Check out our sister site, PPD Support HI for  a telephone support warm line, a weekly mom & baby support group, referrals to PPD-informed providers, and information about PPD.

I miss the old days of using convertibles for the driving scenes. #H50

Pittsburgh Perinatal Depression Screening from June 4th (see previous post) is now available here:  New Educational Activity for Perinatal Depression Screening, from MedEdPPD.org.

Topics include:

  • Perinatal Depression: Detection and Screening
  • Screening for and Diagnosis of Perinatal Disorders
  • Overcoming Barriers to Treatment Engagement for Low Income Populations
  • Iterative Steps in a Comprehensive Program Model: Program & Treatment Overviews
  • Symptom Improvement; Improved Outcomes for Perinatal Depression.

I’m including this on the blog because we can access this remarkable training from the comforts of Hawaii.


This is not in Hawaii, but since it’s a web-cast it is available here in Hawaii (okay, it runs from 2:30 a.m HST until 10:30 am HST–you need to be motivated to catch it live!!), I’m posting it.  (late, I know.)

Pittsburgh Perinatal Depression Screening

Their pre-registration period is over, but apparently there are openings at each segment.  –read the above link for more detail.

Overview:

Detection

Diagnosis

Treatment Engagement

Treatment

Symptom Improvement

Improved Outcomes

I’m awaiting a reply about whether the event will be available later in another format, viewable on demand.  I’ll update this post…

ETA:  The web cast is archived here:  http://www.mededppd.org/firstthursday/archive.asp?Submit2=View+Past+Teleconferences

http://perinatalpro.com/blog/?p=776

This is going to be the ultimate in perinatal mood/anxiety disorders conferences! October 26-30, 2010 in Pittsburgh PA.

The US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) offers a pocket card for suicide assessment.

http://download.ncadi.samhsa.gov/ken/pdf/SMA09-4432/SMA09-4432.pdf

Check out this 3 day show on PBS. Postpartum depression and anxiety disorders are covered on Monday night. Tuesday night has 9 other diagnoses plus anger. Wednesday wraps up the series with positive strategies.

http://www.pbs.org/thisemotionallife/topics

“Building the Perinatal Network”

This starts/ed at 8 am. HST through 9:30.  The slides and recording of the webinar will be available on PDIN’s website, http://www.pdinfonetwork.org

So far, this is excellent.  They are talking about what they said they would be and not trying to promote products.

Illinois, the home state of the Jennifer Mudd Houghtailing organization presents first.  Good speaker, good information.  One question from the audience was do they use the PPDS for screening.  No–the EDPS has been validated with a multitude of  cultures around the world.  Not mentioned is the fact that the EDPS is free, readily available, only 10 questions, and easy to score.

Ohio was up next.  Lots of research and data, an excellent program there in Ohio, with a website offering a ton of resources including some online videos for mothers and for professionals.

North Carolina is sharing their program development from starting with the idea that it is not okay to do nothing.  Yes!!!!  Good presentation!

Hawaii providers, here’s the link so you too can attend this excellent webinar.  http://www.pdinfonetwork.org/events  Look for the Dec. 12, 2009 event, Building the Perinatal Network.

The National Institute for Health Care Management (NIHCM) Foundation invites you to participate in an important webinar:

Identifying and Treating Maternal Depression:
Strategies & Considerations for Health Plans


Wednesday, December 9th, 2009

1:00 p.m. to 2:30 p.m. (EST)  [8 a.m. to 9:30 a.m. (HST)]

Approximately 20 percent of women experience depressive symptoms during pregnancy and up to 15 percent of women are affected by postpartum depression in the year following the birth of a child. Maternal depression can lead to serious health risks for both the mother and baby that can increase the risk for costly complications during birth and can have permanent effects on child development and well-being. Health plans play an important role in supporting the early identification of maternal depression and coordinating the management of depression to avoid the consequences of untreated depression.

This webinar will explore the prevalence of maternal depression and the current state of screening for perinatal and postpartum depression. It will include a discussion of the recent recommendations from the American College of Obstetricians and Gynecologists (ACOG) and the American Psychiatric Association (APA) for the treatment of women with depression during pregnancy. The role of primary care providers in identifying and managing postpartum depression will also be discussed and a web-based training program to educate providers on screening, diagnosis, treatment and referral for postpartum depression will be shared. Finally, the session will highlight a current health plan program to identify and manage depression during pregnancy and coordinate care following a depression diagnosis to ensure healthy pregnancies and deliveries.

Agenda:

* Overview of Perinatal and Postpartum Depression
* Guidelines for Managing Depression During Pregnancy
* Role of Primary Care Providers in Managing Postpartum Depression
* WellPoint’s Maternity Depression Program

Speakers will include:


* Samantha Meltzer-Brody, MD, MPH, Assistant Professor and Director of the Perinatal Psychiatry Program of the University of North Carolina Center for Women’s Mood Disorders
* Kimberly Ann Yonkers, MD, Professor of Psychiatry and Obstetrics, Gynecology and Reproductive Sciences and Director, PMS & Perinatal Research Program, Yale University
* Michael O’Hara, PhD, Professor of Psychology & Starch Faculty Fellow– University of Iowa
*Mindy B. Legere, LMFT, Manager, Health Service Programs, WellPoint Inc.

Electronic agenda are available. Please register by 7 am. (HST) on December 8th, 2009.   Registration link: http://nihcm.org/site/item/173

Funded through a grant from the Maternal and Child Health Bureau of the U.S. Health Resources and Services Administration.

The US is one of very few countries that considers maternal infanticide as murder.  What??  Other countries don’t consider killing your infant as murder?  No.  Britain passed their Infanticide Act back in 1922 & 1938 which cast such an event as manslaughter.  They recognized Postpartum Psychosis (PPP) back then.

Here’s the article, HERE about State Representative Farrar’s legislation.  It’s very good–accurate.

Our own Hawaii PPP incidences have been covered HERE which talks about a woman in 1965 who did virtually the same thing as Andrea Yates, drowning her five children.  Mrs. Young was sent to the State Hospital.  Five children.  Remember that and then explain why 40+ years later how a young mother in Hawaii gets potentially 20 years in prison.   That story is HERE

Karen Kleiman of her Postpartum Stress Center in NJ writes,

“Current screening tools for postpartum depression and anxiety do not assess for scary thoughts which are pervasive and highly distressing. Here is a look at the PPSC’s guide for healthcare providers who (hopefully) will begin to integrate a one-question screen into their practices.”

http://www.scribd.com/doc/19266870/Scary-Thoughts-Guide

Of the women here in Hawaii that I talk with, probably at least half of them will admit to scary thoughts.  This is considerably more than general write-ups about “PPD” suggest.

Please know, these thoughts are a kind of “baby proofing” for potential dangers–what could possibly harm my baby–and not an indication of some Freudian “deep seated issue” or other babble-babble.  The thoughts are obsesssions, as in obsessive compulsive disorder type of obsessions.  Obsessions, we learned at the PSI conference in Texas (2008), occur “in context”.  So a teen’s obsessions are often about their sexuality–are they gay, will they have a boy/girlfriend, will they ever have sex.  A new mom’s obsessions are about potential harm–physical, illness, etc.–coming to her baby.  “What if I dropped the baby over the railing?”  “What if the knife I’m cutting up dinner with [harmed] my baby!”  “What if the bath water is too hot?”  “The bath water could [harm] my baby!”

These thoughts are pretty normal in the postpartum world.  And they are treatable.  Hospitalization is not necessary.  Read Karen’s article.