Improving screening practices for postpartum depression in a pediatric primary care setting through provision of provider education and knowledge of referral options

Postpartum depression (PPD) is a significant mental health phenomenon occurring in 10-30% of women in the first year after childbirth. Its sequelae impacts the mother, her children, and family unit. Postpartum depression causes anhedonia, impairs the mothers ability to care for herself and her children, and can lead to impaired childhood developmental progression. Screening for PPD can identify its symptoms, allow for prompt referral to appropriate support and treatment resources, and minimize its associated negative outcomes. Although several professional healthcare organizations promote routine screening practices, evidence shows these recommendations are not being consistently implemented thus creating missed opportunities to address this important clinical issue. Pediatric primary care providers are uniquely positioned to screen postpartum mothers for symptoms of depression by virtue of their frequent encounters at well-baby visits during the twelve months of infancy. However, data show a lack of knowledge about referral resources, uncertainty about legal liability, concerns regarding reimbursement, and time constraints are barriers preventing the practice of routine PPD screening. This pilot project addressed these barriers by building upon existing evidence surrounding successful PPD screening programs in the pediatric primary care setting. Through facilitation of specialized education and training of pediatric practice personnel, knowledge and comfort regarding safe PPD screening was assessed and a formal, evidence-based screening process implemented. The experience generally improved attitudes towards and understanding about PPD screening and inspired an effective and sustainable routine screening program at the investigational site.DNPIncludes bibliographical reference