Improving Usage of the Mammha Program to Enhance Postpartum Depression Detection and Management at a Tertiary Academic Medical Center [ID 977]

INTRODUCTION: Major depressive disorder affects 10–30% of postpartum women. At The University of Texas Medical Branch (UTMB), the majority of pregnant patients are uninsured outside of Children's Health Insurance Program and, therefore, have no access to mental health care outside 6 weeks postpartum. The Mammha Program is a mental health resource that utilizes the Edinburgh Postnatal Depression Scale to screen patients. Upon a positive screening, a coordinator will provide regular phone support, psychotherapy, and/or appointments with a psychologist/psychiatrist absolutely free of charge. Our aim is to assess the percentage of positively screened patients who receive prompt access to care and to determine the effect of the Mammha Program after implementation at UTMB. METHODS: We standardized discharge instructions with information for the Mammha Program, posted screening QR codes in all postpartum rooms, and instructed nursing/providers to educate patients on this program. An automated system tracked the completion of online screenings, positive screenings, subsequent phone calls, ongoing therapeutic support, and medication prescriptions. RESULTS: One hundred thirty-three screenings were collected and 129 were positive screenings. One hundred percent of the 129 screens received immediate follow-up by a care coordinator. Eighty-eight engaged at least once with their care coordinator, meanwhile 43 did not. Sixty-three patients received ongoing care coordination and support. Thirteen patients have received care calls, 45 attended virtual support groups, 46 were connected with a therapist, and 1 was connected to a psychiatric prescriber. CONCLUSIONS/IMPLICATIONS: The Mammha Program is an incredible resource that has allowed for quality improvement in access to postpartum mental health care in lower socioeconomic women at UTMB.