Jester Jennifer M, Bengel Cierra, Issa Meriam, Duprey Michelle, Riggs Jessica L, Hoffman Charity M, Harris Sharnita D, Muzik Maria, Rosenblum Katherine Lisa
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.
University of Michigan School of Social Work, 1080 South University, Ann Arbor, Michigan, USA.
Infant Ment Health J. 2025 Jan;46(1):95-111. doi: 10.1002/imhj.22152. Epub 2025 Jan 7.
We compared referrals and connection to care between perinatal patients: 90 receiving OB/GYN care in clinics with integrated behavioral health consultants with infant mental health specialization (IMH-BHC), and 68 receiving traditional care, in the United States. Participants identified as: Native American/Alaskan native, 1.90%; Asian, .63%; African American, 58.23%; Middle Eastern, 6.96%; African National/Caribbean Islander, .63%; Latin-American, 8.86%; and White, 28.48%. Approximately 80% of families in each group were offered referrals. By design, intervention women received mental health services during pregnancy; 16% of women in either group received postpartum mental health services. Intervention group participants were over three times as likely to engage in IMH home visiting. Treatment families were less likely to follow up with infant referrals, but also had fewer infant emergency room visits. All intervention participants met with an IMH-BHC prior to recruitment; however, only 20% self-reported encounters with a mental health professional, indicating these interactions may not be identified by the participants as mental health care; therefore, openness to treatment may be increased for women who feel stigma around mental health care. Given the importance of perinatal mental health, OB/GYN clinics and others serving perinatal patients may consider integrating IMH providers as part of the care team.
在美国，90名在配备有专门从事婴儿心理健康的行为健康顾问（IMH - BHC）的诊所接受妇产科护理，68名接受传统护理。参与者的身份如下：美国原住民/阿拉斯加原住民，1.90%；亚洲人，0.63%；非裔美国人，58.23%；中东人，6.96%；非洲国民/加勒比岛民，0.63%；拉丁美洲人，8.86%；白人，28.48%。每组中约80%的家庭获得了转诊服务。按照设计，干预组的女性在孕期接受了心理健康服务；两组中16%的女性接受了产后心理健康服务。干预组的参与者接受IMH家访的可能性是对照组的三倍多。接受治疗的家庭跟进婴儿转诊的可能性较小，但婴儿急诊就诊次数也较少。所有干预组参与者在招募前都与IMH - BHC进行了会面；然而，只有20%的人自我报告与心理健康专业人员有过接触，这表明这些互动可能未被参与者视为心理健康护理；因此，对于那些对心理健康护理感到有耻辱感的女性，可能会提高她们对治疗的接受度。鉴于围产期心理健康的重要性，妇产科诊所及其他为围产期患者服务的机构可能会考虑将IMH服务提供者纳入护理团队。
