Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation
Background: This study aimed to explore clinicians’ perspectives on the current practice of perinatal mood and anxiety disorder (PMAD) management and strategies to improve future implementation. Methods: This study had a cross-sectional, descriptive design. A 35-item electronic survey was sent to cl...
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| Format: | Article |
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SAGE Publishing
2021-02-01
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| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/2150132721996888 |
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doaj-bf62b83876f649c69d162a3ee3015e452021-02-23T23:35:33ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272021-02-011210.1177/2150132721996888Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future ImplementationAjeng J. Puspitasari0Dagoberto Heredia1Elise Weber2Hannah K Betcher3Brandon J. Coombes4Ellen M. Brodrick5Susan M. Skinner6Angie L. Tomlinson7Shana S. Salik8Summer V. Allen9Jason S. O’Grady10Emily K. Johnson11Tayler M. L’amoureux12Katherine M. Moore13Mayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USADenver Health Midwives, Denver, CO, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAMayo Clinic, Rochester, MN, USAInstitute for Clinical Social Work, Chicago, IL, USAMayo Clinic, Rochester, MN, USABackground: This study aimed to explore clinicians’ perspectives on the current practice of perinatal mood and anxiety disorder (PMAD) management and strategies to improve future implementation. Methods: This study had a cross-sectional, descriptive design. A 35-item electronic survey was sent to clinicians (N = 118) who treated perinatal women and practiced at several community clinics at an academic medical center in the United States. Results: Among clinicians who provided care for perinatal women, 34.7% reported never receiving PMAD management training and 66.3% had less than 10 years of experience. Out of 10 patients who reported psychiatric symptoms, 47.8% of clinicians on average reported providing PMAD management to 1 to 3 patients and 40.7% noted that they conducted screening only when patient expresses PMAD symptoms. Suggested future improvements were providing training, developing a referral list, and establishing integrated behavioral health services. Conclusions: Results from this study indicated that while PMAD screening and management was implemented, improvements are warranted to meet established guidelines. Additionally, clinicians endorsed providing PMAD management to a small percentage of perinatal patients. Suggested strategies to increase adoption and implementation of PMAD management should be explored to improve access to behavioral health services for perinatal women.https://doi.org/10.1177/2150132721996888 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Ajeng J. Puspitasari Dagoberto Heredia Elise Weber Hannah K Betcher Brandon J. Coombes Ellen M. Brodrick Susan M. Skinner Angie L. Tomlinson Shana S. Salik Summer V. Allen Jason S. O’Grady Emily K. Johnson Tayler M. L’amoureux Katherine M. Moore |
| spellingShingle |
Ajeng J. Puspitasari Dagoberto Heredia Elise Weber Hannah K Betcher Brandon J. Coombes Ellen M. Brodrick Susan M. Skinner Angie L. Tomlinson Shana S. Salik Summer V. Allen Jason S. O’Grady Emily K. Johnson Tayler M. L’amoureux Katherine M. Moore Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation Journal of Primary Care & Community Health |
| author_facet |
Ajeng J. Puspitasari Dagoberto Heredia Elise Weber Hannah K Betcher Brandon J. Coombes Ellen M. Brodrick Susan M. Skinner Angie L. Tomlinson Shana S. Salik Summer V. Allen Jason S. O’Grady Emily K. Johnson Tayler M. L’amoureux Katherine M. Moore |
| author_sort |
Ajeng J. Puspitasari |
| title |
Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation |
| title_short |
Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation |
| title_full |
Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation |
| title_fullStr |
Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation |
| title_full_unstemmed |
Perinatal Mood and Anxiety Disorder Management in Multicenter Community Practices: Clinicians’ Training, Current Practices and Perceived Strategies to Improve Future Implementation |
| title_sort |
perinatal mood and anxiety disorder management in multicenter community practices: clinicians’ training, current practices and perceived strategies to improve future implementation |
| publisher |
SAGE Publishing |
| series |
Journal of Primary Care & Community Health |
| issn |
2150-1327 |
| publishDate |
2021-02-01 |
| description |
Background: This study aimed to explore clinicians’ perspectives on the current practice of perinatal mood and anxiety disorder (PMAD) management and strategies to improve future implementation. Methods: This study had a cross-sectional, descriptive design. A 35-item electronic survey was sent to clinicians (N = 118) who treated perinatal women and practiced at several community clinics at an academic medical center in the United States. Results: Among clinicians who provided care for perinatal women, 34.7% reported never receiving PMAD management training and 66.3% had less than 10 years of experience. Out of 10 patients who reported psychiatric symptoms, 47.8% of clinicians on average reported providing PMAD management to 1 to 3 patients and 40.7% noted that they conducted screening only when patient expresses PMAD symptoms. Suggested future improvements were providing training, developing a referral list, and establishing integrated behavioral health services. Conclusions: Results from this study indicated that while PMAD screening and management was implemented, improvements are warranted to meet established guidelines. Additionally, clinicians endorsed providing PMAD management to a small percentage of perinatal patients. Suggested strategies to increase adoption and implementation of PMAD management should be explored to improve access to behavioral health services for perinatal women. |
| url |
https://doi.org/10.1177/2150132721996888 |
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