RecruitingNot ApplicableNCT06790641

Pathways to Perinatal Mental Health Equity

Sponsor

University of Massachusetts, Worcester

Enrollment

1,270 participants

Start Date

Dec 5, 2025

Study Type

INTERVENTIONAL

Conditions

Perinatal Anxiety Perinatal Depression Substance Use Disorder (SUD)Social Determinants of Health (SDOH)Peer Support Obstetric Care Perinatal Depression, Substance Use

Summary

Mental health conditions occurring during pregnancy and up to one year postpartum (the perinatal period) occur in 1 in 5 perinatal individuals. To improve mental health care during the perinatal period, this study will implement and compare a health care model of improving mood and anxiety disorder care in practices with a health care-community partnership model. The study will include 32 perinatal care settings across the United States. Half of them will have the health care model, the other half will have the health care-community partnership model. The study is designed to answer the question, "Should states and healthcare systems put resources into a healthcare system approach or a healthcare-community partnership approach to mental health care?" The results of this study will help states and healthcare systems decide how to develop pathways for increasing access to mental health care for pregnant and postpartum individuals.

Eligibility

Min Age: 18 YearsMax Age: 70 Years

Plain Language Summary

Simplified for easier understanding

This study is examining how well different approaches to perinatal mental health care (mental health support during and after pregnancy) work in real clinical settings, with a focus on reducing disparities. It involves interviewing healthcare providers, peer mentors, and patients who experienced care during the study period. **You may be eligible if...** - You are a healthcare worker (doctor, midwife, nurse, navigator, or relevant staff) at a participating care site who implemented the study intervention - OR you are a trained peer mentor who helped support perinatal patients as part of the program - OR you are someone who received perinatal care at a participating site during the study period and had a postpartum mental health screening - You are 18 years or older and can communicate in English - You are willing to give verbal consent before participating in a focus group or interview **You may NOT be eligible if...** - You did not participate in the intervention in a relevant role - You are under 18 years old - You are not proficient in English Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALProgram in Support of Moms (PRISM)

Program in Support of Moms (PRISM): a practice-level intervention with implementation support that helps obstetric practices integrate mental health care for perinatal individuals. To help obstetric practices implement pathways for screening, assessment, and a stepped intervention response for mental health problems and social determinants of health. PRISM offers training in trauma informed and equitable care, technical assistance, and implementation and change management support.

BEHAVIORALPSI Peer Support

Postpartum Support International (PSI) Peer Support: a service administered by PSI that pairs perinatal individuals with a volunteer peer mentor who provides support, psychoeducation, behavioral activation, and navigation services, which includes planning, goal setting, and practical tools to manage parenting and mental health symptoms.