Women's Preferred Sources for Primary and Mental Health Care: Implications for Reproductive Health Providers

Hall, Kelli Stidham; Harris, Lisa H.; Dalton, Vanessa K.

doi:10.1016/j.whi.2016.09.014

Cited by 17 publications

(14 citation statements)

References 26 publications

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“…Health care providers are often the primary source of mental health resources and care for women during the perinatal period, 9 indicating a significant role of providers in helping to identify and manage (eg, treat/refer) perinatal mood disorders. 10 , 11 However, a prior study found that maternal depression is assessed in primary care settings less than 50% of the time, and the use of screening tools is even lower (22%-46%).…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] Exposure to environmental stressors, such as natural disasters, can amplify perinatal mood disorders and even have intergenerational impacts on child health and development outcomes. [5][6][7][8] Health care providers are often the primary source of mental health resources and care for women during the perinatal period, 9 indicating a significant role of providers in helping to identify and manage (eg, treat/refer) perinatal mood disorders. 10,11 However, a prior study found that maternal depression is assessed in primary care settings less than 50% of the time, and the use of screening tools is even lower (22%-46%).…”

Section: Introductionmentioning

confidence: 99%

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A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19

Farewell

Jewell

Walls

et al. 2020

J Prim Care Community Health

161

189

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Introduction/Objectives: National guidelines underscore the need for improvement in the detection and treatment of mood disorders in the perinatal period. Exposure to disasters can amplify perinatal mood disorders and even have intergenerational impacts. The primary aim of this pilot study was to use mixed-methods to better understand the mental health and well-being effects of the coronavirus disease 2019 (COVID-19) pandemic, as well as sources of resilience, among women during the perinatal period. Methods: The study team used a simultaneous exploratory mixed-methods design to investigate the primary objective. Thirty-one pregnant and postpartum women participated in phone interviews and were invited to complete an online survey which included validated mental health and well-being measures. Results: Approximately 12% of the sample reported high depressive symptomatology and 60% reported moderate or severe anxiety. Forty percent of the sample reported being lonely. The primary themes related to stress were uncertainty surrounding perinatal care, exposure risk for both mother and baby, inconsistent messaging from information sources and lack of support networks. Participants identified various sources of resilience, including the use of virtual communication platforms, engaging in self-care behaviors (eg, adequate sleep, physical activity, and healthy eating), partner emotional support, being outdoors, gratitude, and adhering to structures and routines. Conclusions: Since the onset of COVID-19, many pregnant and postpartum women report struggling with stress, depression, and anxiety symptomatology. Findings from this pilot study begin to inform future intervention work to best support this highly vulnerable population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19

Farewell

Jewell

Walls

et al. 2020

J Prim Care Community Health

161

189

View full text Add to dashboard Cite

show abstract

“…Obstetrics-Gynecology as Primary Care Setting Many women, especially those of reproductive age, prefer to access primary care through their ob-gyn (Hall et al, 2017;Henderson & Weisman, 2005;Leader & Perales, 1995), and many ob-gyns recognize their role as primary care providers to women (48%; Leader & Perales, 1995). In two recent large studies, 20%-22% of women identified their ob-gyn as their preferred primary care provider (PCP) (Hall et al, 2017;Mazzoni et al, 2017). The percentage nearly doubles among women with lower socioeconomic status: 38% of women in a Medicaid-enrolled sample identified an ob-gyn as their primary provider (Scholle & Kelleher, 2003).…”

Section: Need For Ibh In Ob-gyn Settingsmentioning

confidence: 99%

Integrated women’s behavioral health: Recent literature and proposed framework.

Crawford¹,

Weitzen²,

Schulkin³

2022

Professional Psychology: Research and Practice

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Expanding access to behavioral health (BH) care in integrated primary care settings has expanded the role of health services psychologists in medical settings. However, many women continue to seek care primarily from obstetrician-gynecologists (ob-gyns) and may not benefit from the expansion of integrated behavioral health (IBH). Ob-gyns and other women's health specialty providers are in a unique position to connect women with needed BH care, including for high priority concerns (e.g., opioid misuse, severe depression/suicidality, and untreated post-traumatic stress disorder). Research on collaborative care models within ob-gyn practice settings is limited and a clear framework for such integration is needed. Existing IBH programs in women's health settings are often limited to perinatal depression treatment, and underutilize the services of psychologists and other behavioral health providers (BHPs) to provide evidence-based treatments for post-traumatic stress disorder, chronic pain, sexual functioning, and health behavior change. A review of recent literature on BH integration in ob-gyn settings is provided and recommended key elements for future BH integration in women's health are outlined. Expanding availability of psychologists and other BHPs in women's health specialty settings (WHSS) has the potential to improve the health and well-being of many women. Public Significance StatementThis paper reviews the limited research on behavioral health care in women's health specialty settings, like Obstetrics and Gynecology, and finds that when available it is most often focused on depression during and after pregnancy rather than the broad needs of women. The paper advocates for increasing access to behavioral health providers (e.g., psychologists) within women's health settings and provides evidence-based suggestions for doing so.

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“… 91 These findings corroborate national survey data of family planning clinicians, which found that of these clinicians, approximately one-third used a validated screening measure and one-fifth provided a referral that consisted of more than a list of treatment options. 92 …”

Section: Barriers and Facilitators To Sbirt Implementationmentioning

confidence: 99%

Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Girls and Women

Hammock¹,

Velasquez²,

Alwan³

et al. 2020

ARCR

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Females ages 12 and older are the fastest growing segment of alcohol consumers in the United States, with the past decade showing a 16% increase in alcohol use per 12-month period and a 58% increase in high-risk drinking (i.e., > 3 drinks in a day and/or > 7 drinks in a week) per 12-month period. The increase in alcohol use and risk drinking poses unique and serious consequences for women. Women have a more rapid progression to alcohol-related problems and alcohol use disorders (AUD) than men, and if pregnant, women can potentially expose the fetus to alcohol. Screening, brief intervention, and referral to treatment (SBIRT) is an evidence-based, integrated public health approach used to identify and address risky alcohol use among women in a variety of health and social service settings. This article presents the current status of SBIRT among girls ages 12 and older, women of childbearing age, and older women. Screening instruments, brief interventions, and implementation issues specific to women of all ages are described. Through this review of the current literature, care providers can determine best practices for the prevention and treatment of risk drinking in women of all ages presenting in health care settings.

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Women's Preferred Sources for Primary and Mental Health Care: Implications for Reproductive Health Providers

Cited by 17 publications

References 26 publications

A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19

A Mixed-Methods Pilot Study of Perinatal Risk and Resilience During COVID-19

Integrated women’s behavioral health: Recent literature and proposed framework.

Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Girls and Women

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