Yu Miao, Sampson McClain
a Graduate College of Social Work, University of Houston , Houston , Texas , USA.
Soc Work Public Health. 2016 Oct;31(6):549-56. doi: 10.1080/19371918.2016.1160337. Epub 2016 Jun 2.
Although perinatal depression (PND) is one of the most common maternal morbidities, it is frequently undetected. Screening for early detection and intervention has the potential to prevent depressive symptoms from worsening. In the United States, five states have enacted legislation in relation to screening for PND, but a gap remains between policy and practice in providing continuum of care for mothers who may be suffering from depressive symptoms. From the perspective of policy formation, the reasons for this gap include a discrepancy between policy and practice goals, lack of regulations on capability building among perinatal care providers, and few pathways for establishing collaborations between medical providers and mental health professionals. The authors recommend involving social workers in the process to promote a better continuum of care after screening through comprehensive policy that explicitly states goals to effectively screen women in the perinatal period.
尽管围产期抑郁症（PND）是最常见的孕产妇疾病之一，但它常常未被发现。进行筛查以实现早期发现和干预有可能防止抑郁症状恶化。在美国，有五个州已颁布了与PND筛查相关的立法，但在为可能患有抑郁症状的母亲提供连续护理方面，政策与实践之间仍存在差距。从政策制定的角度来看，造成这种差距的原因包括政策目标与实践目标之间的差异、围产期护理提供者能力建设缺乏相关规定，以及医疗提供者与心理健康专业人员之间建立合作的途径较少。作者建议让社会工作者参与这一过程，通过明确规定有效筛查围产期妇女目标的全面政策，在筛查后促进更好的连续护理。
