Feasibility and Preliminary Responses to a Screening and Brief Intervention Program for Maternal Mental Disorders Within the Context of Primary Care.
There is little evidence of the feasibility and acceptability of integrating screening, brief intervention and referral to treatment services that address depression and alcohol, tobacco and other drug (ATOD) use into antenatal care in South Africa. Data were extracted from program records on the number of eligible women screened and number meeting criteria for depression and self-reported ATOD use. 70 women completed a questionnaire examining their preliminary responses and five MOU personnel were interviewed to identify potential barriers to implementation. Of the 3407 eligible women, 1468 (43 %) women were screened for depression or ATOD use, of whom 302 (21.4 %) screened at risk for depression, 388 (26.4 %) disclosed smoking tobacco, and 29 (2 %) disclosed alcohol or other drugs (AOD). Seventy participants completed the three month follow-up interview. Depression scores decreased significantly following the intervention (t (69) = 8.51, p < 0.001) as did self-reported tobacco use (t (73) = 3.45, p < 0.001), however self-reported AOD use remained unchanged.
Alan. J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. katherine.sorsdahl@uct.ac.za.|Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. katherine.sorsdahl@uct.ac.za.
Katherine
K
Sorsdahl
Alcohol, Tobacco and Other Drug Research Unit, Medical Research Council, Tygerberg, South Africa.
Petal
P
Petersen Williams
Chronic Disease Initiative for Africa, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Kathy
K
Everett-Murphy
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Bavi
B
Vythilingum
Western Cape Department of Health, Cape Town, South Africa.
Patricia
P
de Villiers
Alcohol, Tobacco and Other Drug Research Unit, Medical Research Council, Tygerberg, South Africa.|Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Bronwyn
B
Myers
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.|Unit on Anxiety and Stress Disorders, Medical Research Council, Tygerberg, South Africa.
Dan J
DJ
Stein
D003863:Depression / Q000175:diagnosis / Q000628:therapy; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008427:Maternal Health Services; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy; D011295:Prenatal Care / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000628:therapy; D011795:Surveys and Questionnaires
Maternal mental health; Service delivery; Tobacco, alcohol and drug use