Skip to main content
Article
Community Mental Health Provider Reluctance to Provide Pharmacotherapy May Be a Barrier to Addressing Perinatal Depression: A Preliminary Study
Systems and Psychosocial Advances Research Center Publications and Presentations
  • Nancy Byatt, University of Massachusetts Medical School
  • Kathleen Biebel, University of Massachusetts Medical School
  • Gifty Debordes-Jackson, University of Massachusetts Medical School
  • Rebecca S. Lundquist, University of Massachusetts Medical School
  • Tiffany A. Moore Simas, University of Massachusetts Medical School
  • Linda F. Weinreb, University of Massachusetts Medical School
  • Douglas M. Ziedonis, University of Massachusetts Medical School
UMMS Affiliation
Department of Psychiatry; Department of Obstetrics and Gynecology; Department of Family Medicine and Community Health
Date
6-1-2013
Document Type
Article
Medical Subject Headings
Attitude of Health Personnel; Community Health Services; Depression, Postpartum; Depressive Disorder; Community Mental Health Services; Community Mental Health Centers; Perinatal Care; Drug Therapy
Abstract
This is the first study evaluating obstetrics and gynecology (OB/Gyn) provider and staff perceptions of barriers to accessing pharmacotherapy for perinatal depression outside the obstetric setting. Four, 90 min focus groups were conducted with OB/Gyn physicians, advance practice nurses, and support and nursing staff (n = 28). Data were analyzed with a grounded theory approach. Participants perceived that community mental health providers and pharmacists often do not want to participate in pharmacotherapy for perinatal women. Participants believed the solution is training for community mental health providers in the risks and benefits of pharmacotherapy for perinatal depression and improved communication between OB/Gyn's and community mental health providers. Community mental health provider and pharmacist reluctance to provide pharmacotherapy hinders OB/Gyn's perceived ability to address perinatal depression. Community mental health provider and pharmacist training are needed to mitigate precipitous discontinuation of treatment and to improve access to pharmacotherapy for perinatal women.
Comments

Citation: Byatt N, Biebel K, Debordes-Jackson G, Lundquist RS, Moore Simas TA, Weinreb L, Ziedonis D. Community mental health provider reluctance to provide pharmacotherapy may be a barrier to addressing perinatal depression: a preliminary study. Psychiatr Q. 2013 Jun;84(2):169-74. doi:10.1007/s11126-012-9236-0. Link to article on publisher's site

Related Resources
Link to Article in PubMed
Keywords
  • UMCCTS funding
Citation Information
Nancy Byatt, Kathleen Biebel, Gifty Debordes-Jackson, Rebecca S. Lundquist, et al.. "Community Mental Health Provider Reluctance to Provide Pharmacotherapy May Be a Barrier to Addressing Perinatal Depression: A Preliminary Study" Vol. 84 Iss. 2 (2013) ISSN: 0033-2720 (Linking)
Available at: http://works.bepress.com/nancy_byatt/1/