Perinatal depression screening in a Women, Infants, and Children (WIC) program: perception of feasibility and acceptability among a multidisciplinary staff

Tabb, Karen M.; Choi, Shinwoo; Piñeros-Leaño, María; Meline, Brandon; McDonald, Hellen G.; Kester, Rachel; Huang, Hsiang

doi:10.1016/j.genhosppsych.2015.03.008

Cited by 20 publications

(19 citation statements)

References 34 publications

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“…Task-sharing in mental health is generally challenged by public stigma that prevents people from seeking help [16,29]. Stigma has also been reported by postpartum mothers as a problem [24] and a barrier to perinatal mental health care [23,30]. The current study suggests that public stigma is based on the community belief that mental health is a family issue that should not be disclosed to others, including to CHWs.…”

Section: Discussionmentioning

confidence: 80%

“…These facts clearly indicate that CHWs lack competence in understanding the signs and symptoms of depression and recognising women who develop the disorder. Identifying signs and symptoms of depression is not an easy task, even for health staff [24]. However, not all CHWs may have the capacity to be trained, and not all of them may agree to participate.…”

Section: Discussionmentioning

confidence: 99%

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Acceptability of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia

Minas

Jorm

Kakuma

2020

Preprint

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Background: Integrated antenatal care in Indonesia has the potential to extend the role of community health workers (CHWs) to include the identification of perinatal depression in the community and referral to primary health care (PHC) centres, which is an example of task-sharing. This study aimed to examine the acceptability of this type of task-sharing in perinatal depression in Surabaya.Methods: Semi-structured interviews were conducted with participants from four PHC stakeholder groups. 62 participants were recruited from PHC centres, villages and integrated health service posts, the district health office, and one hospital. Data were analysed using framework analysis.Results: More than ninety percent of participants accepted or conditionally accepted task-sharing in perinatal depression. Acceptability was influenced by the perceived benefits of task-sharing, the convenience of the service delivery, the existence of cases of perinatal depression perceived by stakeholders, personal characteristics of CHWs, and the scope of their responsibility within existing tasks. Acceptability was limited by stigma of mental health problems, confidentiality, CHWs’ perceived self-capacity, lack of confidence in CHWs’ competencies, and the objectives of task-sharing in depression identification.Conclusion: Results indicate the need to enhance CHWs’ knowledge about perinatal depression and the needs of users, and CHWs’ competencies in identifying depression. Stigma influences potential health service users’ attitudes to mental health services and help-seeking and help-providing behaviours among service providers, and can reduce motivation to use and to provide services.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Acceptability of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia

Minas

Jorm

Kakuma

2020

Preprint

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“…we also found that other psychological impediments such as fear of an HIV-positive diagnosis or perceiving themselves at low risk for HIV infection could be barriers to HCT, and these may be compounded among WIC participants experiencing perinatal depression. Approximately 13% of women in the U.S. are affected by depression during pregnancy and perinatal depression disproportionately impacts racial and ethnic minority or low income women such as those who attend WIC (Tabb et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

“…Adding screening, for e.g. HIV, IPV, substance use, or depression, into the WIC program, may be seen by participants as added surveillance which could lead staff to have doubts about their abilities as mother and open the possibility for involvement by other government agencies including Child and Family Protective services (Tabb et al, 2015). …”

Section: Discussionmentioning

confidence: 99%

Perspectives on HIV Testing Among WIC-Enrolled Postpartum Women: Implications for Intervention Development

Washio

Wright

Flores

et al. 2017

AIDS Education and Prevention

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Low-income minority women are disproportionately represented among those living with HIV in the U.S and also at-risk for substance abuse and intimate partner violence – collectively called the SAVA syndemic which may impede HIV testing uptake. Views about HIV testing were assessed among women (ages 18–29) enrolled in a federally funded nutrition program for women, infants and children (WIC) in a large Mid-Atlantic city. A survey (n=80) and 3 focus groups were conducted in WIC offices located in neighborhoods with high HIV prevalence. Among this primarily minority sample, most would be interested in getting an HIV test if offered at WIC. Benefits included knowing one’s HIV status, convenience, and accessible location while transportation and peer/ partner encouragement were enabling factors. Barriers included privacy concerns and intimate partner violence. Findings will be used to design an intervention to promote HIV testing among women who attend WIC and that proactively addresses reported barriers.

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“…The Melanie Blocker Stokes MOTHERS Act is a comprehensive policy to reduce the burden of post-partum depression through research, screening, and support services. Only recently have health policy experts begun to identify the associated benefits, costs, [25] and barriers to screening [26] because of state policy mandates for depression screening. In 2008, Illinois became the second state to mandate depression screening at least once during pregnancy and once during postpartum for women receiving any perinatal care.…”

Section: State Mandates To Screen For Perinatal Depressionmentioning

confidence: 99%

Motivated by a mandate: a university-clinic partnership to develop a perinatal depression registry at a community based hospital in the Midwest

et al. 2019

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Disparities in maternal mental health outcomes persist despite the myriad of existing evidence based treatments and recent public health prevention policy efforts. Integrated health care delivery models such as Collaborative Care and patient medical home models have the potential to reduce health disparities in clinic settings. These evidence-based approaches require multidisciplinary teams for successful implementation and to provide quality care to improve specified patient outcomes. However, strategies for successful collaboration and steps for critical reflection are often overlooked in clinical and health services research. Furthermore, a shared vision of social justice is essential in the process of building and sustaining patient-centered care models, but is often understated. The purpose of this paper is to describe the development and implementation of a social justice-informed hospital-based perinatal depression registry to address maternal health disparities. Our partnership is informed by community-based participatory research (CBPR) principles for carrying out health services research. We describe the steps for building a sustainable university-hospital collaboration between traditional and non-traditional researchers using principles from CBPR in a clinic setting.

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Perinatal depression screening in a Women, Infants, and Children (WIC) program: perception of feasibility and acceptability among a multidisciplinary staff

Cited by 20 publications

References 34 publications

Acceptability of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia

Acceptability of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia

Perspectives on HIV Testing Among WIC-Enrolled Postpartum Women: Implications for Intervention Development

Motivated by a mandate: a university-clinic partnership to develop a perinatal depression registry at a community based hospital in the Midwest

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