Disseminating perinatal depression screening as a public health initiative: A train-the-trainer approach

Lisa S. Segre, Rebecca L. Brock, Michael W. O'Hara, Laura L. Gorman, Jane Engeldinger

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

This case report describes the development and implementation of the Train-the-Trainer: Maternal Depression Screening Program (TTT), a novel approach to disseminating perinatal depression screening. We trained screeners according to a standard pyramid scheme of train-the-trainer programs: three experts trained representatives from health care agencies (the TTT trainers), who in turn trained their staff and implemented depression screening at their home agencies. The TTT trainers had little or no prior mental health experience so "enhanced" components were added to ensure thorough instruction. Although TTT was implemented primarily as a services project, we evaluated both the statewide dissemination and the screening rates achieved by TTT programs. Thirty-two social service or health agencies implemented maternal depression screening in 20 counties throughout Iowa; this reached 58.2% of the Iowa population. For the 16 agencies that provided screening data, the average screening rate (number of women screened/number eligible to be screened) for the first 3 months of screening was 73.2%, 80.5% and 79.0%. We compared screening rates of our TTT programs with those of Healthy Start, a program in which screening was established via an intensive consultation model. We found the screening rates in 62.5% of TTT agencies were comparable to those in Healthy Start. Our "enhanced" train-the-trainer method is a promising approach for broadly implementing depression-screening programs in agencies serving pregnant and postpartum women.

Original languageEnglish (US)
Pages (from-to)814-821
Number of pages8
JournalMaternal and Child Health Journal
Volume15
Issue number6
DOIs
StatePublished - Aug 1 2011

Fingerprint

Public Health
Depression
Mothers
Social Work
Postpartum Period
Pregnant Women
Mental Health
Referral and Consultation
Delivery of Health Care
Health
Population

Keywords

  • Dissemination
  • Perinatal depression
  • Screening
  • Train-the-trainer

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

Cite this

Disseminating perinatal depression screening as a public health initiative : A train-the-trainer approach. / Segre, Lisa S.; Brock, Rebecca L.; O'Hara, Michael W.; Gorman, Laura L.; Engeldinger, Jane.

In: Maternal and Child Health Journal, Vol. 15, No. 6, 01.08.2011, p. 814-821.

Research output: Contribution to journalArticle

Segre, Lisa S. ; Brock, Rebecca L. ; O'Hara, Michael W. ; Gorman, Laura L. ; Engeldinger, Jane. / Disseminating perinatal depression screening as a public health initiative : A train-the-trainer approach. In: Maternal and Child Health Journal. 2011 ; Vol. 15, No. 6. pp. 814-821.
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