Keyser Donna J, Beckjord Ellen Burke, Firth Ray, Frith Sarah, Lovejoy Susan L, Pillai Sanjith, Schultz Dana, Pincus Harold Alan
Rand Health Q. 2011 Mar 1;1(1):17. eCollection 2011 Spring.
Between January 2007 and June 2010, members of the Allegheny County Maternal and Child Health Care Collaborative designed, implemented, and evaluated the Allegheny County Maternal Depression Initiative, a local system-change effort focused on increasing identification, referrals, and engagement in treatment as needed and appropriate for women at high risk for maternal depression. The collaborative was successful in improving key organizational and clinical processes related to the achievement of its aims. This article describes how and why the initiative was created, the processes through which it was implemented and evaluated, and the results and lessons learned. It concludes with recommendations in four areas for practice and policy change designed to expand and sustain the initiative's achievements: improve identification of maternal depression, enhance access to available resources and services, increase engagement in behavioral health treatment, and improve overall system performance.
2007年1月至2010年6月期间，阿勒格尼县母婴保健合作组织的成员设计、实施并评估了阿勒格尼县孕产妇抑郁症倡议，这是一项旨在根据需要和适当情况，加强对有孕产妇抑郁症高风险女性的识别、转诊和治疗参与度的地方系统变革举措。该合作组织成功改善了与其目标实现相关的关键组织和临床流程。本文描述了该倡议的创建方式和原因、实施和评估过程，以及结果和经验教训。最后在四个方面提出了实践和政策变革建议，以扩大并维持该倡议的成果：改善孕产妇抑郁症的识别、增加获取可用资源和服务的机会、提高行为健康治疗的参与度，以及改善整体系统绩效。
