title: Perinatal depression screening in a Women, Infants, and Children (WIC) program: perception of feasibility and acceptability among a multidisciplinary staff.
abstract: OBJECTIVE
  Best practices for addressing women's mental health and screening for depression in public health clinics are not available. Clinic staff are often responsible for screening for depression; however, few studies examine staff perceptions on feasibility and acceptability of using perinatal screening for mood disorders in ethnically diverse public health clinics.
  
  
  METHODS
  During December 2012, we conducted four focus groups using a semistructured interview guide with public health clinic staff of varying disciplines (n=25) in a Special Supplemental Nutrition Program for Women, Infants, and Children. All interviews were audio recorded and analyzed using thematic analysis.
  
  
  RESULTS
  We found five descriptive themes related to acceptability and feasibility of screening for perinatal depression in a public health clinic. The main themes include (1) literacy barriers, (2) need for referrals and follow-up with outside services, (3) training and capacity needs, (4) stigma of depression, and (5) location and privacy of screening. Although multiple barriers to universal depression screening in a public health clinic were identified, participants found value in practice of screening low-income women for depression.
  
  
  CONCLUSIONS
  Factors for facilitating implementation of systematic depression screening in a public health clinic have been identified. Implications discuss how policy makers and public health clinic administrators can improve the universal depression screening process.
authors: School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA. Electronic address: ktabb@illinois.edu.
authors: Karen M
authors: KM
authors: Tabb
authors: School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
authors: Shinwoo
authors: S
authors: Choi
authors: School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
authors: Maria
authors: M
authors: Pineros-Leano
authors: Champaign-Urbana Public Health District, Champaign, IL 61820, USA.
authors: Brandon
authors: B
authors: Meline
authors: School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
authors: Hellen G
authors: HG
authors: McDonald
authors: Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA 02138, USA.
authors: Rachel
authors: R
authors: Kester
authors: Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA 02138, USA.
authors: Hsiang
authors: H
authors: Huang
mesh_terms: D001291:Attitude of Health Personnel; D003863:Depression / Q000175:diagnosis*; D019052:Depression, Postpartum / Q000175:diagnosis*; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D063105:Food Assistance; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008403:Mass Screening; D008430:Maternal-Child Health Centers; D011203:Poverty; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D036301:Qualitative Research; D014505:Urban Population
keywords: (4-5): Perinatal depression screening; Maternal health; Public health clinic; WIC; Women’s mental health