1 / 12

Why It’s Easy to be Non-Compliant with the EPDS and Stress Check

Why It’s Easy to be Non-Compliant with the EPDS and Stress Check. Charlene Canger, MFT, LCSW Stanford University/Region 4 ccanger@stanford.edu. What We’ll Be Doing. Looking more carefully at psychosocial tools and resources to support our work and the pregnant women for whom we care

erma
Download Presentation

Why It’s Easy to be Non-Compliant with the EPDS and Stress Check

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Why It’s Easy to be Non-Compliant with the EPDS and Stress Check Charlene Canger, MFT, LCSW Stanford University/Region 4 ccanger@stanford.edu

  2. What We’ll Be Doing • Looking more carefully at psychosocial tools and resources to support our work and the pregnant women for whom we care • Have an opportunity to discuss with others what may be useful in our settings • Discuss how the women may view our interventions • Discuss what we would like to support US

  3. Let’s Demystify • Depression • How other cultures view • Well-Being/Resilience • Compassion • We don’t have to fix but we do “hold” • Bearing witness

  4.  Psychological intervention at Various Levels Patient/Family Level Focus on maternal/ infant health not maternal depression Be active and empowering & participatory Provider Level Should be integrated Should be simple and pragmatic Should avoid stigmatization Health System Level- Evidenced based Move away from ‘medical model” Community or home-based Should be culturally adapted Consider inherent weaknesses of health system

  5. What Do Low Income Mothers Tell Us? • Acute sensitivity to disrespect • Lack of trust • Provider inattentive to their priorities; hear their story • Informal interaction not formal assessment • Urgency of “Now” • Mental health seen as social control institution • Mothers like to be asked about themselves

  6. How to Talk to Moms • Focus on them • review with them • Normalize (1 in 5 moms have depression) • If score high, explore reasons as they see it • What are options for help • What do they see as useful

  7. Sick Of Poverty Robert Sapolsky 2005 • “Weathering effect” • Allostatic Load • Oppression on many levels • Lower SES/lack of control • Chronic stress & chronic disease

More Related