fmhi ppd screening presentation
TRANSCRIPT
PPD is…
Perinatal Psychiatric Disorders • Major depression• Bipolar disorder• Obsessive compulsive disorder• Panic disorder• PsychosisAll can occur during &/or after pregnancy.
A mother suffering from PPD…
• Struggles with daily functions including washing, eating and thinking clearly
• Feels intensely ashamed, isolated and guilty
A mother suffering from PPD…
• Cannot connect with or care for her baby, spouse or other children
• Is afraid of going “crazy,” losing control, or hurting the baby
Over the Long Term, a Mother’s Untreated PPD
can…
• Cause severe cognitive and behavioral impairments in her baby
• Ignite spousal abuse• Lead to divorce• Remain a crippling disorder for the rest
of her life
Untreated PPD Hurts Children’s Lives
Children of untreated PPD moms… • Often wind up with other relatives or in
foster care • Are three times as likely to become
depressed during their teens
15% of children raised by untreated PPD moms land in jail.
How can such a serious disease go untreated?
• PPD Moms don’t tell: – Feel they are admitting failure– Concerned their baby will be taken away– Afraid to be labeled “crazy” or sent to jail
• Doctors feel unequipped to help with patient’s emotions & mental disorders.
By asking every pregnant woman and new mother to answer 10 easy questions,
we can detect 93% of PPD cases.
Our Model: Edinburgh Postnatal Depression Scale
(EPDS)
• 10 questions• Half physical health questions• Half psychological questions• 93% accurate, no false positives• Used worldwide and proven by the
Center for Disease Control
Administration & Scoring
• Survey is a part of routine admission
• Can be scored in one minute
• Positive cases are put in the official chart and appropriate referrals are made
Prognosis
• Screening will detect 93% of PPD • 67% recover with psychotherapy• 67% recover with medication• 90% recover with both
Universal Screening: The key word here is Universal.
• Every pregnant woman needs to be screened during and after pregnancy
• 99.8% of women will take the test if labeled a general health survey.
Cost: Nominal
• Training: 1-Hour or less• Materials: Paper & copies • Staff Time: Scoring the test and
completing the medical chart
Beyond Screening: Intensive Case Management is needed for positive cases
A public health model that works!
• Affordable for any primary care facility• Simple to administer by any staff
member• 90% of affected mothers recover with
treatment• Babies of treated PPD moms are not
affected – preventative health care for babies!
Early Adopters
• The US Navy• Mary’s Center• Healthy Start Initiative• Healthy Families Initiative• Maryland’s Eastern Shore
Steps to Universal Screening
• Create & set policy of universal screening as a standard of care
• Provide materials & training for all primary care facilities, both public & private
We Can Help
FMHI is ready to: • Share expertise and information• Help craft policy• Provide a working model
– Questionnaire– Protocol– Doctor scripts– Training manuals
• Develop and run trainings