Care Managers for Perinatal Depression (CMPD) (CMPD)
Depression, Pregnancy
About this trial
This is an interventional health services research trial for Depression focused on measuring Depression, Pregnancy, Postpartum, Perinatal
Eligibility Criteria
Inclusion Criteria:
- Female
- Current pregnancy or experienced pregnancy in the past 6 weeks
- Score >= 12 on PHQ9
Exclusion Criteria:
- < age 13
- Mental illness
- Primary language other than English or Spanish
Sites / Locations
- Downtown Family Medicine
- Southeast Lancaster Health Services
- Broad Street Health Center
- Haddington Health Center
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Intervention
Control
Participants in the intervention arm will receive standard care plus the addition of a care manager. Care managers will function to provide culturally competent and linguistically appropriate support for the care of women identified as being at high risk for depression in pregnancy. Working with both the care providers and these study participants care managers will serve as connectors, coaches, collaborators, and negotiators working to overcome barriers to depression care delivery.
Standard of care: within the current care processes, a woman initiating prenatal care completes a depression risk assessment using a two-step approach. Women with high risk of depression are then scheduled for a separate visit with a member of the care team (a physician, psychologist, or other mental health provider) referred to as a "perinatal depression champion" for a timely formal diagnostic interview.