Cited by 21Maternal Mental Health During Pregnancy and PostpartumMental Health Treatment and AccessMaternal and Neonatal Healthcare

Feasibility and Preliminary Responses to a Screening and Brief Intervention Program for Maternal Mental Disorders Within the Context of Primary Care

Sorsdahl, Katherine, Petersen Williams, Petal, Everett-Murphy, Kathy, Vythilingum, Bavi, de Villiers, Patricia, Myers, Bronwyn, Stein, Dan J.·2015·Community Mental Health Journal

Abstract

There is little evidence of the feasibility and acceptability of integrating screening, brief intervention and referral to treatment services that address depression and alcohol, tobacco and other drug (ATOD) use into antenatal care in South Africa. Data were extracted from program records on the number of eligible women screened and number meeting criteria for depression and self-reported ATOD use. 70 women completed a questionnaire examining their preliminary responses and five MOU personnel were interviewed to identify potential barriers to implementation. Of the 3407 eligible women, 1468 (43 %) women were screened for depression or ATOD use, of whom 302 (21.4 %) screened at risk for depression, 388 (26.4 %) disclosed smoking tobacco, and 29 (2 %) disclosed alcohol or other drugs (AOD). Seventy participants completed the three month follow-up interview. Depression scores decreased significantly following the intervention (t (69) = 8.51, p < 0.001) as did self-reported tobacco use (t (73) = 3.45, p < 0.001), however self-reported AOD use remained unchanged.

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Crossref · 10.1007/s10597-015-9853-9

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  • Several BIs were successfully delivered by lay-providers.

    “Several BIs were successfully delivered by lay-providers [45,53,59,71].”
  • Barriers to implementation from providers' perspectives included lack of referral pathways.

    “Barriers to implementation from providers’ perspectives included time and space [47,49], competing work priorities [48], and lack of referral pathways ([71] (Table 1).”

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Authors
Sorsdahl, K., Petersen Williams, P., Everett-Murphy, K., Vythilingum, B., de Villiers, P., Myers, B., & Stein, D. J.
Affiliations
University of Cape Town (ZA)
Corresponding author
Sorsdahl, Katherine
Venue
Community Mental Health Journal
Published
2015-03-06
Volume
51
Issue
8
Pages
962-969
ISSN
  • 0010-3853 (ISSN-L)
  • 1573-2789
OpenAlex
W2008735136
Cited by
21
References
38
Citations by year
2024: 3 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 1
FWCI
2.86
Type
journal article
Language
en
Open access
closed
Locations
  • Community Mental Health Journal (publishedVersion)
  • PubMed (publishedVersion)
  • UEA Digital Repository (University of East Anglia) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
maternal mental health, depression screening, screening and brief intervention, prenatal care, tobacco use, alcohol and other drug use, primary care integration, feasibility, acceptability, implementation barriers, South Africa
MeSH terms
Mental Disorders, Depression, Feasibility Studies, Female, Humans, Mass Screening, Maternal Health Services, Prenatal Care, Primary Health Care, Surveys and Questionnaires, Substance-Related Disorders

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