The role of clinician assistants in addressing perinatal depression

Background Upwards of one in seven individuals experience perinatal depression and many individuals cannot access treatment. In response, perinatal depression is increasingly being managed in the obstetric setting. This study aimed to characterize the experiences of clinicians and clinician assistan...

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Main Authors: Katherine M. Cooper, Grace A. Masters, Tiffany A. Moore Simas, Nancy Byatt
Format: Article
Language:English
Published: Taylor & Francis Group 2022-07-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2021.1975676
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author Katherine M. Cooper
Grace A. Masters
Tiffany A. Moore Simas
Nancy Byatt
author_facet Katherine M. Cooper
Grace A. Masters
Tiffany A. Moore Simas
Nancy Byatt
author_sort Katherine M. Cooper
collection DOAJ
description Background Upwards of one in seven individuals experience perinatal depression and many individuals cannot access treatment. In response, perinatal depression is increasingly being managed in the obstetric setting. This study aimed to characterize the experiences of clinicians and clinician assistants to inform the extent to which clinician assistants can help address depression in obstetric settings. Methods This cross-sectional analysis used data from an ongoing cluster randomized control trial: The PRogram In Support of Moms (PRISM). Participants included clinicians (physicians, certified nurse midwives, nurse practitioners) and clinician assistants (medical assistants, nursing assistants). Baseline data regarding practices and attitudes of clinicians and clinician assistants toward addressing depression in the obstetric setting were described. Logistic regressions were used to examine the association of clinician time to complete work and depression management. Results Clinician assistants experienced significantly fewer time constraints than did clinicians. However, having adequate time to complete work was not significantly associated with increased depression management in clinicians. Clinician assistants reported feeling that addressing depression is an important part of their job, despite variation in doing so. Conclusion Clinician assistants are interacting with perinatal women extensively and are a vital part of obstetric care workflows. Clinician assistants report that they want to address depression and have time to do so. Thus, clinician assistants may be poised to help address the mental health needs of perinatal individuals.
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spelling doaj.art-f6ce7c39c2a645f4b8e96bbee0faa6ca2023-09-14T12:44:02ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422022-07-0143336837310.1080/0167482X.2021.19756761975676The role of clinician assistants in addressing perinatal depressionKatherine M. Cooper0Grace A. Masters1Tiffany A. Moore Simas2Nancy Byatt3University of Massachusetts Medical SchoolUniversity of Massachusetts Medical SchoolUniversity of Massachusetts Medical SchoolUniversity of Massachusetts Medical SchoolBackground Upwards of one in seven individuals experience perinatal depression and many individuals cannot access treatment. In response, perinatal depression is increasingly being managed in the obstetric setting. This study aimed to characterize the experiences of clinicians and clinician assistants to inform the extent to which clinician assistants can help address depression in obstetric settings. Methods This cross-sectional analysis used data from an ongoing cluster randomized control trial: The PRogram In Support of Moms (PRISM). Participants included clinicians (physicians, certified nurse midwives, nurse practitioners) and clinician assistants (medical assistants, nursing assistants). Baseline data regarding practices and attitudes of clinicians and clinician assistants toward addressing depression in the obstetric setting were described. Logistic regressions were used to examine the association of clinician time to complete work and depression management. Results Clinician assistants experienced significantly fewer time constraints than did clinicians. However, having adequate time to complete work was not significantly associated with increased depression management in clinicians. Clinician assistants reported feeling that addressing depression is an important part of their job, despite variation in doing so. Conclusion Clinician assistants are interacting with perinatal women extensively and are a vital part of obstetric care workflows. Clinician assistants report that they want to address depression and have time to do so. Thus, clinician assistants may be poised to help address the mental health needs of perinatal individuals.http://dx.doi.org/10.1080/0167482X.2021.1975676perinatal metal healthhealth services researchclinician assistantscollaborative careperinatal depressionpostpartum depression
spellingShingle Katherine M. Cooper
Grace A. Masters
Tiffany A. Moore Simas
Nancy Byatt
The role of clinician assistants in addressing perinatal depression
Journal of Psychosomatic Obstetrics and Gynecology
perinatal metal health
health services research
clinician assistants
collaborative care
perinatal depression
postpartum depression
title The role of clinician assistants in addressing perinatal depression
title_full The role of clinician assistants in addressing perinatal depression
title_fullStr The role of clinician assistants in addressing perinatal depression
title_full_unstemmed The role of clinician assistants in addressing perinatal depression
title_short The role of clinician assistants in addressing perinatal depression
title_sort role of clinician assistants in addressing perinatal depression
topic perinatal metal health
health services research
clinician assistants
collaborative care
perinatal depression
postpartum depression
url http://dx.doi.org/10.1080/0167482X.2021.1975676
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