Psychosocial assessment by phone for high-scoring patients taking the Edinburgh Postnatal Depression Scale: communication pathways and strategies |
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Authors: | I A Cardone J J Kim T E J Gordon S M Gordon R K Silver |
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Institution: | (1) Jennifer Mudd Houghtaling Postpartum Depression Program, Perinatal Family Support Center, Evanston Northwestern Healthcare, Evanston, IL, U.S.A.;(2) Departments of Pediatrics, Northwestern University Feinberg School of Medicine, Evanston, IL, U.S.A.;(3) Department of Obstetrics/Gynecology, Evanston Northwestern Healthcare, Northwestern University Feinberg School of Medicine, Evanston, IL, U.S.A.;(4) Department of Psychiatry, Evanston Northwestern Healthcare, Northwestern University Feinberg School of Medicine, Evanston, IL, U.S.A. |
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Abstract: | Summary The well-documented risks associated with perinatal depression provide a strong argument for universal screening. However,
uncertainty about what to do with findings is a significant barrier to implementing screenings where obstetric care is provided.
Based on experience with a comprehensive screening program, we describe a protocol for those critical communication pathways
that encourage a dynamic phone exchange between a mental health caller and the patient who has scored in the high range on
the Edinburgh Postnatal Depression Scale. In addition, we present guidelines for developing an action plan for addressing
intervention needs and closing the feedback loop to the original administrators of the scale. |
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Keywords: | : Perinatal depression telephone assessment Edinburgh Postnatal Depression Scale pregnancy |
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