Postpartum Depression Screening

Initial Implementation in a Multispecialty Practice With Collaborative Care Managers

Christina L. Wichman, Kurt B. Angstman, Brian A Lynch, Denise Whalen, Nathan Jacobson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)158-163
Number of pages6
JournalJournal of primary care & community health
Volume1
Issue number3
DOIs
StatePublished - 2010

Fingerprint

Postpartum Depression
Depression
Primary Health Care
Medicine
Parturition
Pediatrics

Keywords

  • care management
  • Postpartum depression
  • practice improvement
  • primary care

ASJC Scopus subject areas

  • Medicine(all)
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Cite this

Postpartum Depression Screening : Initial Implementation in a Multispecialty Practice With Collaborative Care Managers. / Wichman, Christina L.; Angstman, Kurt B.; Lynch, Brian A; Whalen, Denise; Jacobson, Nathan.

In: Journal of primary care & community health, Vol. 1, No. 3, 2010, p. 158-163.

Research output: Contribution to journalArticle

Wichman, Christina L. ; Angstman, Kurt B. ; Lynch, Brian A ; Whalen, Denise ; Jacobson, Nathan. / Postpartum Depression Screening : Initial Implementation in a Multispecialty Practice With Collaborative Care Managers. In: Journal of primary care & community health. 2010 ; Vol. 1, No. 3. pp. 158-163.
@article{16ba63c2e65f44748350d435ef2307a3,
title = "Postpartum Depression Screening: Initial Implementation in a Multispecialty Practice With Collaborative Care Managers",
abstract = "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.",
keywords = "care management, Postpartum depression, practice improvement, primary care",
author = "Wichman, {Christina L.} and Angstman, {Kurt B.} and Lynch, {Brian A} and Denise Whalen and Nathan Jacobson",
year = "2010",
doi = "10.1177/2150131910380055",
language = "English (US)",
volume = "1",
pages = "158--163",
journal = "Journal of primary care & community health",
issn = "2150-1319",
publisher = "Sage Periodicals Press",
number = "3",

}

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 A

AU - Whalen, Denise

AU - Jacobson, Nathan

PY - 2010

Y1 - 2010

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 - care management

KW - Postpartum depression

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

VL - 1

SP - 158

EP - 163

JO - Journal of primary care & community health

JF - Journal of primary care & community health

SN - 2150-1319

IS - 3

ER -