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Moving beyond depression screening: integrating perinatal depression treatment into OB/GYN practices
Journal article   Open access   Peer reviewed

Moving beyond depression screening: integrating perinatal depression treatment into OB/GYN practices

Christina Terrazas, Lisa S Segre and Cheryl Wolfe
Primary health care research & development, Vol.20, pp.1-9
01/01/2019
DOI: 10.1017/S1463423618000099
PMCID: PMC7008399
PMID: 29429427
url
https://doi.org/10.1017/S1463423618000099View
Published (Version of record) Open Access

Abstract

In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice. RCT results indicated clinically and significant improvement in depression symptoms. To bridge the gap between evidence and practice, and based on experiences garnered at the OB/GYN site during the RCT, this development paper proposes a strategy for implementing depression screening and LV into routine clinical care in this practice setting.
Pregnancy Listening Visits GYN practice postpartum depression ACOG Recommendations Depression Screening Special Issue

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