The Patient Protection and Affordable Care Act (ACA) mandates ongoing research on postpartum depression; however, very little research has been published in social work journals and in advanced-level textbooks on this topic. This article describes the problem of postpartum depression and argues that social work educators and researchers must pay greater attention to this issue in light of the ACA mandates, so that social workers can provide effective services to postpartum mothers and their children. The Council on Social Work Education's recently published Educational Policy and Accreditation Standards are considered while making curriculum recommendations on postpartum depression for social work educators.
Keywords: Patient Protection and Affordable Care Act, maternal and child health, postpartum depression, perinatal mood disorders, social work educationApproximately six million pregnancies occur in the United States each year, and up to 25% of the mothers develop postpartum depression (Gaynes et al., 2005;Schaar, 2012). Mothers with postpartum depression typically experience sadness; loss of interest in activities; noticeable changes in eating and sleeping patterns; problems in thinking, concentrating, and making decisions; feelings of worthlessness, shame, or guilt; thoughts of harming themselves (Centers for Disease Control [CDC], 2013); and increased need for psychiatric hospitalizations for depression and suicidality (Georgiopoulos, Bryan, Wollan, & Yawn, 2001;Kennedy, Beck, & Driscoll, 2002;Lucero, Beckstrand, Callister, & Sanchez Birkhead, 2012). The symptoms are persistent, eventually affecting not only the mother but her infant, spouse/partner, and extended family as well (Letoruneau, Tramonte, & Willms, 2013;Ngai & Ngu, 2015).Babies born to mothers with postpartum depression often develop numerous longstanding problems including decreased cognitive skills (McGarry, Kim, Sheng, Egger, & Baksh, 2009), poor attention (Ramchandani, Stein, Evans, O'Connor, & the ALSPAC Study Team, 2005, and social withdrawal (Boyd, Zayas, & McKee, 2006). The fathers complain of feeling left out and less satisfied in their relationship with the mother (Mitnick, Heyman, & Slep, 2009). Keefe et al./POSTPATUM DEPRESSION 203 Unlike symptoms of major depressive disorder, which manifest within two weeks of the precipitating stressors (American Psychiatric Association, 2013), symptoms of postpartum depression may not become evident until several months after the mother has given birth (Chaudron et al., 2010;Parade, Blankson, Leerkes, Crockenberg, & Faldowski, 2014). Consequently, practitioners may avoid giving a diagnosis of postpartum depression due to what they perceive as the late onset of symptoms.Moreover, social work journals provide practitioners with limited guidance on postpartum depression. We searched various social work databases for articles published in social work journals focusing on perinatal mood disorders published between the years 1980 to 2015. The search resulted in 101 published articles of...