NH AIM/ERASE Maternal Mortality Webinar Series - Clinical Pearls to Help Address Common Barriers in Providing Mental Health Care

Thursday, January 9, 2025, 12:00 PM - Sunday, January 9, 2028, 1:00 PM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

This session will discuss “Clinical pearls to help address common barriers in providing mental health care.” Our AIM implementation team will briefly share administrative updates, details from the Perinatal Mental Health Conditions (PMHC) Patient Safety Bundle, and relevant data. Becca Casey, APRN, Psychiatric Nurse Practitioner, will then illustrate the MCPAP algorithm using case examples. Becca will also speak to tips for success with prescribing during the perinatal period as well as statewide and regional perinatal mental health resources (including her weekly Open Office Hours!).

Presenters

Rebecca Casey, APRN, Psychiatric Nurse Practitioner, DHMC

Julie Bosak, DrPH, CNM, MSN, Population Health, DHMC

Madalynne Bridge, BA, Population Health, DHMC

1. Describe key reasons for implementing tiered response protocol tools to effectively connect patients with resources in the perinatal period.
2. Identify one new response protocol that can be effectively integrated into your professional practice.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours.

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

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Bibliographic Material

• Anxiety-in-Pregnancy-the-Postpartum. (n.d.). Parlab.med.ubc.ca. Retrieved April 22, 2024, from https://parlab.med.ubc.ca/infographic-on-anxiety-in-pregnancy-the-postpartum/anxiety-in-pregnancy-the-postpartum/

• Assessment and Management of Perinatal Mood and Anxiety Disorders. (n.d.). https://www.mcpapformoms.org/Docs/AdultProviderToolkit_2019.pdf

• Breslau N. Epidemiologic studies of trauma, posttraumatic stress disorder, and other psychiatric disorders. Can J Psychiatry. 2002 Dec;47(10):923-9. doi: 10.1177/070674370204701003. PMID: 125531

• CIDI-based Screening Scale for Bipolar Spectrum Disorders - Overview. (n.d.). https://www.ohsu.edu/sites/default/files/2021-10/%28CIDI%29%20Screening%20Scale%20for%20Bipolar%20Spectrum%20Disorders.pdf

• Cipriani, A., Furukawa, T. A., Salanti, G., Chaimani, A., Atkinson, L. Z., Ogawa, Y., Leucht, S., Ruhe, H. G., Turner, E. H., Higgins, J. P. T., Egger, M., Takeshima, N., Hayasaka, Y., Imai, H., Shinohara, K., Tajika, A., Ioannidis, J. P. A., & Geddes, J. R. (2018). Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. The Lancet, 391(10128), 1357–1366. https://doi.org/10.1016/s0140-6736(17)32802-7

• Contributor, S., & Nagle-Yang. (n.d.). SSRIs and Pregnancy Risk-Risk Conversation Trainee Guide. Retrieved April 28, 2024, from https://ncrptraining.org/wp-content/uploads/2019/10/Depression_Risk-Risk_Classroom_Trainee-Guide_Final_V1.pdf

• Francisca, Veringa-Skiba, I. K., Sauer, A., Esther, & Bögels, S. M. (2023). Cost-Effectiveness of the Mindfulness-Based Childbirth and Parenting Program for Pregnant Women With Fear of Childbirth. Journal of Obstetric, Gynecologic & Neonatal Nursing. https://doi.org/10.1016/j.jogn.2023.10.004

• Frew, J. (2024, April 18). Management of Anxiety and Depression in the OB/Gyn Clinic Setting [Power point Management of Anxiety and Depression in the OB/Gyn Clinic Setting].

• Frew, J., Thorsness, K., Hutner, L., & Saadatmand, J. (n.d.). Perinatal Anxiety Disorders Self-Study Contributors Updated in 2022 by. Retrieved April 28, 2024, from https://ncrptraining.org/wp-content/uploads/2022/03/Perinatal-Anxiety_Self-Study_v2.pdf

• Genovez M, Vanderkruik R, Lemon E, Dimidjian S. Psychotherapeutic Treatments for Depression During Pregnancy. Clin Obstet Gynecol. 2018 Sep;61(3):562-572. doi: 10.1097/GRF.0000000000000388. PMID: 29965823

• Goldfinger, C., Green, S. M., Furtado, M., & McCabe, R. E. (2019). Characterizing the nature of worry in a sample of perinatal women with generalized anxiety disorder. Clinical Psychology & Psychotherapy, 27(2). https://doi.org/10.1002/cpp.2413

• Grace SL, Evindar A, Stewart DE. The effect of postpartum depression on child cognitive development and behavior: a review and critical analysis of the literature. Arch Womens Ment Health. 2003 Nov;6(4):263-74. doi: 10.1007/s00737-003-0024-6. PMID: 14628179

• Health, M. C. for W. M. (2023, December 28). New Oral Drug Zuranolone (Zurzuvae) for Postpartum Depression is Now Available - MGH Center for Women’s Mental Health. https://womensmentalhealth.org/posts/new-oral-postpartum-drug-zuranolone-available/

• Hutner, L. A., Catapano, L. A., Nagle-Yang, S. M., Williams, K. E., Osborne, L. M., & American Psychiatric Association Publishing (2022). Textbook of women’s reproductive mental health. American Psychiatric Association Publishing.

• Huybrechts KF, Bateman BT, Palmsten K, Desai RJ, Patorno E, Gopalakrishnan C, Levin R, Mogun H, Hernandez-Diaz S. Antidepressant use late in pregnancy and risk of persistent pulmonary hypertension of the newborn. JAMA. 2015 Jun 2;313(21):2142-51. doi: 10.1001/jama.2015.5605. PMID: 26034955; PMCID: PMC4761452

• Implementing Perinatal Mental Health Screening. (n.d.). Www.acog.org. https://www.acog.org/programs/perinatal-mental-health/implementing-perinatal-mental-health-screening

• Jain, A., & Mitra, P. (2023). Bipolar Disorder. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK558998/

• Katon, W., & Reed, S. (2014). Improving Depression Care in OB-GYN Settings. Psychiatric News, 49(15), 1–1. https://doi.org/10.1176/appi.pn.2014.8a15

• Leistikow, N., Baller, E. B., Bradshaw, P. J., Riddle, J. N., Ross, D. A., & Osborne, L. M. (2022). Prescribing Sleep: An Overlooked Treatment for Postpartum Depression. Biological Psychiatry. https://doi.org/10.1016/j.biopsych.2022.03.006

• Mazzoni S, Brewer S, Durfee J, Pyrzanowski J, Barnard J, Dempsey AF, O'Leary ST. Patient Perspectives of Obstetrician-Gynecologists as Primary Care Providers. J Reprod Med. 2017 Jan-Feb;62(1-2):3-8. PMID: 29999273

• MGH Center. (2008, February 22). Postpartum Psychiatric Disorders - MGH Center for Women’s Mental Health. MGH Center for Women’s Mental Health - Perinatal & Reproductive Psychiatry at Mass General Hospital. https://womensmentalhealth.org/specialty-clinics/postpartum-psychiatric-disorders-2/

• Montejo AL, Prieto N, de Alarcón R, Casado-Espada N, de la Iglesia J, Montejo L. Management Strategies for Antidepressant-Related Sexual Dysfunction: A Clinical Approach. J Clin Med. 2019 Oct 7;8(10):1640. doi: 10.3390/jcm8101640. PMID: 31591339; PMCID: PMC6832699

• Pan, WL., Chang, CW., Chen, SM. et al. Assessing the effectiveness of mindfulness-based programs on mental health during pregnancy and early motherhood - a randomized control trial. BMC Pregnancy Childbirth 19, 346 (2019). https://doi.org/10.1186/s12884-019-2503-4

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
ACE Office
Dartmouth Health
[email protected]

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Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.