241105 Towards reducing perinatal depression and obesity in inner-city Chicago: An innovative approach

Tuesday, November 1, 2011

Michelle Miller, BA , Department of Psychiatry, Women's Mental Health Program, University of Illinois at Chicago, Chicago, IL
Vesna Pirec, MD, PhD , Department of Psychiatry, Women's Mental Health Program, University of Illinois at Chicago, Chicago, IL
Laura Miller, MD , Medical Psychiatry Service, Brigham and Women's Hospital, Boston, MA
Depression, obesity, and lack of self-care are highly prevalent problems for women during pregnancy and postpartum. The UIC Illinois Mother Care Project works within the Chicago community, specifically in women's health clinics (PCC Community Wellness Centers) that treat high-risk, minority women in their perinatal period. Our project's central goals are to improve detection of perinatal mental illness and subsequently to improve self-care by providing MotherCare Kits to the perinatal patients at PCC. MotherCare Kits are toolkits that contain psychosocial educational booklets and themed props that provide a guide for women to create and execute concrete self-care goals in the areas of mental illness and nutrition. Eleven differently themed modules for the MotherCare Kits have been designed; two modules have been implemented (‘Food & Mood, ‘Bonding with Baby') and the remaining nine are due out in the next six months. The protocol for the project involves PCC personnel administering a screening tool for depression (the PHQ-9) during pregnancy and postpartum four times; all women receive a MotherCare Kit whenever their first PHQ-9 is administered. Additionally, nutritional education is available and encouraged for the patients. A data collection system has been established to track outcomes such as: which MotherCare Kit was given, if nutrition education was completed, completion rates for PHQ-9 screenings, etc. Preliminary data shows at least 90% of prenatal patients have been screened for depression, at least 80% have received nutrition education, and women are reporting reduction of symptoms and completion of self-care goals after utilizing the MotherCare Kits.

Learning Areas:
Advocacy for health and health education
Chronic disease management and prevention
Diversity and culture
Provision of health care to the public
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Design (from prevention to treatment) a method that would educate women about nutrition and mental illness in peripartum 2. Discuss how screening for depression and education in low-resource areas can drastically lower rates and severity of perinatal mental illness 3. Explain how nutritional information can reduce eating disorders, obesity, and dysfunctional eating habits in the perinatal population

Keywords: Mental Health Care, Maternal Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the Project Coordinator of the UIC Illinois Mother Care Project. I oversee the implementation of the MotherCare Kits and am the liaison to PCC.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.