A Systematic Review of Integrated Care Interventions Addressing Perinatal Depression Care in Ambulatory Obstetric Care Settings.

Tiffany A Moore Simas, Michael P Flynn, Aimee R Kroll-Desrosiers, Stephanie M Carvalho, Leonard L Levin, Kathleen Biebel, Nancy Byatt
Author Information
  1. Tiffany A Moore Simas: Departments of Obstetrics and Gynecology.
  2. Michael P Flynn: Departments of Obstetrics and Gynecology.
  3. Aimee R Kroll-Desrosiers: Quantitative Health Sciences.
  4. Stephanie M Carvalho: University of Massachusetts Medical School, Worcester.
  5. Leonard L Levin: Family and Community Medicine.
  6. Kathleen Biebel: Psychiatry.
  7. Nancy Byatt: Departments of Obstetrics and Gynecology.

Abstract

This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.

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Grants

  1. KL2 TR000160/NCATS NIH HHS
  2. R41 MH113381/NIMH NIH HHS
  3. U01 DP006093/NCCDPHP CDC HHS

MeSH Term

Ambulatory Care
Delivery of Health Care, Integrated
Depression
Depression, Postpartum
Female
Humans
Mass Screening
Patient Satisfaction
Perinatal Care
Pregnancy
Pregnancy Complications
Self Efficacy
Surveys and Questionnaires

Word Cloud

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