Maternal Mental Health: Preventing & Mitigating Its Effects Robin C. Kopelman, M.D., M.P.H. University of Iowa Department of Psychiatry Women’s Wellness.

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Presentation transcript:

Maternal Mental Health: Preventing & Mitigating Its Effects Robin C. Kopelman, M.D., M.P.H. University of Iowa Department of Psychiatry Women’s Wellness & Counseling Service Iowa Depression and Clinical Research Center ACES October 14, 2013

 Maternal depression is common – 30% or more in select Iowa populations

Series of negative consequences   Impact on Family Partner Marital discord, divorce Family violence   Less likely to engage in healthy parenting practices   Difficulties managing children’s health   Personal suffering of woman

Series of negative consequences  Impairment of factors key for healthy early brain development, including before birth Neglect Neglect  Higher risk for developmental, behavioral, cognitive & emotional problems in children Cycle of depression Cycle of depression  Combined with poverty, substance abuse, domestic violence, or trauma Impact is even greater Impact is even greater

Addressing maternal depression  We must (continue) todo something about this! Identification Identification Treatment Treatment Prevention Prevention

Identify Maternal Depression  Screening increases detection!  ACOG strongly encourages screening  AAP recommends screening  Iowa efforts have been strong

The good news…  Treatment of maternal depression is associated with improved outcomes for their children! Plus…dads/partners may help. Plus…dads/partners may help.

Significance of Paternal Depression  Non-depressed fathers may “buffer” effects of maternal depression Social support Social support Increased infant-parent interaction Increased infant-parent interaction  Paternal & Caregiver depression Similar to effects of maternal depression Similar to effects of maternal depression

Addressing Caregiver Depression  Improve mechanisms to screen fathers for depression Direct and Proxy screening Direct and Proxy screening  Improve mechanisms to screen AND address depression in all caregivers

Beyond screening…critical links to treatment and prevention  Follow-up and capacity to treat Consultation services Consultation services # of and type of provider # of and type of provider  Awareness Public Public Communities Communities Providers Providers

Critical Links  Targeted interventions Home visiting and Family based programs Home visiting and Family based programs “Preventive ‘treatment” “Preventive ‘treatment” Novel treatment models Novel treatment models

Critical Links  Policy Screening promotion Screening promotion Address access (including financial) Address access (including financial) Targeted interventionsTargeted interventions Mental healthcare for parenting womenMental healthcare for parenting women

Iowa Resources

 What’s available for Iowa women and providers in the maternal mental health field?  Education, Consultation and Support for Screening, Referral, and Treatment  Clinical and Treatment Resources Women’s Wellness & Counseling Service: ( ), Women’s Wellness & Counseling Service: ( ),  Research Initiatives

Maternal Depression: Prevention & Mitigation – Suggested Reading   medicine/news/modernmedicine/modernmedicine-feature-articles/reducing-maternal- depression-an medicine/news/modernmedicine/modernmedicine-feature-articles/reducing-maternal- depression-an medicine/news/modernmedicine/modernmedicine-feature-articles/reducing-maternal- depression-an