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Illinois’ Initiatives in Perinatal Depression

Illinois’ Initiatives in Perinatal Depression. Ralph Schubert, M.Sc., M.S. Acting Associate Director for Family Health Illinois Department of Human Services June 29, 2005. Patient information Train MCH providers to screen and refer Medication guidelines Develop a full array of treatment

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Illinois’ Initiatives in Perinatal Depression

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  1. Illinois’ Initiatives in Perinatal Depression Ralph Schubert, M.Sc., M.S. Acting Associate Director for Family Health Illinois Department of Human Services June 29, 2005

  2. Patient information Train MCH providers to screen and refer Medication guidelines Develop a full array of treatment Prevention, early intervention, case management, social support, psychotherapy Financing Task Force Recommendations

  3. Public Health Response Chicago Healthy Start Initiative Training MCH providers Patient brochure Referral resources Resources for Physicians Medicaid reimbursement Medication guidelines Consultation Community referral system Illinois’ Initiatives

  4. Screening, assessment and treatment required component Use Edinburgh Postnatal Depression Scale Mental health clinician (M.S. or M.S.W.) on staff FQHCs provide therapy “in house” Referral arrangements Chicago Healthy Start Initiative

  5. Satellite broadcasts February 2002, Maternal and Postpartum Depression: How to Recognize it and Access Help in the Community Setting November 2004, Perinatal Depression: Beyond the Blues Overview of the condition, risk factors, signs and symptoms, treatment, billing www.chtc.org - follow links to past satellite conferences Training MCH Providers

  6. Edinburgh Postnatal Depression Inventory or Beck Depression Inventory Maternal screening can be billed as a service provided for the woman or her infant Medicaid Reimbursement

  7. Task Force recommendation Developed with Dr. Laura Miller, University Illinois at Chicago, Department of Psychiatry Distributed to Illinois members: American College of Obstetricians and Gynecologists (ACOG) American Academy of Pediatrics (AAP) American Academy of Family Physicians (AAFP) Medication Guidelines

  8. University of Illinois at Chicago School of Medicine, Department of Psychiatry Regional workshops on screening, assessment, and treatment 30 presentations, 1,014 participants Participants become regional resources Physician consultation line Public education MCHB Grant

  9. Collaboration! Most of this done with existing resources Many private initiatives Remaining challenges Financing the full array of services, especially for Medicaid-eligible women Bilingual providers Access to services in rural areas Lessons & Challenges

  10. Illinois Department of Public Aid www.dpaillinois.com/mch Chicago Healthy Start Initiative www.dhs.state.il.us/chp/ofh/MIH/HealthyStart.asp University of Illinois at Chicago – HRSA Perinatal Depression Project www.psych.uic.edu/clinical/HRSA/perinatal.htm More Information

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