Evaluation of the Michigan Clinical Consultation and Care Program: An Evidence-Based Approach to Perinatal Mental Healthcare

Abstract

Mood and anxiety disorders affect pregnant individuals and their families at increased rates throughout the perinatal period. Geographic, financial, and social barriers often preclude adequate diagnosis and treatment. The aim of this manuscript is to describe the consultation and care arms of the Michigan Clinical Consultation and Care (MC3) program, a statewide program designed to facilitate access to perinatal mental healthcare for OB/Gyn patients, and to describe the participants engaged in the program, examine the predictors of participant retention, and provide preliminary data regarding participants’ mental health outcomes. We enrolled 209 participants to the clinical care arm, of which 48 were lost to follow-up, while 107 remained enrolled at the time of data analysis. A total of 54 participants met their treatment goals. A total of 97% of participants asserted they were satisfied with the services they received. Black race and public insurance predicted faster attrition from the care arm treatment; risks for interpersonal violence exposure and substance use were unrelated to attrition. Preliminary mental health outcomes showed significant decreases in anxiety and depression, with the most dramatic decreases in the first month of treatment. Overall, the MC3 clinical care arm shows promising rates of adherence, excellent program satisfaction, and a positive impact on perinatal mental health, supporting continued program implementation and ongoing evaluation.

Developing consensus to enhance perinatal mental health through a model of integrated care: Delphi study

“…Indeed, evidence from systematic reviews synthesizing research on non-perinatal integrated models of care indicate that they improve care quality and access, while also lowering operational costs [ 38 ] and improving patient satisfaction [ 38 , 39 ]. In the perinatal setting, preliminary evaluation of a state-wide integrated model of PMH care in the US demonstrated improvements in mental health outcomes and patient satisfaction [ 40 ]. Qualitative findings from our study extend these findings and indicate the need for centralized processes to support care coordination, referrals, and education.…”