Selix Nancy, Henshaw Erin, Barrera Alinne, Botcheva Luba, Huie Erin, Kaufman Gabrielle
Nancy Selix is an Assistant Professor, School of Nursing and Health Professions, University of San Francisco, San Francisco, CA. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2017 Jul/Aug;42(4):226-231. doi: 10.1097/NMC.0000000000000343.
One out of every five to seven births is affected by postpartum depression, making it the most common maternal health problem in the first year after childbirth. Early identification and treatment are essential, though screening and treatment rates are low. Factors that inhibit effective screening and treatment include lack of uniform screening policies in all maternal health settings, poor coordination of care between primary care and mental health services, inadequate coordination of community education efforts and resources, social stigma surrounding mental health treatment, and ineffective application of research and technology in the clinical setting. An interdisciplinary model that includes primary care providers, mental health professionals, community resources, policy makers, researchers, and technological innovators addresses these gaps in care and enhances screening and treatment efforts that improve overall maternal and child health. We present a promising interdisciplinary cross-organizational approach coalescing diverse perspectives from those working across policy, research, training, primary care, and mental health in various disciplines to practice collaboratively to improve perinatal mental healthcare.
每五到七次分娩中就有一次受到产后抑郁症的影响,这使其成为产后第一年最常见的孕产妇健康问题。早期识别和治疗至关重要,尽管筛查和治疗率很低。阻碍有效筛查和治疗的因素包括:所有孕产妇健康机构缺乏统一的筛查政策、初级保健与心理健康服务之间的护理协调不佳、社区教育工作和资源的协调不足、围绕心理健康治疗的社会污名,以及临床环境中研究和技术的应用无效。一种跨学科模式,包括初级保健提供者、心理健康专业人员、社区资源、政策制定者、研究人员和技术创新者,解决了这些护理差距,并加强了筛查和治疗工作,从而改善了整体母婴健康。我们提出了一种有前景的跨学科跨组织方法,融合了来自政策、研究、培训、初级保健和心理健康等不同学科的各方观点,以便跨领域协作实践,改善围产期精神卫生保健。