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Best Practices: An Emerging Best Practice Model for Perinatal Depression Care

Dr. Sit is assistant professor of psychiatry, Women's Behavioral HealthCARE, Western Psychiatric Institute and Clinic, 3811 O'Hara St., Pittsburgh, PA 15213 (e-mail: sitdk{at}upmc.edu). Ms. Flint is executive director, Ms. White is chief social worker, and Ms. Wimer is a social worker, Healthy Start, Inc., Pittsburgh. Mr. Svidergol is a nurse clinician, Western Psychiatric Institute and Clinic. Ms. Bish is a student, Graduate Schools of Social Work and Public Health, University of Pittsburgh. Dr. Wisner, who is also affiliated with Women's Behavioral HealthCARE, is professor of psychiatry, Obstetrics and Gynecology and Reproductive Sciences, Western Psychiatric Institute and Clinic. William M. Glazer, M.D., is editor of this column.

Perinatal depression is a significant health problem, especially among inner-city women. The authors explored the feasibility of an innovative model that integrated depression screening and treatment within an agency for maternal-child health. The team conducted depression screening with the Edinburgh Postnatal Depression Scale; they confirmed the primary diagnosis with the PRIME-MD instrument for 29 women with positive screens. Most participants had moderate or severe major depressive disorder. Women contended with multiple treatment barriers. Colocated depression care was highly acceptable and enabled evidence-based care delivery for at-risk mothers.

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