Moving beyond depression screening: integrating perinatal depression treatment into OB/GYN practices. (2019)

• Record Type: Journal Article
• Authors: Terrazas, Christina; Segre, Lisa S.; Wolfe, Cheryl
• Is Part Of: Primary health care research & development. Volume 20(2019)
• Publication Date: 2019
• Subjects: ACOG Recommendations Depression Screening -- depression -- Listening Visits -- OB/GYN practice -- postpartum -- pregnancy; Family medicine -- Great Britain -- Periodicals; Primary care (Medicine) -- Great Britain -- Periodicals; 362.1094105
• DOI: 10.1017/S1463423618000099
• Languages: English
• ISSNs: 1463-4236

Abstract

Abstract : In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice. RCT results indicated clinically and significant improvement in depression symptoms. To bridge the gap between evidence and practice, and based on experiences garnered at the OB/GYN site during the RCT, this development paper proposes a strategy for implementing depression screening and LV into routine clinical care in this practice setting.