Depression screening of perinatal women by the des moines healthy start project: Program description and evaluation

Lisa S. Segre, Michael W. O'Hara, Rebecca L. Brock, Darby Taylor

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: Maternal depression is linked to poor infant and child outcome. In 2001, the U.S. Health Resources and Services Administration required all Healthy Start programs to incorporate maternal-depression screening as part of home visiting services. This article describes the implementation and results of depression screening by the Des Moines Healthy Start Project between 2002 and 2009. The study represents the first longitudinal assessment of the Healthy Start maternaldepression screening initiative. Methods: The evaluation assessed staff compliance with a protocol for screening for depression among clients at regular intervals during the prenatal and postnatal periods until the client's child was two years old. Rates of acceptance of referral for treatment and treatment seeking as well as depression outcomes were measured. Results: A total of 1,902 women were served by the Des Moines Healthy Start Project between 2002 and 2009. Compliance with the screening protocol was immediately high and increased significantly over the evaluation period, from 83% in 2002 to 98% in 2009. Of the 573 women who had elevated depression scores but who were not already in treatment, 64% accepted a referral, and 47% reported receiving treatment. Predictors of referral acceptance and treatment included higher depression scores and speaking English as a primary language. Depression severity significantly decreased for women who reported receiving treatment. Conclusions: A federal screening initiative identified a significant number of women who were at risk for maternal depression and connected them with treatment resources. Continuing work should assess the impact of this initiative on outcomes of women and children.

Original languageEnglish (US)
Pages (from-to)250-255
Number of pages6
JournalPsychiatric Services
Volume63
Issue number3
DOIs
StatePublished - Mar 1 2012

Fingerprint

Program Development
Program Evaluation
Depression
Referral and Consultation
Mothers
Therapeutics
United States Health Resources and Services Administration
Language

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Depression screening of perinatal women by the des moines healthy start project : Program description and evaluation. / Segre, Lisa S.; O'Hara, Michael W.; Brock, Rebecca L.; Taylor, Darby.

In: Psychiatric Services, Vol. 63, No. 3, 01.03.2012, p. 250-255.

Research output: Contribution to journalArticle

@article{2bdd5e769d09455cbab4886d1a67d659,
title = "Depression screening of perinatal women by the des moines healthy start project: Program description and evaluation",
abstract = "Objective: Maternal depression is linked to poor infant and child outcome. In 2001, the U.S. Health Resources and Services Administration required all Healthy Start programs to incorporate maternal-depression screening as part of home visiting services. This article describes the implementation and results of depression screening by the Des Moines Healthy Start Project between 2002 and 2009. The study represents the first longitudinal assessment of the Healthy Start maternaldepression screening initiative. Methods: The evaluation assessed staff compliance with a protocol for screening for depression among clients at regular intervals during the prenatal and postnatal periods until the client's child was two years old. Rates of acceptance of referral for treatment and treatment seeking as well as depression outcomes were measured. Results: A total of 1,902 women were served by the Des Moines Healthy Start Project between 2002 and 2009. Compliance with the screening protocol was immediately high and increased significantly over the evaluation period, from 83{\%} in 2002 to 98{\%} in 2009. Of the 573 women who had elevated depression scores but who were not already in treatment, 64{\%} accepted a referral, and 47{\%} reported receiving treatment. Predictors of referral acceptance and treatment included higher depression scores and speaking English as a primary language. Depression severity significantly decreased for women who reported receiving treatment. Conclusions: A federal screening initiative identified a significant number of women who were at risk for maternal depression and connected them with treatment resources. Continuing work should assess the impact of this initiative on outcomes of women and children.",
author = "Segre, {Lisa S.} and O'Hara, {Michael W.} and Brock, {Rebecca L.} and Darby Taylor",
year = "2012",
month = "3",
day = "1",
doi = "10.1176/appi.ps.201100247",
language = "English (US)",
volume = "63",
pages = "250--255",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "3",

}

TY - JOUR

T1 - Depression screening of perinatal women by the des moines healthy start project

T2 - Program description and evaluation

AU - Segre, Lisa S.

AU - O'Hara, Michael W.

AU - Brock, Rebecca L.

AU - Taylor, Darby

PY - 2012/3/1

Y1 - 2012/3/1

N2 - Objective: Maternal depression is linked to poor infant and child outcome. In 2001, the U.S. Health Resources and Services Administration required all Healthy Start programs to incorporate maternal-depression screening as part of home visiting services. This article describes the implementation and results of depression screening by the Des Moines Healthy Start Project between 2002 and 2009. The study represents the first longitudinal assessment of the Healthy Start maternaldepression screening initiative. Methods: The evaluation assessed staff compliance with a protocol for screening for depression among clients at regular intervals during the prenatal and postnatal periods until the client's child was two years old. Rates of acceptance of referral for treatment and treatment seeking as well as depression outcomes were measured. Results: A total of 1,902 women were served by the Des Moines Healthy Start Project between 2002 and 2009. Compliance with the screening protocol was immediately high and increased significantly over the evaluation period, from 83% in 2002 to 98% in 2009. Of the 573 women who had elevated depression scores but who were not already in treatment, 64% accepted a referral, and 47% reported receiving treatment. Predictors of referral acceptance and treatment included higher depression scores and speaking English as a primary language. Depression severity significantly decreased for women who reported receiving treatment. Conclusions: A federal screening initiative identified a significant number of women who were at risk for maternal depression and connected them with treatment resources. Continuing work should assess the impact of this initiative on outcomes of women and children.

AB - Objective: Maternal depression is linked to poor infant and child outcome. In 2001, the U.S. Health Resources and Services Administration required all Healthy Start programs to incorporate maternal-depression screening as part of home visiting services. This article describes the implementation and results of depression screening by the Des Moines Healthy Start Project between 2002 and 2009. The study represents the first longitudinal assessment of the Healthy Start maternaldepression screening initiative. Methods: The evaluation assessed staff compliance with a protocol for screening for depression among clients at regular intervals during the prenatal and postnatal periods until the client's child was two years old. Rates of acceptance of referral for treatment and treatment seeking as well as depression outcomes were measured. Results: A total of 1,902 women were served by the Des Moines Healthy Start Project between 2002 and 2009. Compliance with the screening protocol was immediately high and increased significantly over the evaluation period, from 83% in 2002 to 98% in 2009. Of the 573 women who had elevated depression scores but who were not already in treatment, 64% accepted a referral, and 47% reported receiving treatment. Predictors of referral acceptance and treatment included higher depression scores and speaking English as a primary language. Depression severity significantly decreased for women who reported receiving treatment. Conclusions: A federal screening initiative identified a significant number of women who were at risk for maternal depression and connected them with treatment resources. Continuing work should assess the impact of this initiative on outcomes of women and children.

UR - http://www.scopus.com/inward/record.url?scp=84858259746&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84858259746&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.201100247

DO - 10.1176/appi.ps.201100247

M3 - Article

C2 - 22388530

AN - SCOPUS:84858259746

VL - 63

SP - 250

EP - 255

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 3

ER -