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Integrated perinatal mental health care: a national model of perinatal primary care in vulnerable populations

机译:围产期综合精神卫生保健:脆弱人群围产期初级保健的国家模式

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摘要

IntroductionPerinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy and have been found to have long-term implications for both mother and child. In vulnerable patient populations such as those served at Denver Health, a federally qualified health center the prevalence of PMADs is nearly double the nationally reported rate of 15–20%. Nearly 17% of women will be diagnosed with major depression at some point in their lives and those numbers are twice as high in women who live in poverty. Women also appear to be at higher risk for depression in the child-bearing years. In order to better address these issues, an Integrated Perinatal Mental Health program was created to screen, assess, and treat PMADs in alignment with national recommendations to improve maternal–child health and wellness. This program was built upon a national model of Integrated Behavioral Health already in place at Denver Health.
机译:简介围产期情绪和焦虑症(PMAD)是妊娠最常见的并发症,已发现对母婴都有长期影响。在易受伤害的患者人群中,例如在联邦政府认可的卫生中心丹佛卫生局服务的人群中,PMAD的患病率几乎是全国报告的15-20%的两倍。在生活中的某个时刻,将有近17%的女性被诊断出患有严重的抑郁症,而这一数字是生活在贫困中的女性的两倍。妇女在育龄期患抑郁症的风险似乎也更高。为了更好地解决这些问题,制定了一项综合围产期精神卫生计划,以筛查,评估和治疗PMAD,并与改善产妇健康状况的国家建议保持一致。该计划建立在丹佛健康局已经建立的国家综合行为健康模型的基础上。

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