Health Affairs最新文献_第6页

Perinatal Mental Health And Well-Being. 围产期心理健康与幸福。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2024.00355

Alan R Weil

引用次数: 0

Solutions From Mexican-Descent Perinatal Women To Pandemic-Related Food, Mental Health, And Health And Safety Stressors. 墨西哥裔围产期妇女对与大流行病相关的食品、心理健康、健康和安全压力的解决方案。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01492

Sandraluz Lara-Cinisomo, Mary Ellen Mendy, Amy L Non, Jessica Avalos, Jacqueline Marquez, Kimberly D'Anna-Hernandez

{"title":"Solutions From Mexican-Descent Perinatal Women To Pandemic-Related Food, Mental Health, And Health And Safety Stressors.","authors":"Sandraluz Lara-Cinisomo, Mary Ellen Mendy, Amy L Non, Jessica Avalos, Jacqueline Marquez, Kimberly D'Anna-Hernandez","doi":"10.1377/hlthaff.2023.01492","DOIUrl":"10.1377/hlthaff.2023.01492","url":null,"abstract":"Latina women in the US were disproportionately affected by the COVID-19 pandemic because of structural racism, including discrimination, reduced care access, and elevated risk for illness and death. Although several US policies were implemented to offset the economic toll of the pandemic, few addressed complex stressors, particularly those among Mexican-descent mothers. This qualitative study with thirty-eight perinatal women and mothers of young children who were of Mexican descent sought to identify pandemic-related stressors and solicit recommendations for addressing them during future large-scale crises. Identified stressors included food access issues, mental health needs, and health and safety concerns. The women's recommendations revealed feasible and actionable strategies, including increased access to behavioral and health care services and accessible information about food-related resources. The findings highlight the critical need for responsive policies and programs to ensure the well-being of Mexican-descent perinatal women and mothers of young children during large-scale crises.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antidepressant Prescriptions Increased For Privately Insured People With Perinatal Mood And Anxiety Disorder, 2008-20. 2008-20 年，私人投保的围产期情绪和焦虑症患者的抗抑郁剂处方增加。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01448

Stephanie V Hall, Andrea Pangori, Anca Tilea, Amy Schroeder, Lindsay K Admon, Kara Zivin

{"title":"Antidepressant Prescriptions Increased For Privately Insured People With Perinatal Mood And Anxiety Disorder, 2008-20.","authors":"Stephanie V Hall, Andrea Pangori, Anca Tilea, Amy Schroeder, Lindsay K Admon, Kara Zivin","doi":"10.1377/hlthaff.2023.01448","DOIUrl":"10.1377/hlthaff.2023.01448","url":null,"abstract":"We aimed to determine whether antidepressant prescriptions for perinatal mood and anxiety disorder (PMAD) increased after several professional organizations issued clinical recommendations in 2015 and 2016. This serial, cross-sectional, logistic regression analysis evaluated changes in antenatal and postpartum antidepressant prescriptions among commercially insured people who had a live-birth delivery as well as a PMAD diagnosis during the period 2008-20. For people with antenatal PMAD, the odds of an antenatal antidepressant prescription decreased 3 percent annually from 2008 to 2016 and increased by 32 percent in 2017, and the annual rate of change increased 5 percent for 2017-20 compared with 2008-16. For people with postpartum PMAD, the odds of a postpartum antidepressant prescription decreased 2 percent annually from 2008 to 2016 and experienced no significant change in 2017, but the annual rate of change increased 3 percent for 2017-20 compared with 2008-16. The clinical recommendations issued in 2015 and 2016 were associated with increased antidepressant prescriptions for PMAD, particularly for antenatal PMAD. These findings indicate that clinical recommendations represent an effective tool for changing prescribing patterns.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing Access To Perinatal Mental Health Care: The Perinatal Psychiatry Access Program Model. 增加围产期心理保健的可及性：围产期精神病治疗项目模式。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01439

Ana J Schaefer, Thomas Mackie, Ekaanth S Veerakumar, Radley Christopher Sheldrick, Tiffany A Moore Simas, Jeanette Valentine, Deborah Cowley, Amritha Bhat, Wendy Davis, Nancy Byatt

{"title":"Increasing Access To Perinatal Mental Health Care: The Perinatal Psychiatry Access Program Model.","authors":"Ana J Schaefer, Thomas Mackie, Ekaanth S Veerakumar, Radley Christopher Sheldrick, Tiffany A Moore Simas, Jeanette Valentine, Deborah Cowley, Amritha Bhat, Wendy Davis, Nancy Byatt","doi":"10.1377/hlthaff.2023.01439","DOIUrl":"10.1377/hlthaff.2023.01439","url":null,"abstract":"Perinatal psychiatry access programs offer a scalable approach to building the capacity of perinatal professionals to identify, assess, and treat mental health conditions. Little is known about access programs' implementation and the relative merits of differing approaches. We conducted surveys and semistructured interviews with access program staff and reviewed policy and procedure documents from the fifteen access programs that had been implemented in the United States as of March 2021, when the study was conducted. Since then, the number of access programs has grown to thirty state, regional, or national programs. Access programs implemented up to five program components, including telephone consultation with a perinatal psychiatry expert, one-time patient-facing consultation with a perinatal psychiatry expert, resource and referral to perinatal professionals or patients, trainings for perinatal professionals, and practice-level technical assistance. Characterizing population-based intervention models, such as perinatal psychiatry access programs, that address perinatal mental health conditions is a needed step toward evaluating and improving programs' implementation, reach, and effectiveness.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging The Gap From Maternal Crises To Care. 缩小从孕产妇危机到护理的差距。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2024.00066

Rabih Torbay, Uche Ralph-Opara

引用次数: 0

Addressing Pregnancy And Parenting In Mental Health Care: Perspectives Of Women With Serious Mental Illness. 在心理健康护理中解决怀孕和育儿问题：患有严重精神疾病的妇女的观点。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01450

Karissa Fenwick, Emily C Dossett, Rebecca Gitlin, Kristina Cordasco, Alison B Hamilton, Nichole Goodsmith

{"title":"Addressing Pregnancy And Parenting In Mental Health Care: Perspectives Of Women With Serious Mental Illness.","authors":"Karissa Fenwick, Emily C Dossett, Rebecca Gitlin, Kristina Cordasco, Alison B Hamilton, Nichole Goodsmith","doi":"10.1377/hlthaff.2023.01450","DOIUrl":"10.1377/hlthaff.2023.01450","url":null,"abstract":"Women living with serious mental illness (SMI) are at increased risk for adverse pregnancy and parenting outcomes. However, little is known about the experiences and preferences of women with SMI related to addressing pregnancy and parenting with their mental health providers. We conducted semistructured interviews with twenty-two reproductive-age cisgender women patients living with SMI. Participants characterized discussions about pregnancy and medication teratogenicity with their mental health providers as limited or unsatisfactory. Participants' openness to discussing pregnancy varied by topic and its perceived relevance to their individual circumstances, and it hinged on participants' trust in their providers. Participants characterized discussions about parenting with their mental health providers as helpful and identified additional opportunities for parenting support. Our findings highlight critical gaps in the delivery of information, support, and resources that can inform efforts to increase providers' capacity to address pregnancy and parenting with women living with SMI.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perinatal Mood And Anxiety Disorders Rose Among Privately Insured People, 2008-20. 2008-20 年私人投保者中围产期情绪和焦虑症患者人数上升。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 Epub Date: 2024-03-20 DOI: 10.1377/hlthaff.2023.01437

Kara Zivin, Andrea Pangori, Xiaosong Zhang, Anca Tilea, Stephanie V Hall, Ashlee Vance, Vanessa K Dalton, Amy Schroeder, Anna Courant, Karen M Tabb

引用次数: 0

Perinatal Depression Associated With Increased Pediatric Emergency Department Use And Charges In The First Year Of Life. 围产期抑郁症与婴儿出生后第一年儿科急诊使用率和费用增加有关。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01443

Slawa Rokicki

引用次数: 0

Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions. 短信和电话筛查与转介提高了对产妇心理健康问题的检测和治疗。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01432

Constance Guille, Courtney King, Kathryn King, Ryan Kruis, Dee Ford, Lizmarie Maldonado, Paul J Nietert, Kathleen T Brady, Roger B Newman

{"title":"Text And Telephone Screening And Referral Improved Detection And Treatment Of Maternal Mental Health Conditions.","authors":"Constance Guille, Courtney King, Kathryn King, Ryan Kruis, Dee Ford, Lizmarie Maldonado, Paul J Nietert, Kathleen T Brady, Roger B Newman","doi":"10.1377/hlthaff.2023.01432","DOIUrl":"10.1377/hlthaff.2023.01432","url":null,"abstract":"Effective screening and referral practices for perinatal mental health disorders, perinatal substance use disorders (SUDs), and intimate partner violence are greatly needed to reduce maternal morbidity and mortality. We conducted a randomized controlled trial from January 2021 to April 2023 comparing outcomes between Listening to Women and Pregnant and Postpartum People (LTWP), a text- and telephone-based screening and referral program, and usual care in-person screening and referral within the perinatal care setting. Participants assigned to LTWP were three times more likely to be screened compared with those assigned to usual care. Among participants completing a screen, those assigned to LTWP were 3.1 times more likely to screen positive, 4.4 times more likely to be referred to treatment, and 5.7 times more likely to attend treatment compared with those assigned to usual care. This study demonstrates that text- and telephone-based screening and referral systems may improve rates of screening, identification, and attendance to treatment for perinatal mental health disorders and perinatal SUDs compared with traditional in-person screening and referral systems. System-level changes and complementary policies and insurance payments to support adoption of effective text- and telephone-based screening and referral programs are needed.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perinatal Mental Health: Father Inclusion At The Local, State, And National Levels. 围产期心理健康：父亲融入地方、州和国家层面。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01459

Tova B Walsh, Craig F Garfield

引用次数: 0