TY - JOUR
T1 - Postpartum Depression Screening
T2 - Initial Implementation in a Multispecialty Practice With Collaborative Care Managers
AU - Wichman, Christina L.
AU - Angstman, Kurt B.
AU - Lynch, Brian
AU - Whalen, Denise
AU - Jacobson, Nathan
PY - 2010/10
Y1 - 2010/10
N2 - Postpartum depression (PPD) has emerged as an important issue for pediatricians and family practitioners because of detrimental effects on children. PPD occurs in 10% to 22% of women who have recently given birth, but fewer than half of cases are recognized. Despite the impact of PPD, many primary care clinicians do not have systemic screening approaches implemented. This paper will review the development of a screening protocol for PPD in a multispecialty clinic, with the implementation utilizing depression care managers and the preliminary results of our process. Of the 333 screened examinations during the 4-month study, 38.1% (n = 127) were performed for the 2-month well child examination; 33.6% (n = 112) were for the 4-month examination, with 28.2% (n = 94) being performed for the 6-month well child examination. Only 15 (4.5%) were positive for possible depression with a screening compliance rate of 47.9%. No significant difference was noted in the timing of the well child visit with a positive screening test result, nor was there any difference in family medicine versus pediatric colleagues in the utilization of the screening or diagnosis of PPD. Implementation of PPD screening in a multispecialty clinic can be effective, given utilization of depression care managers.
AB - Postpartum depression (PPD) has emerged as an important issue for pediatricians and family practitioners because of detrimental effects on children. PPD occurs in 10% to 22% of women who have recently given birth, but fewer than half of cases are recognized. Despite the impact of PPD, many primary care clinicians do not have systemic screening approaches implemented. This paper will review the development of a screening protocol for PPD in a multispecialty clinic, with the implementation utilizing depression care managers and the preliminary results of our process. Of the 333 screened examinations during the 4-month study, 38.1% (n = 127) were performed for the 2-month well child examination; 33.6% (n = 112) were for the 4-month examination, with 28.2% (n = 94) being performed for the 6-month well child examination. Only 15 (4.5%) were positive for possible depression with a screening compliance rate of 47.9%. No significant difference was noted in the timing of the well child visit with a positive screening test result, nor was there any difference in family medicine versus pediatric colleagues in the utilization of the screening or diagnosis of PPD. Implementation of PPD screening in a multispecialty clinic can be effective, given utilization of depression care managers.
KW - Postpartum depression
KW - care management
KW - practice improvement
KW - primary care
UR - http://www.scopus.com/inward/record.url?scp=84990335536&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84990335536&partnerID=8YFLogxK
U2 - 10.1177/2150131910380055
DO - 10.1177/2150131910380055
M3 - Article
AN - SCOPUS:84990335536
SN - 2150-1319
VL - 1
SP - 158
EP - 163
JO - Journal of Primary Care & Community Health
JF - Journal of Primary Care & Community Health
IS - 3
ER -