Perinatal depression: a review of US legislation and law

Rhodes, Ann Marie; Segre, Lisa S.

doi:10.1007/s00737-013-0359-6

Cited by 71 publications

(53 citation statements)

References 25 publications

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“…1 New Jersey (2006), Illinois (2008), and West Virginia (2009) have each established legislation related to perinatal depression screening, 1 which may take place during pregnancy, immediately after childbirth, and during the first postpartum year. Depression screening, followed by referral for screen-positive women, is the most available option for promoting maternal emotional wellness.…”

mentioning

confidence: 99%

Factors Associated with Postpartum Maternal Functioning in Women with Positive Screens for Depression

Barkin

Wisner

Bromberger

et al. 2016

Journal of Women's Health

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Background: Functional assessment may represent a valuable addition to postpartum depression screening, providing a more thorough characterization of the mother's health and quality of life. To the authors' knowledge, this analysis represents the first examination of postpartum maternal functioning, as measured by a patient-centered validated tool aimed at ascertainment of functional status explicitly, and its clinical and sociodemographic correlates. Materials and Methods: A total of 189 women recruited from a large, urban women's hospital in the northeastern United States who both (1) screened positive for depression between 4 and 6 weeks postpartum and (2) completed a subsequent home (baseline) visit between October 1, 2008, and September 4, 2009, were included in this analysis. Multiple linear regression was conducted to ascertain which clinical and sociodemographic variables were independently associated with maternal functioning. Results: The multivariate analysis revealed independent associations between bipolar status, atypical depression, depression score (17-item Hamilton Rating Scale for Depression), and insurance type with postpartum maternal functioning. The beta coefficient for bipolar status indicates that on average we would expect those with bipolar disorder to have maternal functioning scores that are 5.6 points less than those without bipolar disorder. Conclusions: Healthcare providers treating postpartum women with complicating mental health conditions should be cognizant of the potential ramifications on maternal functioning. Impaired functioning in the maternal role is likely to impact child development, although the precise nature of this relationship is yet to be elucidated.

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confidence: 99%

Factors Associated with Postpartum Maternal Functioning in Women with Positive Screens for Depression

Barkin

Wisner

Bromberger

et al. 2016

Journal of Women's Health

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“…Although there are no federal policies that require screening of new mothers for postpartum depression (Rhodes & Segre, 2013) (Rhodes & Segre, 2013). Finally, Maine, Massachusetts, and Oregon have appointed perinatal depression task forces (Rhodes & Segre, 2013).…”

Section: Working With Mothers Who Have Postpartum Depressionmentioning

confidence: 99%

“…Finally, Maine, Massachusetts, and Oregon have appointed perinatal depression task forces (Rhodes & Segre, 2013). The remaining 38 states have yet to pass any type of legislation or develop any campaigns to bring the problem of postpartum depression to the public's awareness.…”

Section: Working With Mothers Who Have Postpartum Depressionmentioning

confidence: 99%

Postpartum Depression and the Affordable Care Act: Recommendations for Social Work Educators

Keefe

Brownstein-Evans

Lane

et al. 2016

ASW

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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...

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“…PPD has come into the public's consciousness over the past 30 years, when highly publicized accounts of new mothers harming their newborn infants catalyzed legislators to begin addressing the problem (Rhodes & Segre, 2013). One result is Section 2952 of the Patient Protection and Affordable Care Act: Support, Education, and Research for Postpartum Depression (2010), which mandates research on the course of PPD, consideration of the differences in treatment needs among mothers from various racial and ethnic groups, and the development of culturally competent, evidence-based treatment approaches (Rhodes & Segre, 2013).…”

Section: Literature Review Understanding Postpartum Depression (Ppd)mentioning

confidence: 99%

“…One result is Section 2952 of the Patient Protection and Affordable Care Act: Support, Education, and Research for Postpartum Depression (2010), which mandates research on the course of PPD, consideration of the differences in treatment needs among mothers from various racial and ethnic groups, and the development of culturally competent, evidence-based treatment approaches (Rhodes & Segre, 2013).…”

Section: Literature Review Understanding Postpartum Depression (Ppd)mentioning

confidence: 99%

Social Workers’ Screening Practices for Postpartum Depression

Rouland

Keefe

Brownstein-Evans

2017

ASW

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The Affordable Care Act specifies mothers living with postpartum depression (PPD) are a group in need of services. Although mothers with PPD prefer to receive services from social workers than from professionals from other disciplines, limited research has addressed where social workers learn how to screen for PPD, the instruments they use, in what contexts they screen, and at what point during the perinatal period they screen mothers. The authors used an online survey to study a national sample of perinatal social workers (n=261) on their screening practices of mothers with PPD. More than half (n=149, 57.1%) of the respondents indicated they neither learned how to screen nor how to diagnose PPD during their undergraduate or graduate school education. Despite the availability of easy-to-use PPD screening instruments, only 25% (n=66) of the respondents indicated they have used any screening instruments. Of added concern is that many of the respondents indicated they do not consult the professional literature on PPD from social work and other disciplines to guide them in their practice. We recommend social workers integrate relevant findings from evidence-based research about PPD into their practice as appropriate, and that BSW and MSW curricula incorporate relevant information on PPD into their programs. Keywords: Social work practice; postpartum depression; maternal and child health; assessment and evaluationPostpartum depression (PPD) affects up to 25.0% of all new mothers (Gaynes et al., 2005) and an even greater proportion of new mothers from racial and ethnic minority backgrounds (Centers for Disease Control and Prevention [CDC], 2008). Because mothers living with PPD are more likely to seek services from social workers than from professionals from other disciplines (Zittel-Palamara, Rockmaker, Schwabel, Weinstein, & Thompson, 2008), social workers are in an excellent position to screen new mothers for PPD (Abrams & Curran, 2007). To date, however, there has been limited research that has investigated whether or not social workers screen new mothers at risk for PPD.Despite the fact that social workers have a long-standing history of providing services to mothers and children, there has been little research published in social work journals to guide them in their work with mothers with PPD (Keefe, Brownstein-Evans, Lane, Carter, & Rouland Polmanteer, 2015). Although relevant to the population of mothers living with PPD, research from other professional fields such as nursing and psychiatry is more likely to address individual/biomedical factors such as hormonal fluctuations than to consider issues known to affect maternal and child well-being such as neighborhood safety and domestic violence (Lane et al., 2008). The authors of this study conducted a nationwide Literature Review Understanding Postpartum Depression (PPD)PPD has come into the public's consciousness over the past 30 years, when highly publicized accounts of new mothers harming their newborn infants catalyzed legislators to begin addres...

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Perinatal depression: a review of US legislation and law

Cited by 71 publications

References 25 publications

Factors Associated with Postpartum Maternal Functioning in Women with Positive Screens for Depression

Factors Associated with Postpartum Maternal Functioning in Women with Positive Screens for Depression

Postpartum Depression and the Affordable Care Act: Recommendations for Social Work Educators

Social Workers’ Screening Practices for Postpartum Depression

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