Pathways to Perinatal Mental Health Equity
University of Massachusetts, Worcester
1,270 participants
Dec 5, 2025
INTERVENTIONAL
Conditions
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
Inclusion Criteria12
- Be employed by a participating perinatal care setting in a clinical role (including as an obstetrician-gynecologist, midwife, nurse practitioner, a nurse, a navigator, or administrative staff member who implemented the respective intervention during the study period).
- Be 18 years of age or older
- Provide verbal consent prior to the focus group or interview
- Be proficient in English
- Have completed PSI training to be a peer mentor
- Be 18 years of age or older
- Provide verbal consent prior to the focus group or interview
- Be proficient in English
- Have received perinatal care at a study partnering perinatal care setting during the study period
- Be 18 years of age or older
- Provide verbal consent prior to the focus group or interview
- Be proficient in English or Spanish
Interventions
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.
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.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06790641