Perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth, with suicide a leading cause of postpartum deaths. PMADs are associated with poor maternal, infant, and family outcomes. Identification and early intervention are imperative for successful treatment. This case study describes the implementation and outcomes of a multidisciplinary Perinatal Mental Health Task Force ("Task Force") at one urban academic children's hospital that was created to promote systems change and health care policy solutions for improved identification and treatment of PMADs. Using the social ecological model as a framework, the Task Force addressed care at the individual, interpersonal, organizational, community, and policy levels. The Task Force applied lessons learned from division-specific screening initiatives to create best practices and make hospital-wide recommendations. This foundational work enabled us to build community bridges and break down internal barriers to shift our pediatric hospital toward prioritizing perinatal mental health. As a result, screening expanded to multiple hospital locations and became a hospital corporate goal, the Perinatal Mental Health Screening Tool Kit was created and disseminated within the community, Task Force members testified in governmental hearings and joined national organizations to inform policy, and Task Force and community collaborations resulted in significant grant funding. Lessons learned have been disseminated nationally. Moving forward, we aim to expand our program and partnerships to ensure that caregivers of infants receive appropriate mental health support to strengthen family well-being. The Task Force can serve as a model for advocates looking to expand and integrate PMAD care.

中文翻译：

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围产期心理健康工作组：在儿科医院环境中整合护理。

围产期情绪和焦虑症 (PMAD) 是分娩最常见的并发症，自杀是导致产后死亡的主要原因。PMAD 与不良的孕产妇、婴儿和家庭结局有关。识别和早期干预是成功治疗的必要条件。本案例研究描述了一家城市学术儿童医院的多学科围产期心理健康工作组（“工作组”）的实施和结果，该工作组旨在促进系统变革和卫生保健政策解决方案，以改进 PMAD 的识别和治疗。工作组使用社会生态模型作为框架，在个人、人际、组织、社区和政策层面解决护理问题。工作组应用从特定部门筛查计划中汲取的经验教训，以创建最佳实践并提出全院建议。这项基础工作使我们能够建立社区桥梁并打破内部障碍，将我们的儿科医院转变为优先考虑围产期心理健康。因此，筛查扩展到多个医院地点并成为医院的企业目标，围产期心理健康筛查工具包被创建并在社区内传播，工作组成员在政府听证会上作证并加入国家组织以告知政策，工作组和社区合作带来了大量的赠款。吸取的教训已在全国传播。向前进，我们的目标是扩大我们的计划和合作伙伴关系，以确保婴儿的照顾者获得适当的心理健康支持，以加强家庭福祉。工作组可以作为寻求扩大和整合 PMAD 护理的倡导者的榜样。