TY - JOUR
T1 - The role of perinatal psychiatry access programs in advancing mental health equity
AU - Deichen Hansen, Megan E.
AU - Londoño Tobón, Amalia
AU - Kamal Haider, Uruj
AU - Moore Simas, Tiffany A.
AU - Newsome, Melissa
AU - Finelli, Julianna
AU - Boama-Nyarko, Esther
AU - Mittal, Leena
AU - Tabb, Karen M.
AU - Nápoles, Anna M.
AU - Schaefer, Ana J.
AU - Davis, Wendy N.
AU - Mackie, Thomas I.
AU - Flynn, Heather A.
AU - Byatt, Nancy
N1 - Dr. Moore Simas is obstetric engagement liaison for the MCPAP for Moms program, funded by the MA Department of Mental Health via Beacon Health Options. Dr. Moore Simas is the Medical Director of the University of Massachusetts Chan Medical School Lifeline for Moms Program and Multi-PI of the Lifeline for Moms National Network of Perinatal Psychiatry Access Programs.
Dr. Deichen Hansen, Dr. Flynn, and Melissa Newsome have received salary and/or funding support from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UF5MC26845.Dr. Nápoles' work was supported by the Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health.Engagement efforts and research reported in this article was funded by the Perigee Fund and through the two Patient-Centered Outcomes Research Institute (PCORI) Awards (IHS-2019C2–17,367, Mackie/Byatt) and (EACB-23288, Mackie/Tabb-Dina).
Dr. Nápoles' work was supported by the Division of Intramural Research, National Institute on Minority Health and Health Disparities , National Institutes of Health .
Modeled after the Massachussets Child Psychiatry Access Programs for Moms (MCPAP for Moms), there are now 21 state-based Access Programs (see Fig. 2 ) implemented across the U.S.. Seven of the programs are funded by the Health Resources and Services Administration [ 43 ]. Cost-efficient and evidence-based [ 44–46 ], Access Programs now provide perinatal mental health support services for a large proportion of U.S. births. Collectively, these Access Programs have the potential to cover approximately 1.94 (or 53.69%) of the 3.61 million yearly births in the U.S.. [ 47 ] MCPAP for Moms, and the programs modeled on it, are recommended by the 2022 White House Blueprint for Addressing the Maternal Health Crisis and the U.S. Department of Health and Human Services 2020 Action Plan to Improve Maternal Mental Health in America for pregnant women and mothers [ 48–50 ]. In addition to the 21 state- and region-based programs, Postpartum Support International's Perinatal Psychiatric Consult Line [ 51 ], with the potential to cover all U.S. births, has been established as a national Access Program. Access Programs are an evidence-based population health model that bridges the perinatal and mental health care systems via training, psychiatric care consultation, resources and referrals, and practice-level implementation assistance.
Dr. Byatt has received salary and/or funding support from Massachusetts Department of Mental Health via the Massachusetts Child Psychiatry Access Program for Moms (MCPAP for Moms). She is also the Medical Director of Research and Evaluation for MCPAP for Moms and the Executive Director of the Lifeline for Families Center and Lifeline for Moms Program at UMass Chan Medical School. Dr. Byatt is the Corresponding PI of the Lifeline for Moms National Network of Perinatal Psychiatry Access Programs. She has received honoraria from Global Learning Collaborative and has also served as a consultant for The Kinetix Group, JBS International, and VentureWell.
Dr. Deichen Hansen, Dr. Flynn, and Melissa Newsome have received salary and/or funding support from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UF5MC26845 .
Engagement efforts and research reported in this article was funded by the Perigee Fund and through the two Patient-Centered Outcomes Research Institute (PCORI) Awards (IHS-2019C2–17,367, Mackie/Byatt) and (EACB-23288, Mackie/Tabb-Dina).
PY - 2023/5/1
Y1 - 2023/5/1
N2 - This editorial presents: 1) a review of Perinatal Psychiatry Access Programs as an integrated care model with potential for promoting perinatal mental health equity; and 2) a summary of how the model has been and can be further adapted to help achieve perinatal mental health equity in geographically diverse settings. Within the editorial, we highlight Access Programs as a promising model for promoting perinatal mental health equity. This editorial is supported by original descriptive data on the Lifeline for Moms National Network of Perinatal Psychiatric Access Programs. Descriptive data is additionally provided on three statewide Access Programs. The Access Program model, and the accompanying Network of Access Programs, is a multi-level approach demonstrating promise in reducing perinatal mental health inequities. Access Programs demonstrate potential to implement interventions to address well-documented inequities in perinatal mental healthcare access at the patient-, clinician-, practice-, community-, and policy-levels. For Access Programs to leverage their potential to advance perinatal mental health equity, systematic efforts are needed that include partnership with impacted communities and implementation teams.
AB - This editorial presents: 1) a review of Perinatal Psychiatry Access Programs as an integrated care model with potential for promoting perinatal mental health equity; and 2) a summary of how the model has been and can be further adapted to help achieve perinatal mental health equity in geographically diverse settings. Within the editorial, we highlight Access Programs as a promising model for promoting perinatal mental health equity. This editorial is supported by original descriptive data on the Lifeline for Moms National Network of Perinatal Psychiatric Access Programs. Descriptive data is additionally provided on three statewide Access Programs. The Access Program model, and the accompanying Network of Access Programs, is a multi-level approach demonstrating promise in reducing perinatal mental health inequities. Access Programs demonstrate potential to implement interventions to address well-documented inequities in perinatal mental healthcare access at the patient-, clinician-, practice-, community-, and policy-levels. For Access Programs to leverage their potential to advance perinatal mental health equity, systematic efforts are needed that include partnership with impacted communities and implementation teams.
KW - Health equity
KW - Lifeline for Moms
KW - Mental health
KW - Perinatal health
KW - Psychiatric access programs
KW - Substance use disorders
UR - http://www.scopus.com/inward/record.url?scp=85150928889&partnerID=8YFLogxK
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U2 - 10.1016/j.genhosppsych.2023.03.001
DO - 10.1016/j.genhosppsych.2023.03.001
M3 - Editorial
C2 - 36989766
AN - SCOPUS:85150928889
SN - 0163-8343
VL - 82
SP - 75
EP - 85
JO - General Hospital Psychiatry
JF - General Hospital Psychiatry
ER -