Journal
CLINICAL OBSTETRICS AND GYNECOLOGY
Volume 61, Issue 3, Pages 573-590Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/GRF.0000000000000360
Keywords
perinatal depression; integrated care; collaborative care; mental health; pregnancy; postpartum
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Funding
- National Center for Research Resources
- National Center for Advancing Translational Sciences, National Institutes of Health (NIH) [KL2TR000160, UL1TR000161]
- Centers for Disease Control and Prevention [U01 DP006093]
- National Institute of Health [R41 MH113381]
- Massachusetts Department of Mental Health via the Massachusetts Child Psychiatry Access Project for Moms (MCPAP for Moms)
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This systematic review searched 4 databases (PubMed/MEDLINE, Scopus, CINAHL, and PsychINFO) and identified 21 articles eligible to evaluate the extent to which interventions that integrate depression care into outpatient obstetric practice are feasible, effective, acceptable, and sustainable. Despite limitations among the available studies including marked heterogeneity, there is evidence supporting feasibility, effectiveness, and acceptability. In general, this is an emerging field with promise that requires additional research. Critical to its real-world success will be consideration for practice workflow and logistics, and sustainability through novel reimbursement mechanisms.
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