TY - JOUR
KW - collaborative care
KW - perinatal/postpartum depression
KW - stepped care
AU - M. M. Rock
A1 - 
AB - BACKGROUND: Perinatal depression (PD) screening has been defined for decades, but treatment remains ill-defined, with few mental health (MH) providers helping depressed women during this delicate time. The nurse practitioner (NP) is in a position to help women through PD with the use of a collaborative treatment model. AIMS: This DNP (doctor of nursing practice) inquiry investigated a stepped collaborative care model (CCM) to see whether the PD model improved time from referral to evaluation and decreased depression scores over a 6-month treatment period for women who came to an NP MH practice. METHOD: After obtaining approval from the institutional review board and the clients, the Edinburgh Postnatal Depression Scale was administered to 37 women at psychiatric evaluation and subsequent MH visits over a 6-month period. Time from referral to evaluation and depression scores were analyzed. RESULTS: The CCM met the goal of 30 days from referral to evaluation. Prenatal clients had a statistically significant decrease in depression scores, and postpartum client scores were clinically significant. CONCLUSION: A CCM among care providers facilitates prompt intake to treatment time within 1 month of identification of depression, and a decrease in depression scores in women measured by sequential depression screen scores. The study may provide ideas for evidence-based NP practice by use of the model to treat depression in this group of women.
AD - 1 Mary M. Rock, DNP, CRNP-BC, FNP-C, CNS-PMH-BC, Geisinger Holy Spirit, Camp Hill, PA, USA.
BT - Journal of the American Psychiatric Nurses Association
C5 - Healthcare Disparities
CY - United States
DO - 10.1177/1078390318789252
JF - Journal of the American Psychiatric Nurses Association
M1 - Journal Article
N2 - BACKGROUND: Perinatal depression (PD) screening has been defined for decades, but treatment remains ill-defined, with few mental health (MH) providers helping depressed women during this delicate time. The nurse practitioner (NP) is in a position to help women through PD with the use of a collaborative treatment model. AIMS: This DNP (doctor of nursing practice) inquiry investigated a stepped collaborative care model (CCM) to see whether the PD model improved time from referral to evaluation and decreased depression scores over a 6-month treatment period for women who came to an NP MH practice. METHOD: After obtaining approval from the institutional review board and the clients, the Edinburgh Postnatal Depression Scale was administered to 37 women at psychiatric evaluation and subsequent MH visits over a 6-month period. Time from referral to evaluation and depression scores were analyzed. RESULTS: The CCM met the goal of 30 days from referral to evaluation. Prenatal clients had a statistically significant decrease in depression scores, and postpartum client scores were clinically significant. CONCLUSION: A CCM among care providers facilitates prompt intake to treatment time within 1 month of identification of depression, and a decrease in depression scores in women measured by sequential depression screen scores. The study may provide ideas for evidence-based NP practice by use of the model to treat depression in this group of women.
PP - United States
PY - 2018
SN - 1532-5725; 1078-3903
SP - 1078390318789252
T1 - A Stepped-Collaborative Perinatal Depression Model
T2 - Journal of the American Psychiatric Nurses Association
TI - A Stepped-Collaborative Perinatal Depression Model
U1 - Healthcare Disparities
U2 - 30136625
U3 - 10.1177/1078390318789252
VO - 1532-5725; 1078-3903
Y1 - 2018
Y2 - Aug 23
ER -