Implementation of a Universal Screening Program to Increase Identification and Treatment of Perinatal Mood and Anxiety Disorders Among Pregnant and Postpartum Women

9.00
Hdl Handle:
http://hdl.handle.net/10755/623719
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Implementation of a Universal Screening Program to Increase Identification and Treatment of Perinatal Mood and Anxiety Disorders Among Pregnant and Postpartum Women
Author(s):
Bartlett, Laura; Platt, Terrie
Lead Author STTI Affiliation:
Non-member
Author Details:
Laura Bartlett, DNP, RN, WHNP-BC; Terrie Platt, DNP, RN, WHNP-BC
Abstract:

<p>Purpose: The purpose of this project is to evaluate whether the consistent implementation of a valid and reliable screening tool for perinatal mood and anxiety disorders in the clinic setting, as well as follow-up care, will result in better identification and treatment. </p>

<p>Summary: From January-May 2017, clinicians at the OB/GYN clinic implemented use of the Edinburgh Postnatal Depression Scale (EPDS) to screen patients for perinatal mood and anxiety disorders at the initial obstetric visit, 24 week visit, 36 week visit, 2 week postpartum visit (if applicable), and 6 week postpartum visit. With EPDS scores of ≥10, the clinician performed risk assessment and referred patient to a local perinatal mental health clinic when indicated. To assess for overall effectiveness of the project, chart reviews of all eligible participants were performed. Data was extracted from the electronic health record (EHR) including EPDS scores and ICD-10 codes to determine the number of women with symptoms of perinatal mood and anxiety disorders identified by the clinician. </p>

<p>Outcomes: Of 836 total participants who met eligibility criteria, 619 women were included in the QI project. A 494% increase in identification of women with perinatal mood and anxiety disorders was seen with implementation of the screening protocol. Over 87.4% of women with EPDS scores ≥10 were given education about perinatal mood and anxiety disorders, offered behavioral referrals, and local resources. Over 65% of participants with perinatal mood and anxiety disorders were provided with referrals to behavioral health; 42% of them completed an appointment with a behavioral health specialist to address symptoms. </p>

<p>Implications: Standardized, universal screening for perinatal mood and anxiety disorders improves the detection rate. Screening for perinatal mood and anxiety disorders during pregnancy, especially at the initial prenatal visit, can result in earlier identification. Earlier identification of women with perinatal mood and anxiety disorders can result in more prompt intervention and management of symptoms. Screening with use of the EPDS in the OB/GYN clinic is cost effective, efficacious, and easily reproducible. While screening is important, ensuring adequate behavioral health follow-up is crucial in the management of women with perinatal mood and anxiety disorders. </p>

Keywords:
Perinatal; EPDS; Depression Screening
Repository Posting Date:
18-Dec-2017
Date of Publication:
18-Dec-2017
Conference Date:
2017
Conference Name:
20th Annual NPWH Premier Women's Healthcare Conference
Conference Host:
Nurse Practitioners in Women's Health
Conference Location:
Seattle, Washington, USA
Note:
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleImplementation of a Universal Screening Program to Increase Identification and Treatment of Perinatal Mood and Anxiety Disorders Among Pregnant and Postpartum Womenen_US
dc.contributor.authorBartlett, Lauraen
dc.contributor.authorPlatt, Terrieen
dc.contributor.departmentNon-memberen
dc.author.detailsLaura Bartlett, DNP, RN, WHNP-BC; Terrie Platt, DNP, RN, WHNP-BCen
dc.identifier.urihttp://hdl.handle.net/10755/623719-
dc.description.abstract<p>&lt;p&gt;Purpose: The purpose of this project is to evaluate whether the consistent implementation of a valid and reliable screening tool for perinatal mood and anxiety disorders in the clinic setting, as well as follow-up care, will result in better identification and treatment. &lt;/p&gt;</p> <p>&lt;p&gt;Summary: From January-May 2017, clinicians at the OB/GYN clinic implemented use of the Edinburgh Postnatal Depression Scale (EPDS) to screen patients for perinatal mood and anxiety disorders at the initial obstetric visit, 24 week visit, 36 week visit, 2 week postpartum visit (if applicable), and 6 week postpartum visit. With EPDS scores of &ge;10, the clinician performed risk assessment and referred patient to a local perinatal mental health clinic when indicated. To assess for overall effectiveness of the project, chart reviews of all eligible participants were performed. Data was extracted from the electronic health record (EHR) including EPDS scores and ICD-10 codes to determine the number of women with symptoms of perinatal mood and anxiety disorders identified by the clinician. &lt;/p&gt;</p> <p>&lt;p&gt;Outcomes: Of 836 total participants who met eligibility criteria, 619 women were included in the QI project. A 494% increase in identification of women with perinatal mood and anxiety disorders was seen with implementation of the screening protocol. Over 87.4% of women with EPDS scores &ge;10 were given education about perinatal mood and anxiety disorders, offered behavioral referrals, and local resources. Over 65% of participants with perinatal mood and anxiety disorders were provided with referrals to behavioral health; 42% of them completed an appointment with a behavioral health specialist to address symptoms. &lt;/p&gt;</p> <p>&lt;p&gt;Implications: Standardized, universal screening for perinatal mood and anxiety disorders improves the detection rate. Screening for perinatal mood and anxiety disorders during pregnancy, especially at the initial prenatal visit, can result in earlier identification. Earlier identification of women with perinatal mood and anxiety disorders can result in more prompt intervention and management of symptoms. Screening with use of the EPDS in the OB/GYN clinic is cost effective, efficacious, and easily reproducible. While screening is important, ensuring adequate behavioral health follow-up is crucial in the management of women with perinatal mood and anxiety disorders. &lt;/p&gt;</p>en
dc.subjectPerinatalen
dc.subjectEPDSen
dc.subjectDepression Screeningen
dc.date.available2017-12-18T18:48:40Z-
dc.date.issued2017-12-18-
dc.date.accessioned2017-12-18T18:48:40Z-
dc.conference.date2017en
dc.conference.name20th Annual NPWH Premier Women's Healthcare Conferenceen
dc.conference.hostNurse Practitioners in Women's Healthen
dc.conference.locationSeattle, Washington, USAen
dc.description.noteItems submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.-
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