Improving Maternal Mental Health & SUD Screening and Treatment

Launched by MEDICAL UNIVERSITY OF SOUTH CAROLINA · Mar 1, 2023

Keywords

ClinConnect Summary

Aim 1: To determine differences in rates of treatment attendance and retention for Perinatal Mood and Anxiety Disorders (PMADs) and Perinatal Substance Use Disorders (PSUDs) between participants assigned to LTWP, compared to SBIRT.

Aim 2: To determine differences in Patient-Reported Outcomes (PROs) including depressive symptoms, quality of life, substance use, and maternal functioning and well-being measured at baseline and 2, 5, 8, and 11 months postpartum.

Gender

FEMALE

Eligibility criteria

• Aim 1:
• • This study is a cluster RCT step wedge design so we are randomizing on the clinic level, not the individual level. The clinics are made up of 4 "wedges" (3 clinics/wedge). Pregnant women receiving prenatal care in these clinics will receive SBIRT as part of usual care. Clusters of clinics will be randomized to an LTWP start date where they will transition from SBIRT to LTWP for the purposes of screening and referral to treatment.
• EHR Data Collection (PPP):
• Inclusion:
• • 1. Age 18-45
• • 2. pregnant and entering prenatal care in one of MUSC's OB clinics
• • 3. attended a prenatal appointment at an MUSC clinic
• Exclusion:
• • a.) primary language is not English or Spanish
• Aim 2:
• Study Assessments at baseline and 2, 5, 8, and 11 months postpartum (PPP):
• Inclusion:
• • 1. Age 18-45 years
• • 2. pregnant
• • 3. attended an initial prenatal appointment at an MUSC OB clinic
• Exclusion:
• • 1. Unable to complete study assessments
• • 2. primary language is not English or Spanish