Postpartum depression screening and treatment in a rural setting : an evidence based policy

Abstract

Despite years of research and discussion surrounding the impact of postpartum depression, it continues to be under diagnosed and under treated. Many women believe they are failing to handle the stress of motherhood and are embarrassed to seek help. Women living in rural communities have the added pressure of limited access to services and embarrassment related to a lack of anonymity that accompanies living in a small town. Equally important to successfully addressing this pervasive mental health issue is education and engagement of clinicians who provide the bulk of care for expectant mothers and their families. The purpose of this project is to develop a policy utilizing evidence-based screening and interventions which can be initiated during prenatal office and subsequent follow up visits during the first year postpartum.