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Maternal Depression

Maternal Depression. Breena Holmes, MD MCH Director. Objectives. Understand the context of maternal depression, nationally and locally and become familiar with Vermont improvement strategies.

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Maternal Depression

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  1. Maternal Depression Breena Holmes, MD MCH Director

  2. Objectives • Understand the context of maternal depression, nationally and locally and become familiar with Vermont improvement strategies. • Comprehend the biological and socio-emotional impact of maternal depression on attachment and child development. • Describe the progress of VDHMaternal Depression Work group and identify areas for CIS input and integration Vermont Department of Health

  3. CIS and Maternal Depression • Awareness • Support • Screening • Referral Vermont Department of Health

  4. Data • National data show 10-20% of women experience depression either during pregnancy or in the years following the birth of a child • Depression screening by our Nurse Family Partnership home visitors has placed the rate closer to 50% (with select population of first time pregnant women who are Medicaid eligible) Vermont Department of Health

  5. Awareness • Reproductive-age women are anxious and depressed in higher numbers than previously described • Unidentified anxious and depressed mothers struggle with attachment, talk less to their babies, are isolated Vermont Department of Health

  6. Impact • Maternal depression can lead to serious health risks for both the mother and the child, increasing the risk of complications during birth and causing long lasting effects on child development and well-being Vermont Department of Health

  7. Impact • Pregnancy • Inadequate prenatal care • Poor nutrition • Increased rate of preterm birth Vermont Department of Health

  8. Impact • Infants and Toddlers • Cognitive development • Behavior • Nutrition • School Aged Children • Cognitive development • Behavior • Nutrition Vermont Department of Health

  9. Definitions/Continuum • Prenatal Depression/Anxiety • “Baby Blues” • Postpartum Depression/Anxiety • Postpartum Psychosis Vermont Department of Health

  10. Handout/Continuum • Incidence • Risk Factors • Signs/Symptoms • Interventions Vermont Department of Health

  11. MCH Strategic Plan: A Life Course Approach Family-Centered Care Evidence-Based Practice for Population Health Data and Evaluation

  12. MCH Strategic Plan By September 2015, conduct an assessment to determine existing maternal depression resources and gaps, and develop a plan to increase capacity of treatment providers and educate primary care Vermont Department of Health

  13. Maternal Depression Work Group Vermont Department of Health

  14. Maternal Depression Work Group • AHS • Integrated Family Services • DCF (CIS) • DOC • DMH • DVHA/High-Risk Pregnancy • VDH (CO, WIC, and OLH) • Blue Cross/Blue Shield • Cambridge Health Center • Counseling Service Addison Co. • FAHC/Maternal Fetal Medicine • Howard Center • Northwestern Medical Center/ Ob Gyn • Nurse Family Partnership • Parent • UVM/Department of Psychiatry • VCHIP • Vermont Postpartum Task Force Vermont Department of Health

  15. Needs Assessment Survey Vermont Department of Health

  16. Needs Assessment Survey Vermont Department of Health

  17. Proposed Strategies • Health Care • Mental Health • Financing • Public Education Vermont Department of Health

  18. Health Care • Increase capacity of Vermont’s providers to educate, screen, diagnose, refer, and treat maternal depression Vermont Department of Health

  19. Mental Health • A robust support and treatment referral network is available to primary care providers and social service providers. Vermont Department of Health

  20. Financing • Understand, support, and/or enhance payment systems for maternal depression (IFS, Medicaid, private insurers). Vermont Department of Health

  21. Public Education • Vermonters have access to comprehensive maternal depression educational information and support and treatment options Vermont Department of Health

  22. Discussion questions • How does CIS connect to these 4 areas ? • What is your experience in your communities? • How do we leverage existing resources? Vermont Department of Health

  23. Be in Touch! • Breena.holmes@state.vt.us Vermont Department of Health

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