Promoting Perinatal Mental Health The Massachusetts Experience Karin

Promoting Perinatal Mental Health: The Massachusetts Experience Karin Downs, RN, MPH HRSA/MCHB TA Panel Discussion October 18 th 2017 1

Perinatal Depression is one of the most common complications of pregnancy 2

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MA PPD Legislation – passed in 2010 * Established PPD Commission Promulgated PPD screening reporting requirements Annual PPD awareness day at state house Funded PPD Community Health Center Projects Advocated for reimbursement for screening in pediatric settings • Supported MCPAP for Moms with state funding channeled through DMH • • • *https: //malegislature. gov/laws/session. Laws/Acts/2010/Chapter 313 4

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Education – Trainings and Toolkits

Telephone Consultation Obstetric providers/ Midwives Family Medicine Psychiatric providers Primary care providers Pediatric providers

Discuss potential management strategies Recommend a Face to Face Evaluation Refer to the community

Links to support groups and community resources 9

Enrolled Practices and Members Served 2500 120 100 2000 60 1000 40 500 20 Series 2 (Patients Served) 16 p. Se 6 l-1 -1 ay M Series 1 (Enrolled Practices) Ju 6 6 -1 ar M 16 n. Ja 15 v. No 15 p. Se 5 l-1 -1 ay M Ju 5 5 -1 ar M 15 n. Ja 14 v. No p. Se l-1 14 0 Enrolled Practices 1500 Ju Members Served 80

MCPAP for Moms has served many providers and parents in our first 26 months from July 2014 to October 2017 OB Practices Enrolled 135 (73%) Trainings 130 Women Served 3, 218 Doc-doc Telephone Encounters 2, 273 Face to Face Evaluations 203 Care Coordination Encounters 3, 958 Telephone Encounters with Ob/Gyns and MWs 992 (82%) Telephone Encounters with Psychiatric Providers 242 (15%) Telephone Encounters with Other Providers 361 (23%)

Our model can result in significant savings $22, 000/yr $11. 81/yr $0. 98/month $192, 400, 000/yr $850, 000/yr Jose Y. Diaz and Richard Chase. Wilder Research, 651 -280 -2700 October 2010

MCPAP for Moms is spreading and being viewed as a national model 5 states starting a program modeled on MCPAP for Moms (unique funding mechanisms) >17 states or health plans have contacted us

Bringing Postpartum Depression out of the Shadows Act of 2015 HR 3235 S 2311 • Bipartisan bicameral federal legislative bills • Proposes appropriation of $5 M/ yr x 5 years • Support ≥ 3 state-based programs to improve access to screening and treatment • MCPAP for Moms is the model. Allows for flexibility to meet state needs.

QUESTIONS? Thank you! karin. downs@state. ma. us (617) 624 -5967 https: //www. mcpapformoms. org/ Please contact Nancy Byatt, DO, MS, MBA nancy. byatt@umassmemorial. org 15