From Data to Action: Using Science to Transform Perinatal Mental Health Care
* You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.
In this presentation, Dr. Nancy Byatt discusses the barriers and facilitators to perinatal mental health care screening and access, the current practice gaps, and ethical perspectives. Dr. Byatt summarizes the Perinatal Psychiatry Access Program Model’s practices and effectiveness, and she describes the ability of obstetrics settings to address perinatal anxiety and mood disorders in order to improve patient outcomes.
This Obstetrics and Gynecology Grand Rounds session took place on February 5, 2025 at 8:00 a.m.
Activity Information
How to Claim Credit
You may claim credit after watching this activity.
You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.
Needs Statement
Physicians, fellows, residents, medical students, and other healthcare professionals need to receive regular updates on practice guidelines, the latest scientific advances, and translational efforts in the field of Obstetrics and Gynecology. The series aims to increase the knowledge and skills of the learners in select topic areas to improve the diagnosis, treatment, and management of obstetric and gynecologic disorders. The series will also address unique ethical challenges in the field.
Educational Objectives
At the conclusion of the session, the participants should be able to:
- Outline barriers and facilitators to perinatal mental health care, remaining gaps, and ethical considerations.
- Discuss approaches to building the capacity of obstetric settings to address perinatal mood and anxiety disorders.
- Summarize the Perinatal Psychiatry Access Program Model and its effectiveness and impact.
Target Audience
Professional Categories
- Physicians
- Medical Students
- Fellows
- Residents
Specialties
- Obstetrics and Gynecology
- Psychiatry
Interest Groups
- Ethics
- Quality Improvement and Patient Safety
Activity Evaluation
Evaluation by questionnaire will address program content, presentation, and possible bias.
Educational Methods
- Lectures
- Case Presentations
Accreditation/Credit Designation
Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity has been designated by Baylor College of Medicine for 1.0 credit of education in medical ethics and/or professional responsibility.
Activity Director
Term of Approval
February 1, 2025 through February 28, 2027. Original release date: February 1, 2025.
Disclosure Policy
Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.
In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.
In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.
BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.
All of the relevant financial relationships listed for these individuals have been mitigated.
Wisner KL, Sit DK, McShea MC, et al. Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry. 2013;70(5):490-498. doi:10.1001/jamapsychiatry.2013.87.
Gaynes BN, Gavin N, Meltzer-Brody S, et al. Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess (Summ). 2005;(119):1-8. doi:10.1037/e439372005-001.
Trost SL, Beauregard JL, Smoots AN, et al. Preventing Pregnancy-Related Mental Health Deaths: Insights From 14 US Maternal Mortality Review Committees, 2008-17. Health Aff (Millwood). 2021;40(10):1551-1559. doi:10.1377/hlthaff.2021.00615.
Wisner KL, Murphy C, Thomas MM. Prioritizing Maternal Mental Health in Addressing Morbidity and Mortality. JAMA Psychiatry. 2024;81(5):521-526. doi:10.1001/jamapsychiatry.2023.5648.
Byatt N, Levin LL, Ziedonis D, Moore Simas TA, Allison J. Enhancing Participation in Depression Care in Outpatient Perinatal Care Settings: A Systematic Review. Obstet Gynecol. 2015;126(5):1048-1058. doi:10.1097/AOG.0000000000001067.
Siu AL; US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, et al. Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(4):380-387. doi:10.1001/jama.2015.18392.
Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum: ACOG Clinical Practice Guideline No. 4. Obstet Gynecol. 2023;141(6):1232-1261. doi:10.1097/AOG.0000000000005200.
Treatment and Management of Mental Health Conditions During Pregnancy and Postpartum: ACOG Clinical Practice Guideline No. 5. Obstet Gynecol. 2023;141(6):1262-1288. doi:10.1097/AOG.0000000000005202.
Byatt N, Biebel K, Friedman L, Debordes-Jackson G, Ziedonis D. Women's perspectives on postpartum depression screening in pediatric settings: a preliminary study. Arch Womens Ment Health. 2013;16(5):429-432. doi:10.1007/s00737-013-0369-4.
Byatt, N., Biebel, K., Lundquist, R. S., Simas, T. A. M., Debordes-Jackson, G., Allison, J., & Ziedonis, D. (2012). Patient, provider, and system-level barriers and facilitators to addressing perinatal depression. Journal of Reproductive and Infant Psychology, 30(5), 436–449.
Byatt N, Xu W, Levin LL, Moore Simas TA. Perinatal depression care pathway for obstetric settings. Int Rev Psychiatry. 2019;31(3):210-228. doi:10.1080/09540261.2018.1534725.
Byatt N, Biebel K, Moore Simas TA, et al. Improving perinatal depression care: the Massachusetts Child Psychiatry Access Project for Moms. Gen Hosp Psychiatry. 2016;40:12-17. doi:10.1016/j.genhosppsych.2016.03.002.
Byatt N, Straus J, Stopa A, Biebel K, Mittal L, Moore Simas TA. Massachusetts Child Psychiatry Access Program for Moms: Utilization and Quality Assessment. Obstet Gynecol. 2018;132(2):345-353. doi:10.1097/AOG.0000000000002688.
Schaefer AJ, Mackie T, Veerakumar ES, et al. Increasing Access To Perinatal Mental Health Care: The Perinatal Psychiatry Access Program Model. Health Aff (Millwood). 2024;43(4):557-566. doi:10.1377/hlthaff.2023.01439.
Byatt N, Brenckle L, Sankaran P, et al. Effectiveness of two systems-level interventions to address perinatal depression in obstetric settings (PRISM): an active-controlled cluster-randomised trial. Lancet Public Health. 2024;9(1):e35-e46. doi:10.1016/S2468-2667(23)00268-2.
Masters GA, Yuan Y, Li NC, Straus J, Moore Simas TA, Byatt N. Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms. Arch Womens Ment Health. 2023;26(3):401-410. doi:10.1007/s00737-023-01324-1.
Disclosures
The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:
Presenter
-
Nancy Byatt, D.O., M.S., M.B.A.
Professor with Tenure of Psychiatry, Obstetrics & Gynecology and Population & Quantitative Health Sciences; Executive Director, Lifeline for Families Center and Lifeline for Moms Program
UMass Chan Medical School
Disclosure:
- Employment (with a commercial interest): Lifeline
- Consultancy: Elsevier (current); JBS International (ended); James Bell Asso/HealthySteps (ended)
Activity Director
-
Tara J Harris, M.D., FACOG
Assistant Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
Planning Committee Members
-
Jennifer Michele Magdalen Bump, M.D., M.B.A.
Assistant Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Simon Dadoun, M.D.
Obstetrics and Gynecology Resident
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Roopali Donepudi, M.D.
Assistant Professor
https://www.bcm.edu/people-search/roopali-donepudi-20713
Disclosure:
Nothing to disclose.
-
Tiara Gatewood, M.A., M.B.A.
Academic Coordinator
Baylor College of Medicine
Disclosure:
Nothing to disclose.
-
Tara J Harris, M.D., FACOG
Assistant Professor
Baylor College of Medicine
Disclosure:
Nothing to disclose.
Health Topics
Presenter:
