A collaborative care telemedicine intervention to overcome treatment barriers for Latina women with depression during the perinatal period.
Maternal depression is highly prevalent (10-20%) during the perinatal period, with rates as high as 35% to 40% for Latinas. However, few Latinas are either identified or treated during the perinatal period. The Perinatal Mental Health (PMH) model was designed to ameliorate the barriers that prevent adequate diagnoses and intervention. The PMH is a culturally sensitive, short-term telemedicine, collaborative care intervention for addressing depression among Mexican American mothers. It attends to sociocultural and socioeconomic dimensions and is delivered by trained mental health advisors in obstetric care settings. This article describes the feasibility and acceptability of using the PMH. Participants (N = 79) were selected from a 1st-year ongoing randomized trial in community obstetric clinics. The intervention seems feasible and acceptable; low-income Latinas, identified as depressed during the perinatal period, reported having access to a range of appropriate community services and high satisfaction.
Child and Adolescent Services Research Center, Rady Children's Hospital San Diego, San Diego, CA 92123, USA. mbaker@casrc.org
Mary J
MJ
Baker-Ericzén
Cynthia D
CD
Connelly
Andrea L
AL
Hazen
Cecilia
C
Dueñas
John A
JA
Landsverk
Sarah McCue
SM
Horwitz
D000293:Adolescent; D000328:Adult; D003299:Cooperative Behavior; D054521:Cultural Competency; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006630:Hispanic or Latino; D006801:Humans; D008429:Maternal Welfare / Q000523:psychology; D008603:Mental Health; D018743:Perinatal Care / Q000379:methods*; D011247:Pregnancy; D011594:Psychometrics; D012944:Social Support; D017216:Telemedicine; D014481:United States / Q000453:epidemiology; D016387:Women's Health; D055815:Young Adult