Brief Oral Papers
Women's Mental Health
Diego Garces Grosse, MD
Clinical Assistant Professor
NYU Langone Health
Secaucus, New Jersey
Rachel Caravella, MD (she/her/hers)
Director, CL Psychiatry Service, NYU Manhattan Campuses
NYU Langone Health
New York, New York
Allison B. Deutch, MD
Interim Associate Director, Consultation-Liaison Psychiatry Service,
Director, Reproductive Consultation-Liaison Psychiatry, NYU Langone Health; Director, WMH Fellowship, NYUGSOM; Clinical Associate Professor, NYUGSOM,
NYU Grossman School of Medicine
New York, New York
Mark Bradley, FACLP, DFAPA
Clinical Professor
NYU Grossman School of Medicine
New York, New York
The perinatal period is a time of heightened psychiatric vulnerability for women. It is estimated that that up to 20% of pregnant women develop depression during peripartum period. In recent years, the United States Preventive Services Task Force (USPTF) recommended screening for perinatal depression and for referral to outpatient psychiatric care for high-risk women. However, there is little guidance provided or consensus on how to implement these mandates. CL Psychiatrists with expertise in women’s mental health are uniquely positioned to develop and implement programs to identify and intervene in high-risk peripartum populations. In 2022 NYULMC inaugurated an on-site women’s mental health (WMH) fellowship. The fellow rounds with the OB team, proactively reviews the peripartum patient charts, identifies patients who would benefit from psychiatric consultation, and facilitates outpatient referral. Previous studies have focused on describing the characteristics of psychiatric consultation to inpatient OB services including referral patterns, psychiatric diagnoses, and consultation recommendations. However, the potential impact and value of proactive OB CL psychiatric services have not been well-characterized. In this study, we will assess the effect of establishing a formal liaison relationship in the number and patterns of psychiatric consultations from the OB department. We will analyze retrospective data to compare rates of psychiatric consultation received from the inpatient OB service before and after the inauguration of the WMH fellowship. In addition, we will review the electronic medical record for demographic data, reason for consultation, psychiatric diagnosis, treatment recommendations, and final disposition. Our primary outcome is the number of psychiatric consultations and referrals before and after the establishment of the formal liaison relationship. We anticipate that having a dedicated psychiatrist working with the OB department will result in an increased number of consultations and referrals.. This study is currently in progress and the discussion and conclusions will be presented at the ACLP 2023 annual meeting. References
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US Preventive Services Task Force, Susan J. Curry, Alex H. Krist, Douglas K. Owens, Michael J. Barry, Aaron B. Caughey, Karina W. Davidson, et al. “Interventions to Prevent Perinatal Depression: US Preventive Services Task Force Recommendation Statement.” JAMA 321, no. 6 (February 12, 2019): 580.
Judd, Fiona, Lesley Stafford, Dennis Handrinos, Lia Laios, Carolyn Breadon, Leesa Cornthwaite, Ailish Gill, et al. “Consultation-Liaison Psychiatry in a Maternity Hospital.” Australasian Psychiatry 18, no. 2 (April 1, 2010): 120–24.
Felder, Jennifer N., Riya Mirchandaney, and Sona Dimidjian. “Uptake of USPSTF Recommendation to Refer Pregnant Individuals for Therapy or Counseling to Prevent Perinatal Depression.” Archives of Women’s Mental Health 25, no. 6 (December 2022): 1149–53.
