From Health Affairs Sunday Update <[email protected]>
Subject NEW: A Perinatal Mental Health Deep Dive
Date April 7, 2024 12:05 PM
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Sunday, April 7, 2024 | The Latest Research, Commentary, and News from Health Affairs

Dear John,

This week, we released a new theme issue on Perinatal Mental Health ([link removed] ) , Health Affairs’ second foray into the subject. Our previous theme issue on the topic was published in October 2021 ([link removed] ) .

In the current issue, titled Perinatal Mental Health and Well-Being, we had the opportunity to dig deeper into some data about the trends, the high costs, and troubling outcomes of untreated mental health conditions in the prenatal and postnatal period.

health-affairs-43-04-order-issue_eNewsletter-banner ([link removed] )

Stephanie Hall and colleagues from the University of Michigan found an almost 400 percent increase nationally in rates of PTSD in commercially insured pregnant individuals ([link removed] ) between 2008 and 2020.

Hall will discuss antidepressant prescriptions for perinatal anxiety disorders during our next virtual Journal Club ([link removed] ) on April 24.

Slawa Rokicki of Rutgers, using New Jersey data, traced the association between a parental diagnosis of prenatal depression ([link removed] ) and utilization and spending for emergency department care for infants in the postnatal year.

Costs for infant emergency department visits for mothers on Medicaid with moderate to severe symptoms of depression were almost $8,000 higher than for mothers without symptoms.

health-affairs-journal-perinatal-heath-video-abstract-rokicki_enewsletter ([link removed] )

Having a second theme issue also provided us with the opportunity to look at some groups that we could not cover in the October 2021 issue.

Amy Stiffarm highlights a collaborative effort to address disparities in Indigenous tribal communities ([link removed] ) and Tova Walsh and Craig Garfield remind us that perinatal mood disorders are not limited to mothers but are also experienced by fathers ([link removed] ) who need treatment and support.

This issue also highlights some old and new modalities for treatment, looking at insurance expansions, growing use of psychotherapy, medications, implementation of psychiatry access programs to increase provider capacity, and texting for screening.

Kathleen Haddad and I, in-house coeditors for the theme issue, worked closely with our theme issue advisers, Karen Tabb Dina of the University of Illinois School of Social Work, and Emily Dossett of the University of Southern California, Keck School of Medicine.

Tabb Dina and Dossett, writing with Alison Stuebe, remind us that despite new policies and initiatives implemented, the United States lacks a health care system capable of meeting the needs of all perinatal individuals and their families ([link removed] ) . Tabb Dina and Dossett appeared on A Health Podyssey ([link removed] ) to discuss their overview paper.

And that the burden of undiagnosed and untreated poor perinatal mental health falls disproportionately on Black, Asian, Hispanic, and multiracial populations.

They call for a broader understanding of perinatal mental health through the lens of reproductive justice.

We hope readers will find the new data useful and be inspired to work on achieving better and more just outcomes for pregnant persons and their families.

--

Sarah Dine

Senior Deputy Editor, Health Affairs

Read the Issue
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A Health Podyssey: Emily Dossett and Karen Tabb Dina on Perinatal Mental Health ([link removed] )

Health Affairs' Editor-in-Chief Alan Weil interviews Emily Dossett and Karen Tabb Dina about their roles as theme issue advisers for the April 2024 Health Affairs issue focused on perinatal mental health and well-being.

Listen
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Health Affairs This Week: Behind The Pages: Perinatal Mental Health & Well-Being ([link removed] )

Health Affairs' Kathleen Haddad and Rob Lott go behind the pages of the new April issue focusing on Perinatal Mental Health & Well-Being.

Listen
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health-affairs-journal-perinatal-heath-video-abstract-hall-enewsletter ([link removed] )

For our theme issue on Perinatal Mental Health & Well-Being, eleven authors filmed a video version of their abstracts.

These video abstracts are available with open access on the article's pages and on our YouTube channel ([link removed] ) (Please subscribe!).

Check out a selection of the video abstracts below:

- Alison Stuebe on Cultivating Vital Conditions For Perinatal Well-Being And A Sustained Commitment To Reproductive Justice ([link removed] )
- Kara Zivin on Perinatal Mood And Anxiety Disorders Rose Among Privately Insured People ([link removed] )
- Nancy Byatt on The Perinatal Psychiatry Access Program Model ([link removed] )
- Craig Garfield and Tova Walsh on Father Inclusion At The Local, State, And National Levels ([link removed] )
- Sarah Gordon on Extended Postpartum Medicaid In Colorado ([link removed] )

Watch the Abstracts
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health-affairs-event-journal-club-generic-2023_eNewsletter ([link removed] )

Join us April 24 for our next virtual Journal Club featuring a deep dive into a paper from our new issue focused on Perinatal Mental Health.

Author Stephanie Hall will discuss antidepressant prescriptions for perinatal anxiety disorders with Laura Tollen.

Register
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About Health Affairs

Health Affairs is the leading peer-reviewed journal ([link removed] ) at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online.

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