St. Peter’s Health, a non-profit health system in Helena, Montana, serves over 97,000 residents across five counties. The system encompasses a 99-bed acute care hospital, a behavioral health unit, outpatient clinics and much more. In 2017, the rise of perinatal mood and anxiety disorders, such as depression, postpartum psychosis and postpartum PTSD, prompted St. Peter’s Health to recognize gaps in postpartum care. In Montana, over 42% of mothers reported having symptoms of postpartum depression. Many new moms do not receive any outreach from caregivers until their six-week postpartum appointment, delaying early identification and treatment of stressors leading to perinatal mood and anxiety disorders and substance use in parents and families. To address this gap, St. Peter’s Health created an evidence based parental support program, Taking Care of You. The four-year program has grown from one nurse care manager to a team of specially trained registered nurse (RN) care managers, behavioral health professionals and social workers, who work alongside providers, to connect patients and their families with community resources to support their needs. It administers the Edinburgh screening to assess parents for perinatal mood and anxiety disorders two weeks postpartum. The assessment identifies symptoms, such as feelings of guilt, anger and sadness, as well as risk factors like history of depression, lack of a support system and financial stress. Recognizing that there are many socioeconomic and environmental factors that shape one’s health and well-being, the program offers support services, professional help and referrals for moms and their families experiencing depression, anxiety, tobacco, alcohol or drug use, stress, grief/loss and challenges with social needs such as housing, transportation and food.
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