Muzik Maria, Menke Rena A, Issa Meriam, Fisk Chelsea, Charles Jordan, Jester Jennifer M
Department of Psychiatry, University of Michigan-Michigan Medicine, Ann Arbor, MI 48109, USA.
Department of Obstetrics & Gynecology, University of Michigan-Michigan Medicine, Ann Arbor, MI 48109, USA.
J Clin Med. 2023 Jul 22;12(14):4836. doi: 10.3390/jcm12144836.
Mood and anxiety disorders affect pregnant individuals and their families at increased rates throughout the perinatal period. Geographic, financial, and social barriers often preclude adequate diagnosis and treatment. The aim of this manuscript is to describe the consultation and care arms of the Michigan Clinical Consultation and Care (MC3) program, a statewide program designed to facilitate access to perinatal mental healthcare for OB/Gyn patients, and to describe the participants engaged in the program, examine the predictors of participant retention, and provide preliminary data regarding participants' mental health outcomes. We enrolled 209 participants to the clinical care arm, of which 48 were lost to follow-up, while 107 remained enrolled at the time of data analysis. A total of 54 participants met their treatment goals. A total of 97% of participants asserted they were satisfied with the services they received. Black race and public insurance predicted faster attrition from the care arm treatment; risks for interpersonal violence exposure and substance use were unrelated to attrition. Preliminary mental health outcomes showed significant decreases in anxiety and depression, with the most dramatic decreases in the first month of treatment. Overall, the MC3 clinical care arm shows promising rates of adherence, excellent program satisfaction, and a positive impact on perinatal mental health, supporting continued program implementation and ongoing evaluation.
在围产期，情绪和焦虑障碍对孕妇及其家庭的影响发生率不断上升。地理、经济和社会障碍常常妨碍进行充分的诊断和治疗。本手稿的目的是描述密歇根临床咨询与护理（MC3）项目的咨询和护理部门，该项目是一个全州范围的项目，旨在为妇产科患者提供围产期心理健康护理服务，并描述参与该项目的人员，研究参与者留存率的预测因素，并提供有关参与者心理健康结果的初步数据。我们招募了209名参与者进入临床护理部门，其中48人失访，而在数据分析时仍有107人继续参与。共有54名参与者实现了他们的治疗目标。共有97%的参与者表示他们对所接受的服务感到满意。黑人种族和公共保险预示着从护理部门治疗中更快地退出；人际暴力暴露和物质使用风险与退出无关。初步心理健康结果显示焦虑和抑郁显著下降，在治疗的第一个月下降最为显著。总体而言，MC3临床护理部门显示出有希望的依从率、极高的项目满意度以及对围产期心理健康的积极影响，支持该项目的持续实施和持续评估。
