to cl...

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Publicado en:Journal of Primary Care & Community Health pp. 1 - 11
Autores principales: Puspitasari, Ajeng J., Heredia, Dagoberto, Weber, Elise, Betcher, Hannah K, Coombes, Brandon J., Brodrick, Ellen M., Skinner, Susan M., Tomlinson, Angie L., Salik, Shana S., Allen, Summer V., O'Grady, Jason S., Johnson, Emily K., L'amoureux, Tayler M., Moore, Katherine M.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Journal of Primary Care & Community Health
      issn: 21501319
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      dt: 2021
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        154384707
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        10.1177/2150132721996888
        154384707
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        atl: Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians' Training, Current Practices and Perceived Strategies to Improve Future Implementation.
      aug:
        au:
          Puspitasari, Ajeng J.
          Heredia, Dagoberto
          Weber, Elise
          Betcher, Hannah K
          Coombes, Brandon J.
          Brodrick, Ellen M.
          Skinner, Susan M.
          Tomlinson, Angie L.
          Salik, Shana S.
          Allen, Summer V.
          O'Grady, Jason S.
          Johnson, Emily K.
          L'amoureux, Tayler M.
          Moore, Katherine M.
        affil: Mayo Clinic, Rochester, MN, USA
      sug:
        subj:
          Pregnancy Complications, Psychiatric Prevention and Control
          Affective Disorders Prevention and Control
          Anxiety Disorders Prevention and Control
          Disease Management Education
          Community Health Services
          Health Personnel Education
          Implementation Science
          Attitude of Health Personnel
          Human
          Pregnancy
          Female
          Multicenter Studies
          Medical Practice
          Program Implementation
          Cross Sectional Studies
          Descriptive Research
          Community Health Centers United States
          Academic Medical Centers United States
          United States
          Health Screening
          Behavior Therapy
          Mental Health
          Questionnaires
          Internet
          Content Analysis
          Thematic Analysis
          Descriptive Statistics
          Adult
          Middle Age
          Male
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: This study aimed to explore clinicians' perspectives on the current practice of perinatal mood and anxiety disorder (PMAD) management and strategies to improve future implementation. Methods: This study had a cross-sectional, descriptive design. A 35-item electronic survey was sent to clinicians (N = 118) who treated perinatal women and practiced at several community clinics at an academic medical center in the United States. Results: Among clinicians who provided care for perinatal women, 34.7% reported never receiving PMAD management training and 66.3% had less than 10 years of experience. Out of 10 patients who reported psychiatric symptoms, 47.8% of clinicians on average reported providing PMAD management to 1 to 3 patients and 40.7% noted that they conducted screening only when patient expresses PMAD symptoms. Suggested future improvements were providing training, developing a referral list, and establishing integrated behavioral health services. Conclusions: Results from this study indicated that while PMAD screening and management was implemented, improvements are warranted to meet established guidelines. Additionally, clinicians endorsed providing PMAD management to a small percentage of perinatal patients. Suggested strategies to increase adoption and implementation of PMAD management should be explored to improve access to behavioral health services for perinatal women.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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