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. 2020 Sep 10:21:e30.
doi: 10.1017/S1463423620000110.

Implementation of perinatal collaborative care: a health services approach to perinatal depression care

Emily S Miller  1 , Rebekah Jensen  1 , M Camille Hoffman  2 , Lauren M Osborne  3   4 , Katherine McEvoy  3 , Nancy Grote  5 , Eydie L Moses-Kolko  6
Affiliations

Implementation of perinatal collaborative care: a health services approach to perinatal depression care

Emily S Miller et al. Prim Health Care Res Dev. .

Abstract

Aim: Our objective was to integrate lessons learned from perinatal collaborative care programs across the United States, recognizing the diversity of practice settings and patient populations, to provide guidance on successful implementation.

Background: Collaborative care is a health services delivery system that integrates behavioral health care into primary care. While efficacious, effectiveness requires rigorous attention to implementation to ensure adherence to the core evidence base.

Methods: Implementation strategies are divided into three pragmatic stages: preparation, program launch, and program growth and sustainment; however, these steps are non-linear and dynamic.

Findings: The discussion that follows is not meant to be prescriptive; rather, all implementation tasks should be thoughtfully tailored to the unique needs and setting of the obstetric community and patient population. In particular, we are aware that implementation on the level described here assumes commitment of both effort and money on the part of clinicians, administrators, and the health system, and that such financial resources are not always available. We conclude with synthesis of a survey of existing collaborative care programs to identify implementation practices of existing programs.

Keywords: collaborative care; integrated care; perinatal mental health; perinatal psychiatry.

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Figures

Figure 1.
Figure 1.
Example of spectrum of care offered via perinatal collaborative care.
Figure 2.
Figure 2.
Stepped care model.
Figure 3.
Figure 3.
Core collaborative care principles reported by survey respondents.
See this image and copyright information in PMC

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