TY - JOUR
AU - J. H. Shore
AU - M. Waugh
AU - J. Calderone
AU - A. Donahue
AU - J. Rodriguez
AU - D. Peters
AU - M. Thomas
AU - A. Giese
A1 - 
AB - OBJECTIVE: The purpose of this article is to describe the implementation of the first known telepsychiatry-enabled model of perinatal integrated care and to report initial results following implementation. METHODS: Behavioral health screening data were collected from 712 patients at an urban women's clinic, and a more in-depth set of process and outcome measures, including treatment engagement, services utilized, and delivery and postpartum patient outcomes, was collected from 135 patients referred for behavioral health services. Using nationally published metrics to provide context, the authors applied a descriptive design to evaluate and conduct analyses of program outcomes. RESULTS: The telehealth-enabled integrated care model was successfully implemented within a specialty obstetrics practice. Identification and treatment of behavioral health issues exceeded nationally published rates. The model was also associated with positive indices related to birth weight and breastfeeding behavior. CONCLUSIONS: These initial results point to telepsychiatry as an effective tool for expanding perinatal integrated care and lay the foundation for further study and model refinement. The results also add to the growing body of evidence for the use of telepsychiatry-supported integrated care across diverse clinical settings and patient populations.
AD - University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).; University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).; University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).; University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).; University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).; University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).; University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).; University of Colorado School of Medicine, Aurora (Shore, Calderone, Thomas, Giese); Colorado Access, Aurora (Shore, Waugh, Donahue, Rodriguez, Peters, Thomas, Giese).
BT - Psychiatric services (Washington, D.C.)
C5 - Education & Workforce; Healthcare Disparities; HIT & Telehealth
CP - 5
CY - United States
DO - 10.1176/appi.ps.201900143
IS - 5
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: The purpose of this article is to describe the implementation of the first known telepsychiatry-enabled model of perinatal integrated care and to report initial results following implementation. METHODS: Behavioral health screening data were collected from 712 patients at an urban women's clinic, and a more in-depth set of process and outcome measures, including treatment engagement, services utilized, and delivery and postpartum patient outcomes, was collected from 135 patients referred for behavioral health services. Using nationally published metrics to provide context, the authors applied a descriptive design to evaluate and conduct analyses of program outcomes. RESULTS: The telehealth-enabled integrated care model was successfully implemented within a specialty obstetrics practice. Identification and treatment of behavioral health issues exceeded nationally published rates. The model was also associated with positive indices related to birth weight and breastfeeding behavior. CONCLUSIONS: These initial results point to telepsychiatry as an effective tool for expanding perinatal integrated care and lay the foundation for further study and model refinement. The results also add to the growing body of evidence for the use of telepsychiatry-supported integrated care across diverse clinical settings and patient populations.
PP - United States
PY - 2020
SN - 1557-9700; 1075-2730
SP - 427
EP - 432
EP - 
T1 - Evaluation of Telepsychiatry-Enabled Perinatal Integrated Care
T2 - Psychiatric services (Washington, D.C.)
TI - Evaluation of Telepsychiatry-Enabled Perinatal Integrated Care
U1 - Education & Workforce; Healthcare Disparities; HIT & Telehealth
U2 - 32019433
U3 - 10.1176/appi.ps.201900143
VL - 71
VO - 1557-9700; 1075-2730
Y1 - 2020
Y2 - May 1
ER -