Postpartum depression program hospital-based needs assessment in northern New Jersey

Background: Approximately 15% of women experience Postpartum Depression (PPD) within one year of giving birth. In 2006, NJ was the first state to enact legislation requiring PPD education and screening prior to discharge from a birthing facility. In Fall 2012, protocols for PPD screening, education, and follow-up were assessed to identify best practices at 24 hospitals within nine northern NJ counties. Methodology: A survey was developed and administered to hospital staff directly involved in postpartum care. Results: Postpartum Depression Program Hospital-based Needs Assessment indicated 22 of 24 hospitals have a documented PPD policy. Though variation in protocol exists, 18 hospitals provide bedside education. All facilities but one use the Edinburgh Postnatal Depression Scale (EPDS) to screen for PPD symptoms. An EPDS score of 10 is deemed positive at 19 hospitals. Seventeen facilities screen women following a fetal demise. All hospitals screen mothers for PPD symptoms prior to discharge, however, most do not provide follow-up for those screening positive. No universal system exists to assist mothers with accessing PPD services. Conclusion: A new Partnership for Maternal and Child Health of Northern NJ program provides post-discharge follow-up and increased access to services for mothers who have screened positive for PPD symptoms. They will receive a minimum of three phone calls during the immediate postpartum period and will be provided with community-based resources and/or connected with appropriate perinatal mental health services. This program will be integrated with and supplement services offered by the birthing facility and NJ's PPD Helpline.