The majority of women with perinatal depression do not receive depression treatment. We describe the development and beta-testing of a new program, PRogram in Support of Moms (PRISM). PRISM aimed at improving perinatal depression treatment in obstetric practices. A multidisciplinary work group of perinatal and behavioral health professionals (n=7) was convened to design, refine, and beta test PRISM in an obstetric practice. Iterative feedback and problem solving facilitated development of PRISM components which include provider training/toolkit, screening procedures, implementation assistance, and access to immediate psychiatric consultation. Beta-testing with 50 patients over a two month period demonstrated feasibility of implementation and suggests PRISM may improve provider screening rates and self-efficacy to address depression. Based on lessons learned, PRISM will be enhanced to integrate proactive patient engagement and monitoring into obstetric practices. PRISM is feasible and may help overcome patient, provider, and systems level barriers to managing perinatal depression in obstetric settings.
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