Outreach to providers helps engage practices. Careers. Learn more about our commitment to equity across our Network of Perinatal Psychiatry Access Programs. Paulson JF, Keefe HA, Leiferman JA. Consensus Bundle on Maternal Mental Health: Perinatal Depression and Anxiety. During the initial statewide PIWI rollout, beginning in June 2016, the states 60 Early Intervention programs were divided into three training cohorts. 0000019524 00000 n DPH consulted with one of the PIWI creators, as well as with local state partners involved with the national Pyramid Model center, to develop these sessions and the statewide rollout. And we can help you do the same in your own community. PMC As of February 2019, 4,146 pre-test assessments and 315 post-test assessments had been completed. 0000005927 00000 n Leena Mittal is the Associate Medical Director for MCPAP for Moms and an uncompensated coinvestigator for a clinical trial for Sage Therapeutics. MCPAP for Moms builds the capacity of perinatal providers to effectively prevent, identify, and manage their pregnant and postpartum patients' mental health and substance use disorders (SUD). While providers and patients both reported that MCPAP for Moms was critical to their ability to provide or participate in mental health treatment respectively, both also reported challenges remained. Millions in Potential Health Care Savings. endstream endobj 69 0 obj <>>>/Lang(en-US)/Metadata 66 0 R/Outlines 61 0 R/Pages 65 0 R/Type/Catalog/ViewerPreferences<>>> endobj 70 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/Tabs/W/Thumb 62 0 R/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 71 0 obj [72 0 R 73 0 R 74 0 R] endobj 72 0 obj <>/Border[0 0 0]/H/N/Rect[477.549 100.16 504.225 86.8402]/Subtype/Link/Type/Annot>> endobj 73 0 obj <>/Border[0 0 0]/H/N/Rect[128.319 389.0 240.596 373.46]/Subtype/Link/Type/Annot>> endobj 74 0 obj <>/Border[0 0 0]/H/N/Rect[244.782 389.0 247.694 373.46]/Subtype/Link/Type/Annot>> endobj 75 0 obj <> endobj 76 0 obj <> endobj 77 0 obj <> endobj 78 0 obj <> endobj 79 0 obj [/ICCBased 107 0 R] endobj 80 0 obj <> endobj 81 0 obj <> endobj 82 0 obj <> endobj 83 0 obj <> endobj 84 0 obj <>stream PDF Mental Health: Original Research Massachusetts Child - MCPAP for Moms Bookshelf FOIA Themost recent state report, for calendar year 2017, presents results for both the data reporting form and claim code data. 8600 Rockville Pike HOW MCPAP FOR MOMS WORKS Providers in Massachusetts can call MCPAP for Moms at 855-Mom-MCPAP (855-666-6272), Monday-Friday, 9am-5pm, and speak with a Care Coordinator who will work with the provider to determine their needs for assisting their patients - i.e., consultation regarding psychiatric care, community care coordination, or both. 0000059071 00000 n 0000021354 00000 n Established in 2014, the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms is a national model for perinatal mental health care. MCPAP for Moms Resource and Referral Specialists provide mental health resources and referrals to health care providers and patients by providing information about and referrals to individual and group psychotherapy, psychopharmacologic providers, and family based treatments such as support groups that are geographically convenient for the patient and compatible with her insurance. If you need assistance, please contact the Massachusetts Department of Mental Health. Transcripts were uploaded into Dedoose,18 a web-based software program that facilitates mixed methods data management for further coding, elaboration, and specification of concepts and relationships. The Massachusetts Child Psychiatry Access Project (MCPAP) for Moms provides real-time consultation and care coordination to help providers effectively prevent, identify, and manage depression and other mental health and substance use concerns in pregnant and postpartum women. The clinical partner of UMass Chan Medical School, UMass Memorial Health Community Healthlink, UMass Memorial Health Harrington Hospital, UMass Memorial Health HealthAlliance-Clinton Hospital, UMass Memorial Health Marlborough Hospital. official website and that any information you provide is encrypted PTSD=post-traumatic stress disorder; ADHD=attention deficit hyperactivity disorder; SSRI=selective serotonin reuptake inhibitor; SNRI= Serotoninnorepinephrine reuptake inhibitors, Outcomes of Initial Telephone Encounter from June 30, 2014 December 31, 2017 for 2,541 Telephone Consult Encounters with Health Care Providers . Of the 965 patients screened, 48 screened positive (5.0 percent). The volume of encounters and number of women served, and perceptions of obstetric practices and patients suggests MCPAP for Moms builds the capacity of front-line providers to detect, assess and treat psychiatric illness among pregnant and postpartum women. Prior to taking the Pyramid Model Framework Overview Training, Early Intervention providers completed a self-assessment that covered their use of strategies to help parents engage in responsive, nurturing interactions during everyday routines, which provided a baseline on the use of PIWI strategies in home visits. Several patient participants reported that while their obstetric provider gave them a list of mental health care providers and ways to contact them, they did not directly connect the patient nor follow-up with them to ensure they started treatment. One facilitator of the pilot training includes a staff member at the state Part C lead agency who will be able to repeat the training for other supervisors. MassHealth Managed Care Entity Bulletin 65 August 2021 Remissions in maternal depression and child psychopathology: a STAR*D-child report. Among enrolled providers there has been a 17 percent increase in reported screenings on the EPDS and a 50 percent increase on the PHQ-9. 26 0 obj <> endobj Red bars indicate enrolled practices. Clipboard, Search History, and several other advanced features are temporarily unavailable. Inclusion in an NLM database does not imply endorsement of, or agreement with, ) or https:// means youve safely connected to the official website. 0 Byatt N, Biebel K, Moore Simas TA, et al. MCPAP for Moms provides access to immediate resource provision/referrals and psychiatric telephone consultation with perinatal psychiatrists for obstetric, pediatric, adult psychiatric, adult primary care providers, or any other provider serving pregnant or postpartum women. Weissman MM, Pilowsky DJ, Wickramaratne PJ, et al. Overview: List of Teams & Contact Information West & Central Massachusetts Team Eastern Massachusetts Team: Boston South Eastern Massachusetts Team: Boston North ASAP-MCPAP Behavioral Health Programs Overview of Behavioral Health Levels of Care Children's Behavoral Health Initiative Mobile Crisis Intervention For Families Your Child's Mental Health Overall, across all three cohorts, results showed that EI Providers have been increasing their use of less directive strategies (e.g., Affirming Parenting Competence) and decreasing their use of more directive strategies (e.g., Suggest, Model). There has also been an increase in one-time face-to-face MCPAP for Moms psychiatric consultations with obstetricians. UMass Memorial Medical Center is Central Massachusetts hub for this statewide program funded by the Massachusetts Department of Mental Health. These Perinatal Psychiatry Access Programs are now part of a growing multi-state peer network of programs. 0000002653 00000 n Themes identified in qualitative data suggest that MCPAP for Moms providers needed resources that facilitate providers detecting and addressing depression and women disclosing symptoms, seeking help, and initiating treatment. Provider participants in focus groups included: obstetric attending physicians (n=11), advance practice nurses (n=2); and nursing staff (n=3), support staff (n=19), and a licensed clinical social worker (n=1). American College of Obstetricians and Gynecologists. KL2 TR000160/TR/NCATS NIH HHS/United States, UL1 TR000161/TR/NCATS NIH HHS/United States. All MCPAP for Moms services are payor-blind and available to all patients regardless of insurance status. Massachusetts - NNCPAP National Network of Child Psychiatry Access Programs Patients reported that provider persistence in discussing the importance of their mental health and treatment options created a sense of normalcy around the topic of mental health care. 14 In 2014, we developed and implemented the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. Screening with the EPDS facilitated depression detection, discussion, and treatment. Both programs are also able to provide, in addition to specialized psychiatric consultation, assessments via telehealth with patients who have complex clinical needs, and information about community resources that may be helpful to the provider and the patient. 0000061489 00000 n See this image and copyright information in PMC. When the program began, MCPAP for Moms conducted many site visits during the initial period of enrolling practices, and is now planning to increase site visits and outreach to enrolled practices. government site. H\n0@~\*.%Hi.tH#D>qI>pdr{LSI Postpartum Depression resources for healthcare providers How MCPAP for Moms Offers a Lifeline to Providers and Women in Need The primary emphasis has been on provider - patient interactions. While MCPAP for Moms increases access to care by being available for front line providers, it does not proactively work at the practice level. Early Intervention specialists who receive PIWI training learn a wide range of strategies for working with parents to support social-emotional development through mutual enjoyment in parent-child interactions and responsive parent-child relationships. 0000031865 00000 n Strategies for improving perinatal depression treatment in North American outpatient obstetric settings. 0000014975 00000 n startxref The expert will talk to you and your provider about treatment choices. For mothers at all levels of depression from mild to severe the treatment options address the needs of both the parent and the infant or young children; those especially focused on the child include dyadic (mother-child) therapy and support for parenting a child with feeding, sleeping, and other self-regulation problems. 0000001536 00000 n Phone: 855.MOM.MCPAP (855.666.6272) PDF Promoting the Health of Parents Children - University of Massachusetts 0000066120 00000 n Improving perinatal depression care: the Massachusetts Child Psychiatry Access Project for Moms. Each discrete activity (e.g., perinatal psychiatric consultation, face to face assessment, resource and referral) was considered an encounter. In 2014, we developed the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. 2018 Aug; 132(2): 345353. One to allow people to, who want to say how they feel but maybe theyre afraid to so they can say it on this piece of paper and its a simple thing to screen positive and then we can call you and its worked ideally for me patients in the past have not had anywhere to go and we had nowhere to send them everyone I screened positive, almost all of them have really wanted help and some I kind of knew [they] had a problem but they didnt vocalize it and this allowed me an avenue to identify them and to get them help so I want to thank you for that.. 2022 Mar 14;13:859341. doi: 10.3389/fpsyt.2022.859341. Kendig S, Keats JP, Hoffman MC, et al. Accessibility 0000028709 00000 n Encounters according to services provided and health care provider type are listed in Table 2. MCPAP for Moms is funded by the Massachusetts Department of Mental Health. For pediatric providers, MCPAP for Moms builds the capacity to detect and refer depression and other mental health issues among postpartum women seen in pediatric practices during well-child visits. they dont seem comfortable addressing depression. The high volume of encounters, sustained utilization over 3.5 years, and qualitative themes identified from health care providers and patients demonstrate that MCPAP for Moms is a feasible, acceptable, and sustainable approach to increasing access to evidence-based treatments for perinatal mental health and substance use disorders on a population-based level. Lack of training and self-efficacy with depression assessment and utilization of MCPAP for Moms among health care providers. Early Intervention programs use additional online PIWI training courses and modules available through the Massachusetts DPH to strengthen Early Intervention providers knowledge and skills. Share sensitive information only on official, secure websites. Byatt N, Simas TA, Lundquist RS, Johnson JV, Ziedonis DM. MCPAP for Moms - Facebook 0000011803 00000 n The PIWI Champions responsibilities also include documenting the Early Intervention providers work with families and conducting program-level data collection. Each cohort then participated in a one-day PIWI training led the master trainers. Screening for perinatal depression. A health care provider (OB/GYN, primary care physician or psychiatric provider) can help anyone with . Before Through trainings and educational materials, the program has helped practices implement universal screening and assessment. To accomplish this, MCPAP for Moms offers three main services to providers in the commonwealth of Massachusetts: practice education, perinatal psychiatric consultation, and resource and referral. Funding for MCPAP for Moms comes from the Massachusetts state Department of Mental Health, with approximately 50 percent of funding coming from a surcharge on commercial insurers based on the proportion of commercial clients who use MCPAP for Moms. Byatt N, Moore Simas TA, Biebel K, et al. 0000020828 00000 n E-mail:LifelineforMoms@umassmed.edu Unable to load your collection due to an error, Unable to load your delegates due to an error. When perinatal individuals and their families are proactively engaged in care, the burdensome effects of untreated depression, other mental health, and substance use disorders on families are minimized. Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. Nancy Byatt, Associate Professor of Psychiatry, Ob/Gyn, and Quantitative Health Sciences at the University of Massachusetts Medical School and Medical Director of MCPAP for Moms, is leading research efforts. PIWI training and supports, as well as the supervisory training pilot, have been financed with Part C federal funds to the state. An earlier journal articlepresented findings on the development, implementation, and utilization outcomes of the first 18 months of MCPAP for Moms. %%EOF Top-requested sites to log in to services provided by the state. The PIWI training curriculum has been closely monitored, and changes have been made based on evaluation data. These providers may include your: obstetrician or midwife, primary care doctor, pediatric provider or nurse practitioner. Improving front-line clinician capacity to address - Springer MCPAP for Moms has . Please let us know who you are:
