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Best Practices: Community-Based Postpartum Depression Screening: Results From the CARE Study

The authors are affiliated with the W. F. Connell School of Nursing, Boston College, 140 Commonwealth Ave., Chestnut Hill, MA 02467 (e-mail: horowitz{at}bc.edu). William M. Glazer, M.D., is editor of this column.

This column describes findings and best-practice recommendations from CARE (Communicating and Relating Effectively), a prospective randomized study in which 5,169 mothers were screened for postpartum depression. The prevalence rate was 13%. Results support use of the Edinburgh Postnatal Depression Screening Scale and a diagnostic assessment for those who screen positive. Of the 674 mothers with positive screens, 26% were not asked about their emotional state by clinicians. Screening must be linked to treatment options via referral and follow-up. Best-practice strategies for implementing screening include educating clinicians and postpartum women.

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