TY - JOUR
AU - A. E. Glassgow
AU - M. Wagner-Schuman
AU - A. Knepper
AU - A. Holicky
AU - M. Angulo
AU - A. Handler
AU - B. Harris
AU - E. Hickey
AU - Y. Manrique
AU - A. Mauro
AU - A. Rodriguez
AU - J. Schulte
AU - S. Scott
AU - S. Wainwright
AU - R. Caskey
A1 - 
AB - The United States is facing a maternal health crisis with increasing rates of severe maternal morbidity and mortality. To improve maternal health and promote health equity, the authors developed a novel 2-generation model of postpartum and pediatric care. This article describes the Two-Generation Clinic (Two-Gen) and model of care. The model combines a dyadic strategy for simultaneous maternal and pediatric care with the collaborative care model in which seamless primary and behavioral health care are delivered to address the physical health, behavioral health, and social service needs of families. The transdisciplinary team includes primary care physicians, nurse practitioners, psychiatrists, obstetrician-gynecologists, social workers, care navigators, and lactation specialists. Dyad clinic visits are coscheduled (at the same time) and colocated (in the same examination room) with the same primary care provider. In the Two-Gen, the majority (89%) of the mothers self-identify as racial and ethnic minorities. More than 40% have a mental health diagnosis. Almost all mothers (97.8%) completed mental health screenings, >50.0% have received counseling from a social worker, 17.2% had a visit with a psychiatrist, and 50.0% received lactation counseling. Over 80% of the children were up to date with their well-child visits and immunizations. The Two-Gen is a promising model of care that has the potential to inform the design of postpartum care models and promote health equity in communities with the highest maternal health disparities.
AD - Department of Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.;Department of Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.;Department of Psychiatry, College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.;Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.
AN - 37677001
BT - Popul Health Manag
C5 - Healthcare Disparities
DA - Sep 7
DO - 10.1089/pop.2023.0059
DP - NLM
ET - 20230907
JF - Popul Health Manag
LA - eng
N2 - The United States is facing a maternal health crisis with increasing rates of severe maternal morbidity and mortality. To improve maternal health and promote health equity, the authors developed a novel 2-generation model of postpartum and pediatric care. This article describes the Two-Generation Clinic (Two-Gen) and model of care. The model combines a dyadic strategy for simultaneous maternal and pediatric care with the collaborative care model in which seamless primary and behavioral health care are delivered to address the physical health, behavioral health, and social service needs of families. The transdisciplinary team includes primary care physicians, nurse practitioners, psychiatrists, obstetrician-gynecologists, social workers, care navigators, and lactation specialists. Dyad clinic visits are coscheduled (at the same time) and colocated (in the same examination room) with the same primary care provider. In the Two-Gen, the majority (89%) of the mothers self-identify as racial and ethnic minorities. More than 40% have a mental health diagnosis. Almost all mothers (97.8%) completed mental health screenings, >50.0% have received counseling from a social worker, 17.2% had a visit with a psychiatrist, and 50.0% received lactation counseling. Over 80% of the children were up to date with their well-child visits and immunizations. The Two-Gen is a promising model of care that has the potential to inform the design of postpartum care models and promote health equity in communities with the highest maternal health disparities.
PY - 2023
SN - 1942-7891
ST - Addressing Maternal Health Disparities: Building a Novel Two-Generation Approach to Comprehensive Postpartum Care
T1 - Addressing Maternal Health Disparities: Building a Novel Two-Generation Approach to Comprehensive Postpartum Care
T2 - Popul Health Manag
TI - Addressing Maternal Health Disparities: Building a Novel Two-Generation Approach to Comprehensive Postpartum Care
U1 - Healthcare Disparities
U3 - 10.1089/pop.2023.0059
VO - 1942-7891
Y1 - 2023
ER -