Remote Supervision for Implementing Collaborative Care for Perinatal Depression

远程监督对围产期抑郁症实施协作护理

基本信息

批准号：
10198317
负责人：
IAN Moore BENNETT
金额：
$ 7.02万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2021-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10198317
关键词：
Address Caring Cessation of life Code Communication Communities Continuity of Patient Care Country Data Data Analyses Data Collection Diagnosis Diagnostic Diagnostic Services Electronic Health Record Ethnic Origin Feeling suicidal Funding Future Goals Health Health Insurance Health Services Health system Healthcare Individual Insurance Coverage Intervention Low income Maternal Health Maternal Mortality Mental Health Mental disorders Modeling Morbidity - disease rate Neighborhood Health Center Not Hispanic or Latino Outcome Patient Self-Report Patients Perinatal Population Postpartum Period Pregnancy Prenatal care Public Health Race Remote Consultation Review Committee Risk Risk Factors Sampling Self-Injurious Behavior Services Site Substance Use Disorder Suicide Suicide attempt Supervision Symptoms System Time United States United States National Institutes of Health Vulnerable Populations Woman Work behavioral health care delivery care systems collaborative care comorbidity effective intervention ethnic minority population experience health care delivery implementation trial improved income insurance interest maternal morbidity multilevel analysis perinatal health perinatal mental health peripartum depression preventable death primary care setting response service intervention severe maternal morbidity social health determinants sociodemographic factors sociodemographics socioeconomics suicidal act suicidal morbidity suicidal risk

项目摘要

Project Summary/Abstract Suicide is a leading cause of maternal mortality although few systems for identifying and treating suicide risk are implemented in sites caring for women from low income and race/ethnic minority populations in pregnancy and the year postpartum. We aim to add data abstraction related to suicide risk to an existing NIH project (R01 MH108548-01; PI Bennett) focused on implementing services for common mental disorders in this period in 10 community health centers nationally. This supplement will allow us to study in depth risk factors and care delivery factors associated with self-reported suicide risk and acts of self-harm among more than 5,000 women involved with the existing study. Interventions to enhance the capacity to identify, assess, and treat this condition will be identified by this work. Specifically, the supplement will support additional work over six months to complete two aims: 1) add suicide risk and self-harm diagnostic and treatment codes to existing ongoing data abstraction of perinatal mental health variables from the a shared electronic health record across these sites for patients involved with the existing funded project, and 2) add analysis of rates and associated risk factors for suicidal ideation and acts of self-harm as well as health service interventions utilized in the sites related to them.

项目概要/摘要尽管识别和治疗自杀风险的系统很少，但自杀是孕产妇死亡的主要原因在照顾低收入妇女和怀孕期间的种族/族裔群体的妇女的场所实施以及产后那一年。我们的目标是将与自杀风险相关的数据抽象添加到现有的 NIH 项目（R01 MH108548-01； PI Bennett) 10年重点开展了这一时期常见精神障碍的服务全国社区卫生服务中心。该补充品将使我们能够深入研究危险因素和护理与 5,000 多名女性自我报告的自杀风险和自残行为相关的分娩因素参与现有的研究。旨在增强识别、评估和治疗这一问题的能力的干预措施这项工作将确定条件。具体来说，该补充文件将支持六项以上的额外工作几个月完成两个目标：1）在现有的基础上添加自杀风险和自残诊断和治疗代码从共享电子健康记录中持续提取围产期心理健康变量的数据跨这些网站为参与现有资助项目的患者提供信息，2) 添加费率分析和自杀意念和自残行为的相关危险因素以及卫生服务干预措施在与其相关的网站中使用。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Longitudinal Remote Coaching for Implementation of Perinatal Collaborative Care: A Mixed-Methods Analysis.

实施围产期协作护理的纵向远程指导：混合方法分析。

DOI：
发表时间：
2020
期刊：
影响因子：
0
作者：
Bhat, Amritha;Bennett, Ian M;Bauer, Amy M;Beidas, Rinad S;Eriksen, Whitney;Barg, Frances K;Gold, Rachel;Unützer, Jürgen
通讯作者：
Unützer, Jürgen