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

1. Moving Beyond the Blues: Iowa’s Comprehensive Plan for Perinatal Depression Jane Borst Bureau Chief Family Health Bureau Iowa Department of Public Health

2. 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

3. Iowa’s Perinatal Depression Project Goals • Increase screening, early identification, and referral • Train providers to conduct screening and appropriate treatment interventions • Improve support for women (and families) with depression

4. Change strategies • Health Professional education and Training • Recommendations and Policy Development • Public Awareness Campaign • Consumer involvement

5. Education and Training • 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.

6. Education and Training • 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

7. Education and Training • 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.

8. Improve Support for Women & Families • 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.

9. Policy Development Recommendations • 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

10. Public Awareness Campaign • 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

11. Contact information 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