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PERINATALPOSTPARTAL DEPRESSION SCREENING PROJECT

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Baton Rouge, Louisiana. Presented by Becky Decker, LCSW. BACKGROUND: ... Early Childhood Supports and Services Program pilot began in East Baton Rouge Parish; ... – PowerPoint PPT presentation

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Title: PERINATALPOSTPARTAL DEPRESSION SCREENING PROJECT


1
PERINATAL/POSTPARTAL DEPRESSION SCREENING PROJECT
  • East Baton Rouge Parish Health Unit
  • Baton Rouge, Louisiana
  • Presented by Becky Decker, LCSW

2
BACKGROUND
  • Infant Mental Health trainings given to OPH staff
    in Louisiana by Charles H. Zeanah, M.D. and Paula
    Zeanah, PhD., RN, MSN (2002).
  • Early Childhood Supports and Services Program
    pilot began in East Baton Rouge Parish
  • OPH developed SCREENING TOOL, began screenings in
    EBR Health Unit (PKU visits)
  • High rates of maternal depression noted.

3
PROBLEM ISSUE TO ADDRESS
  • High level of Perinatal / Postpartal Depression
    reported by East Baton Rouge Parish Health Unit
    consumers and Healthy Start Program clients
  • 33 - 38 of Health Unit respondents
  • 18 - 27 of Healthy Start participants.

4
SCIENTIFIC JUSTIFICATION
  • World Health Organization depression is one of
    the leading causes of disability worldwide
  • Maternal depression increases risk for insecure
    attachment, language/cognitive problems and for
    social interactive problems in infancy
    (Lyons-Ruth, Murray, Field, Healy, et al)
  • Sensitive caregiving has been shown to modify
    infants negative temperament (Washington, et al,
    and Kagan, 1994).

5
OBJECTIVES
  • Increase awareness of Perinatal / Postpartal
    illness in women
  • Increase referrals for social assessment, support
    and treatment
  • Improve medical compliance by identifying
    obstacle(s) to care
  • Reduce incidence of childhood adjustment
    disorders by treating parental depression.

6
METHODS
  • East Baton Rouge OPH collaborated with Early
    Childhood Supports and Services (ECSS) to
    implement screening tool
  • MCH Central Office staff developed a 1-page
    questionnaire to assess social risk factors
  • OPH provides staff (nursing and social work) to
    screen clients and provide follow-up services.

7
RESULTS
  • Of 300 questionnaires, approximately 100 (1/3)
    were assessed as high-risk for depression or
    other social problems
  • These clients were contacted by OPH social work
    staff to offer support, information and
    referrals
  • Those in need of more comprehensive services were
    referred to ECSS Program (approx. 1-5).

8
CONCLUSIONS
  • Most women will request help for depression if
    asked
  • Screenings for Perinatal / Postpartal illness
    often indicates more complex social problems at
    home
  • More work needs to be done to develop community
    services to treat this illness
  • Social stigma barrier must be addressed to
    encourage treatment for maternal depression.

9
PUBLIC HEALTH IMPLICATIONS
  • Many new parents suffer from some degree of
    depressive illness (27-33 in OPH and HS)
  • Maternal depression is one of the major factors
    shown to affect infant social development
  • Clients are responsive to depression screenings
    in clinical settings
  • Collaboration with other agencies can lead to
    early identification and treatment.

10
RESULTS ANTICIPATED
  • OPH, Healthy Start and other agencies will
    collaborate to continue/expand screenings for
    Perinatal/Postpartal depression
  • Community education / media awareness of this
    issue and its effect on children
  • Reduction of stigma to ask for help
  • Development of community support mechanisms
    (groups, phone support, etc.).

11
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12
FINAL THOUGHTS
  • Mental health and physical health are
    interconnected and should be treated with equal
    importance
  • Creative ways to combine both aspects of health
    in health care settings should be explored
  • Continued collaboration with other programs are
    planned to address depression, substance abuse
    and domestic violence in the community.
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