Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health

Despite growing research and policy attention, perinatal behavioral health conditions (i.e., mental health and substance use disorders) remain prevalent, burdensome for families, and largely untreated in the US. Researchers have documented an array of barriers to accurate detection, linkage with eff...

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Autores principales:	Heather Flynn, Megan Deichen Hansen, Amandla Shabaka-Haynes, Shay Chapman, Kay Roussos Ross
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	perinatal behavioral health obstetrics psychiatric consultation mood anxiety Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/a421010a91e4431da4903a080e429fb9
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spelling	oai:doaj.org-article:a421010a91e4431da4903a080e429fb92021-11-30T11:54:44ZCase Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health1664-064010.3389/fpsyt.2021.734883https://doaj.org/article/a421010a91e4431da4903a080e429fb92021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.734883/fullhttps://doaj.org/toc/1664-0640Despite growing research and policy attention, perinatal behavioral health conditions (i.e., mental health and substance use disorders) remain prevalent, burdensome for families, and largely untreated in the US. Researchers have documented an array of barriers to accurate detection, linkage with effective treatment, and improved outcomes for perinatal women with behavioral health disorders. It is clear that a multi-component approach that integrates evidence-based detection and management of perinatal behavioral health in the context of obstetrics care can be effective. This paper presents the initial development of a clinical quality improvement program that includes evidence-based components of behavioral health integration in obstetrics in the state of Florida in the US. The FL BH Impact (Improving Maternal and Pediatric Access, Care and Treatment for Behavioral Health) program, guided by the RE-AIM model for program implementation, has been developed over the past 2 years. Program components, initial implementation, and preliminary findings are presented. Following the implementation phase, the program has enrolled 12 obstetrics practices and 122 obstetrics providers in program engagement and training activities. The primary program component allows for obstetrics clinician telephone access to a statewide listing of behavioral health referral resources for patients and access to consultation with psychiatry. Since program implementation, the program has received a total of 122 calls to this line, with an expected increasing trajectory of calls over time. Results suggest this program is feasible to implement across a large geographic area. Challenges to implementation and future directions are discussed. These types of multi-component approaches to improved management and outcomes for perinatal behavioral health are promising and must be expanded and sustained in the US.Heather FlynnMegan Deichen HansenAmandla Shabaka-HaynesShay ChapmanKay Roussos RossFrontiers Media S.A.articleperinatalbehavioral healthobstetricspsychiatric consultationmood anxietyPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	perinatal behavioral health obstetrics psychiatric consultation mood anxiety Psychiatry RC435-571
spellingShingle	perinatal behavioral health obstetrics psychiatric consultation mood anxiety Psychiatry RC435-571 Heather Flynn Megan Deichen Hansen Amandla Shabaka-Haynes Shay Chapman Kay Roussos Ross Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health
description	Despite growing research and policy attention, perinatal behavioral health conditions (i.e., mental health and substance use disorders) remain prevalent, burdensome for families, and largely untreated in the US. Researchers have documented an array of barriers to accurate detection, linkage with effective treatment, and improved outcomes for perinatal women with behavioral health disorders. It is clear that a multi-component approach that integrates evidence-based detection and management of perinatal behavioral health in the context of obstetrics care can be effective. This paper presents the initial development of a clinical quality improvement program that includes evidence-based components of behavioral health integration in obstetrics in the state of Florida in the US. The FL BH Impact (Improving Maternal and Pediatric Access, Care and Treatment for Behavioral Health) program, guided by the RE-AIM model for program implementation, has been developed over the past 2 years. Program components, initial implementation, and preliminary findings are presented. Following the implementation phase, the program has enrolled 12 obstetrics practices and 122 obstetrics providers in program engagement and training activities. The primary program component allows for obstetrics clinician telephone access to a statewide listing of behavioral health referral resources for patients and access to consultation with psychiatry. Since program implementation, the program has received a total of 122 calls to this line, with an expected increasing trajectory of calls over time. Results suggest this program is feasible to implement across a large geographic area. Challenges to implementation and future directions are discussed. These types of multi-component approaches to improved management and outcomes for perinatal behavioral health are promising and must be expanded and sustained in the US.
format	article
author	Heather Flynn Megan Deichen Hansen Amandla Shabaka-Haynes Shay Chapman Kay Roussos Ross
author_facet	Heather Flynn Megan Deichen Hansen Amandla Shabaka-Haynes Shay Chapman Kay Roussos Ross
author_sort	Heather Flynn
title	Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health
title_short	Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health
title_full	Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health
title_fullStr	Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health
title_full_unstemmed	Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health
title_sort	case report: implementation of a multi-component behavioral health integration program in obstetrics for perinatal behavioral health
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/a421010a91e4431da4903a080e429fb9
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Case Report: Implementation of a Multi-Component Behavioral Health Integration Program in Obstetrics for Perinatal Behavioral Health

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