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Maternal Mental Health: Preventing & Mitigating Its Effects

Maternal Mental Health: Preventing & Mitigating Its Effects. Robin C. Kopelman , M.D., M.P.H. University of Iowa Department of Psychiatry Women’s Wellness & Counseling Service Iowa Depression and Clinical Research Center ACES October 14, 2013.

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Maternal Mental Health: Preventing & Mitigating Its Effects

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  1. Maternal Mental Health:Preventing & Mitigating Its Effects Robin C. Kopelman, M.D., M.P.H. University of Iowa Department of Psychiatry Women’s Wellness & Counseling Service Iowa Depression and Clinical Research Center ACES October 14, 2013

  2. Maternal depression is common – 30% or more in select Iowa populations

  3. Series of negative consequences • Impact on Family • Partner • Marital discord, divorce • Family violence • Less likely to engage in healthy parenting practices • Difficulties managing children’s health • Personal suffering of woman

  4. Series of negative consequences • Impairment of factors key for healthy early brain development, including before birth • Neglect • Higher risk for developmental, behavioral, cognitive & emotional problems in children • Cycle of depression • Combined with poverty, substance abuse, domestic violence, or trauma • Impact is even greater

  5. Addressing maternal depression • We must (continue) todo something about this! • Identification • Treatment • Prevention

  6. Identify Maternal Depression • Screening increases detection! • ACOG strongly encourages screening • AAP recommends screening • Iowa efforts have been strong

  7. The good news… • Treatment of maternal depression is associated with improved outcomes for their children! • Plus…dads/partners may help.

  8. Significance of Paternal Depression • Non-depressed fathers may “buffer” effects of maternal depression • Social support • Increased infant-parent interaction • Paternal & Caregiver depression • Similar to effects of maternal depression

  9. Addressing Caregiver Depression • Improve mechanisms to screen fathers for depression • Direct and Proxy screening • Improve mechanisms to screen AND address depression in all caregivers

  10. Beyond screening…critical links to treatment and prevention • Follow-up and capacity to treat • Consultation services • # of and type of provider • Awareness • Public • Communities • Providers

  11. Critical Links • Targeted interventions • Home visiting and Family based programs • “Preventive ‘treatment” • Novel treatment models

  12. Critical Links • Policy • Screening promotion • Address access (including financial) • Targeted interventions • Mental healthcare for parenting women

  13. Iowa Resources

  14. Iowa Resources • What’s available for Iowa women and providers in the maternal mental health field? • Education, Consultation and Support for Screening, Referral, and Treatment • Clinical and Treatment Resources • Women’s Wellness & Counseling Service: (319-335-2464), http://www.uihealthcare.org/womenswellness/ • Research Initiatives

  15. Maternal Depression: Prevention & Mitigation – Suggested Reading • http://www.nccp.org/publications/pub_791.html • http://www.modernmedicine.com/modern-medicine/news/modernmedicine/modern-medicine-feature-articles/reducing-maternal-depression-an

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