Screening results were associated with treatment use during incarceration. However, mental health screening may have diverted resources from the already known highest need cases toward newly identified cases who often received brief treatment suggestive of lower needs. Further work is needed to determine the most cost-effective responses to positive screens, or alternatives to screening that increase uptake of services. (PsycINFO Database Record
Findings suggest potential resource gaps and/or differences in the performance of screening to detect mental health needs across demographic and regional groups. Screening did not narrow, and may have widened, differences between groups.
Implementation of a standardized protocol has been demonstrated to improve racial disparities in many areas of obstetrics. This study sought to evaluate whether a protocol for management of postpartum hypertension improved racial disparities in readmission for hypertension. STUDY DESIGN: This is a retrospective pre-post study comparing racial disparities in readmission for hypertension before and after a standardized postpartum hypertension management protocol. Deliveries and hypertension readmissions were identified from a contemporaneously maintained obstetric database. Cases between
was used to calculate odds ratios and excess risk fractions, controlling for age, multiple gestation, socioeconomic variables, and hospital characteristics.RESULTS: There were 8,121,002 pregnancy-related admissions, 6,610 among people with SCD (87% Black). There were few maternal deaths in SCD pregnancies (,10). SCD pregnancies were over three times as likely to experience SMM than GP or UB pregnancies (GP:
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