A Stepped Care Model of Patient Navigation to Enhance Engagement with Perinatal Mental Health Care

Christina Bricca DiSanza; Pamela A Geller; Alexa Bonacquisti; Bobbie Posmontier; June Andrews Horowitz; Lisa A Chiarello

doi:10.1089/heq.2020.0077

A Stepped Care Model of Patient Navigation to Enhance Engagement with Perinatal Mental Health Care

Christina Bricca DiSanza, Pamela A Geller, Alexa Bonacquisti, Bobbie Posmontier, June Andrews Horowitz, Lisa A Chiarello

Department of Clinical Psychology

Research output: Contribution to journal › Article › peer-review

Abstract

During the perinatal period, women are at increased risk for developing perinatal mood and anxiety disorders (PMADs). As perinatal mental health screening efforts increase, significantly more women will be identified who require mental health services. Evidence-based treatments exist, yet many women do not receive adequate care. Patient navigation (PN) offers a promising patient-centered approach to improve treatment attendance and engagement. The purpose of this study is to describe the development of a stepped care PN service at an intensive outpatient program for women with PMADs. Our experience incorporating this model of PN revealed significant features that may guide other treatment care facilities to adopt this service to increase identification and connection to care.

Original language	American English
Journal	Health Equity
Volume	4
DOIs	https://doi.org/10.1089/heq.2020.0077
State	Published - Nov 2020

Keywords

patient navigation
perinatal mental health
postpartum depression
stepped care

Disciplines

Clinical Psychology

Access to Document

10.1089/heq.2020.0077License: CC BY

Bonacquisti A stepped care model.pdfFinal published version, 499 KBLicense: CC BY

Cite this

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title = "A Stepped Care Model of Patient Navigation to Enhance Engagement with Perinatal Mental Health Care",

abstract = " During the perinatal period, women are at increased risk for developing perinatal mood and anxiety disorders (PMADs). As perinatal mental health screening efforts increase, significantly more women will be identified who require mental health services. Evidence-based treatments exist, yet many women do not receive adequate care. Patient navigation (PN) offers a promising patient-centered approach to improve treatment attendance and engagement. The purpose of this study is to describe the development of a stepped care PN service at an intensive outpatient program for women with PMADs. Our experience incorporating this model of PN revealed significant features that may guide other treatment care facilities to adopt this service to increase identification and connection to care.",

keywords = "patient navigation, perinatal mental health, postpartum depression, stepped care",

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AU - Horowitz, June Andrews

AU - Chiarello, Lisa A

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AB - During the perinatal period, women are at increased risk for developing perinatal mood and anxiety disorders (PMADs). As perinatal mental health screening efforts increase, significantly more women will be identified who require mental health services. Evidence-based treatments exist, yet many women do not receive adequate care. Patient navigation (PN) offers a promising patient-centered approach to improve treatment attendance and engagement. The purpose of this study is to describe the development of a stepped care PN service at an intensive outpatient program for women with PMADs. Our experience incorporating this model of PN revealed significant features that may guide other treatment care facilities to adopt this service to increase identification and connection to care.

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