Abstract
In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice. RCT results indicated clinically and significant improvement in depression symptoms. To bridge the gap between evidence and practice, and based on experiences garnered at the OB/GYN site during the RCT, this development paper proposes a strategy for implementing depression screening and LV into routine clinical care in this practice setting.
Highlights
In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period
To bridge the gap between evidence and practice, and based on experiences garnered at the OB/GYN site during the randomized controlled trial (RCT), this development paper proposes a strategy for implementing depression screening and Listening Visits (LV) into routine clinical care in this practice setting
Listening Visits (LV) are an evidence-based depression treatment that were developed in the United Kingdom for delivery by health visitors for mothers with mild to moderate symptoms (Holden et al, 1989)
Summary
Moving beyond depression screening: integrating perinatal depression treatment into OB/GYN practices. To bridge the gap between evidence and practice, and based on experiences garnered at the OB/GYN site during the RCT, this development paper proposes a strategy for implementing depression screening and LV into routine clinical care in this practice setting. Further in the follow-up phase of the RCT, among those who received LV immediately improvement in mood was sustained over an eight-week follow-up and replicated among those in the delayed control group after they received LV sessions (Brock et al, 2017) Among this group of depressed impoverished mothers of young children, who often to not want to or cannot see a behavioral health specialist, results of a qualitative inquiry indicated that they valued LV as delivered by their point-of-care provider (Orengo-Aguayo and Segre, 2016)
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