Scaling Up Maternal Mental Healthcare by Increasing Access to Treatment (SUMMIT) (SUMMIT)
Perinatal Depression
About this trial
This is an interventional treatment trial for Perinatal Depression focused on measuring Depression, Anxiety, Maternal mental health, Behavioral Activation
Eligibility Criteria
Inclusion Criteria:
- EPDS≥10
- ≥18 years
- Pregnant up to 36 weeks or 4-30 weeks postpartum
- Speaks English or (US sites) Spanish
Exclusion Criteria:
- Active suicidal intent (ideation and plan), active symptoms of psychosis or mania
- Psychotropic medication dose or medication change within two weeks of enrollment or beginning treatment
- Ongoing psychotherapy (no more than once every 8 weeks or during the duration of the intervention)
- Active substance abuse or dependence
- Severe fetal anomalies, stillbirth or infant death at time of enrollment for index pregnancy
- Non-English, non-Spanish speakers
Sites / Locations
- NorthShore University Health SystemRecruiting
- University of North CarolinaRecruiting
- St. Michael's HospitalRecruiting
- Sinai Health SystemRecruiting
- Women's College HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Active Comparator
Experimental
Active Comparator
Non-specialist
Specialist
Telemedicine
In-Person
Trained non-mental health providers (e.g., nurses or midwives) with general healthcare professional skills (as assessed during recruitment) with no previous experience delivering psychological treatments implementing a brief, manualized behavioral activation treatment
Psychiatrists, psychologists and social workers with experience in treating perinatal mental illness and a minimum of 5 years of experience delivering psychological treatments delivering a brief, manualized behavioral activation treatment
A brief, manualized behavioral activation treatment delivered over Zoom™ in Toronto, via Webex™ in Chapel Hill, and via Zoom™ in NorthShore
A brief, manualized behavioral activation treatment delivered in-person held at participating clinical care sites within UToronto, UNC and NorthShore