Moving beyond the blues iowa s comprehensive plan for perinatal depression
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Moving Beyond the Blues: Iowa’s Comprehensive Plan for Perinatal Depression. Jane Borst Bureau Chief Family Health Bureau Iowa Department of Public Health. HRSA – State Grants for Perinatal Depression: Services for Maternal and Infant Mental Health. Six states awarded HRSA Grants

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Moving beyond the blues iowa s comprehensive plan for perinatal depression

Moving Beyond the Blues: Iowa’s Comprehensive Plan for Perinatal Depression

Jane Borst

Bureau Chief

Family Health Bureau

Iowa Department of Public Health


Hrsa state grants for perinatal depression services for maternal and infant mental health
HRSA – State Grants for Perinatal Depression: Services for Maternal and Infant Mental Health

Six states awarded HRSA Grants

Illinois – Laura Miller MD

Iowa – Jane Borst RN, MA

Kentucky – Brenda Chandler

Louisiana – Jean Valliere L.C.S.W.

Massachusetts – Karin Downs RN, MPH

Pennsylvania – Roberta Herceg-Baron


Iowa s perinatal depression project goals
Iowa’s Perinatal Depression Project Goals Maternal and Infant Mental Health

  • Increase screening, early identification, and referral

  • Train providers to conduct screening and appropriate treatment interventions

  • Improve support for women (and families) with depression


Change strategies
Change strategies Maternal and Infant Mental Health

  • Health Professional education and Training

  • Recommendations and Policy Development

  • Public Awareness Campaign

  • Consumer involvement


Education and training
Education and Training Maternal and Infant Mental Health

  • Partner with Iowa Depression and Clinical Research Center

    • Train the Trainer

      • equips participants with knowledge and skills necessary to serve as instructors to teach maternal depression screening and referral

      • developed by Michael O’Hara PhD and Lisa Segre PhD

    • STEP support and training to

      • enhance primary Care for Postpartum Depression – Web base physician/advance practice combined with in person training for office nurse –

      • developed by Michael O’ Hara PhD and Scott Stuart MD – includes pocket guide for clinical practice.


Education and training1
Education and Training Maternal and Infant Mental Health

  • Focus Groups

    • Local Title V staff to evaluate gaps in screening and referral practices

  • Best practice guide

    • for Title V Agencies

    • developed to improve practice in Iowa

      Dr. Robin Kopelman MD


Education and training2
Education and Training Maternal and Infant Mental Health

  • Mental Health Consultant Service

    • Web based

    • staffed by University of Iowa Mental Health professionals

    • modeled after Illinois

  • Listening Visits -Training materials and implementation guide

    • Collaboration with IDCRC staff and Healthy Start case workers.


Improve support for women families
Improve Support for Women & Families Maternal and Infant Mental Health

  • Post partum support groups, development of training materials and support development

    • Survey of all Iowa birthing hospitals showed only 2 had support groups however 25% were interested in developing one.


Policy development recommendations
Policy Development Maternal and Infant Mental HealthRecommendations

  • Legislative issue briefs develop for Maternal Depression and Infant Mental Health

  • Off to a Good Start Consortium sponsored statewide conference IDCRC developed a Best Practice Guide for Health Care Professionals

  • Preservice curricula assessment and recommendations

  • Maternal and Infant Mental Health Summit in development for 2008

  • Partnership with Iowa’s 1st FIVE Health Mental Development Initiative

  • Minority Focus Groups to remove barriers and improve our screening and treatment


Public awareness campaign
Public Awareness Campaign Maternal and Infant Mental Health

  • Media campaign on stigma and depression

  • Healthy Families Line

  • Statewide directory of mental health professionals by county

  • Consumer Web site – www.beyondtheblues.info

  • Magazine Advertisements:

    • Iowa Parents BABY

    • Des Moines Moms

  • Exhibits

    • Professional Conferences

    • Consumer targeted events

      • State Fair

      • Hospital Baby Fairs


Contact information
Contact information Maternal and Infant Mental Health

Illinois – Illinois Perinatal Mental Health Project 1-800-573-6121 www.psych.uic.edu/clinical/HRSA

Michele Shade mshade@psych.uic.edu

Iowa – Iowa Perinatal Depression Project 1- 800-383-3826 Julie Montgomery jmontgom@idph.state.ia.us

Kentucky – Kentucky H.A.N.D.S. Reach out about Perinatal Depression - Mary Beth Jackson Marybeth.jackson@ky.gov

Louisiana – Perinatal Depression Program, Maternal and Child Health -Jean Valliere jmvallie@dhh.la.gov

Massachusetts –Massachusetts Maternal and Infant Mental Health Project Karin Downs karin.downs@state.ma.us

Pennsylvania – Increasing Maternal and Infant Mental Health Services in Pennsylvania: A Continuum of Care Roberta Herceg-Baron Roberta@familyplanning.org