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Maternal Mental Health: State of the State Report in California and Beyond, a Follow-up Report

December 2, 2019

This report is a follow up to the report issued by the California Task Force on Maternal Mental Health Care in April 2017 A Report from the California Task Force on the Status of Maternal Mental Health Care: A Strategic Plan. That report contained a detailed overview of maternal mental health, and a state strategic plan, as well as specific recommendations for state and national stakeholder groups.This report provides an update on the implementation of the strategic plan as well as other efforts which have occurred in the state or nation to advance maternal mental health screening, diagnosis, and treatment. It seeks to summarize California's gaps in MMH care, identify strategies for improvement, and provide a clear call-to-action and framework for coordinating stakeholder responsibilities.The original report is available through 2020 Mom at: https://www.2020mom.org/issue-briefs-and-papers

A Report from the California Task Force on the Status of Maternal Mental Health Care

April 3, 2017

Up to one in five, or 20 percent, of new or expectant mothers will experience a mental health disorder during pregnancy or the first year following childbirth. These disorders include depression, anxiety, and the less prevalent but most severe of the disorders, postpartum psychosis. Maternal depression is the most common complication of pregnancy in the United States (surpassing gestational diabetes and preeclampsia combined).All women are at risk of maternal stress and Maternal Mental Health (MMH) disorders. However, due to the social determinants of health (the conditions in which people are born, live, and work), the prevalence can soar up to 50 percent among those living in poverty.Untreated MMH disorders significantly and negatively impact the short-and long-term health and wellbeing of affected women and their children. Symptoms lead to adverse birth outcomes, impaired maternal-infant bonding, poor infant growth, childhood emotional and behavioral problems, and significant medical and economic costs. Despite these consequences, screening for MMH disorders is not routine across health systems. Even when MMH disorders are detected, treatment occurs in less than 15 percent of identified cases.This report seeks to summarize California's gaps in MMH care, identify strategies for improvement, and provide a clear call-to-action and framework for coordinating stakeholder responsibilities.A 2019 update to this report is available through 2020 Mom: https://www.2020mom.org/issue-briefs-and-papers

Executive Summary: California Task Force on the Status of Maternal Mental Health Care Report

April 3, 2017

In response to mounting concerns about maternal mental health, and at the urging of advocates, the California Legislative Women's Caucus introduced Assembly Concurrent Resolution (ACR) 148, requesting the formation of a task force to study, review, and identify:(1) current barriers to screening and diagnosis(2) current treatment options for both those who are privately insured and those who receive care through the public health system(3) evidence-based and emerging treatment options that are scalable in public and private health settings, and(4) the needs of both providers and patients in order to improve diagnosis and treatment.With financial support from The California Endowment and the California Health Care Foundation, the California Task Force on the Status of Maternal Mental Health Care was formed and experts appointed. The Task Force convened during an 18-month period, hosting expert presentations to explore current research, barriers to care, evidence-based practices, and treatment programs. As a result of these efforts, the Task Force produced the 2017 Report, which includes:Provider Core CompetenciesA Continuum of Care ReferenceScreening: Score "Cut Offs" and Timing RecommendationsA "Menu" of Prevention and Treatment Options 5. An explicit Call-to-Action for Individual Stakeholder Groups