MMH Resources

Scores of books about maternal mental health issues are available; most have been written since 2000.

• Postpartum Support International Book List
• Amazon.com
• Some of our favorites:
  • This Isnt’ What I Expected and other Books by Karen Kleiman, MSW, of the Postpartum Stress Center
  • Beyond the Blues by Shoshana Bennett PhD and Pec Indman PA EdD MFT (updated in 2019)

Movies

• Dark Side of the Full Moon is a full-length documentary exploring what happens when motherhood collides with mental health.
• Not Carol is a feature length documentary examining a harrowing case of postpartum psychosis.
• When The Bought Breaks — produced by postpartum depression survivor Brooke Shields — explores postpartum depression.

Plays

• Playing Monopoly With God shines a much needed spotlight on the often unspoken traumas of the postpartum experience.
• This Is My Brave hosts story-telling events across the country to to bring stories of mental illness and addiction out of the shadows and into the spotlight.

Several podcasts either focus on maternal mental health or feature specific episodes about maternal mental health.

• Adventures with Postpartum Depression.  Courtney Novak, a postpartum depression survivor, hosts this podcast with the goal of ending the stigma about postpartum depression through story-telling.
• Get Healthy 360.  In this episode, perinatal psychiatrist Dr. Marley Doyle talks about postpartum depression and other maternal mental health challenges.
• Mom and Mind.   Perinatal mental health specialist Katayune Kaeni, Psy.D. shares real life stories of moms, dads and family, along with interviews with experts, leaders and advocates in the field of maternal mental health and maternal health.
• PsychCentral.  In this episode of Psych Center, licensed clinical psychologist Emma Basch shares facts and statistics about maternal mental health.
• PostpartumMen.  Dr. Will Courtney talks about how men can overcome postpartum depression.

National Public Radio has aired over 100 stories about postpartum depression and related maternal mental health issues in the last decade.  Here are the highlights from the last two years:

• Feature-Length Stories
  • Morning Edition (January 2020).  Week-long series on Women’s Mental Health at Key Stages in Life
  • On Point (March 2019).  FDA Approves First Postpartum Depression Drug.
  • With Pro Publica (2018).  The Lost Mothers series explores maternal mortality in the U.S.
• Shorter Stories
  • Several articles about the first-ever treatment specifically for postpartum depression (March 2019)
    • FDA Approves Drug That Could Help Women With Postpartum Depression
    • After FDA Approval, Hopes for First Postpartum Depression Treatment
    • New Postpartum Drug Could Be Hard to Access For Moms Most in Need 
  • Black Mothers Get Less Treatment for Postpartum Depression (November 2019)
  • Comedian Stands Up for Mental Health By Talking About Postpartum Depression  (June 2019)
  • To Prevent Pregnancy-Related Depression, At-Risk Women Advised To Get Counseling (February 2019)
  • She Wanted To Be The Perfect Mom, Then Landed in a Psychiatry Unit (January 2019)
  • Lawmakers Weigh Pros and Cons of Mandatory Screening for Postpartum Depression (March 2018)
  • Nurse Calls Cops After Woman Seeks Help for Postpartum Depression.  The Right Call? (February 2018)

Postpartum Support International is the world’s leading organization in supporting women experiencing maternal mental health issues and education the providers who care for them.

• Educational DVD
• Public Service Announcements

• Have You Seen That Girl?
• How We Can Improve Maternal Healthcare
• How Racism Harms Pregnant Women
• Let’s Talk About Postpartum Depression
• A New Way to Think About the Transition to Motherhood
• The Importance of New Fathers’ Mental Health
• What If We Nurtured Mothers?

The following organizations have videos and public service announcements:

• Cherished Mom
• PBS: Healthy Minds with Dr. Jeffrey Borenstein
• Pacific Postpartum Support Society
• Pinerest Christian Mental Health Services
• Postpartum Support International
  • Video
  • Public Service Announcements
• Psychiatry and Behavioral Health Learning Network (features Marlene Freeman, MD)

YouTube has scores of videos about POSTPARTUM DEPRESSION and related maternal mental health issues.

The National Committee for Quality Assurance — with assistance from the ZOMA Foundation and the California Healthcare Foundation — has developed care quality measures around screening for depression during pregnancy and the postpartum period.  These measures are now included in the national Healthcare Effectiveness Data and Information Set (HEDIS), which includes measures for physicians, insurance providers, and other organizations.

Learn more here: NCQA Perinatal Depression Measures.

Download MMHLA’s newsletter about Performance Measures.

The 2020 Budget includes language requiring the Secretary of the Health and Human Services agency to convene agencies to determine what further role each should play in awareness, screening, diagnosis and treatment. The report must be issued to Congress by Wednesday June 17, 2020.

Maternal Mental Health.—The Committee is concerned that up
to 20 percent of new or expectant mothers will experience a maternal
mental health disorder during pregnancy or within the first
year after childbirth—such as depression, anxiety, or postpartum
psychosis. Untreated maternal mental health disorders negatively
impact the short and long-term health of affected mothers and
their children, with symptoms leading to adverse birth outcomes,
impaired maternal-infant bonding, poor infant growth, childhood
emotional and behavioral problems, and significant medical and
economic cost. The Committee directs the Secretary to submit a report,
in consultation with HRSA, SAMSHA, CDC, CMS, Office of
the Surgeon General, Office on Women’s Health, and Office of Minority
Health, to the Committees on Appropriations within 180
days of enactment of this Act on the role that each agency can take
to address gaps in maternal mental health public awareness,
screening, diagnosis and delivery for pregnant and postpartum
women.

With increased public attention to maternal mortality, members of the United States Congress have introduced several bills to provide additional resources for new mothers and to strengthen government agencies in their work addressing maternal mortality.  Learn more here.

In 2018, the initial round of funding ($5 million) was released and the Department of Health and Human Services (through the Health Resources and Services Administration) announced a competitive grant process for the states. Seven states (Florida, Kansas, Louisiana, Montana, North Carolina, Rhode Island, and Vermont) were awarded a total of $4.5 million to implement programs addressing maternal mental health.  Read the HRSA announcement.

In 2016, the United States Congress enacted the Bringing Postpartum Depression Out of the Shadows Act as part of the 21^st Century Cures Act.  This law provides funding for programs addressing maternal mental health issues at the state level.  Read the entire text of the law.

In 2010, the United States Congress passed (but never funded) the MOTHER’S Act which called for research into the causes of and best treatments for postpartum depression, a public awareness campaign, a study on the benefits of screening for postpartum depression and psychosis, and a grant program to fund treatment services.  While The MOTHERS Act was never funded, it nevertheless was historically significant as it introduced language about postpartum depression into the federal legislative record and garnered support and interest across political parties.  Read the entire text of the law

Several states have taken steps to address maternal mental health issues by enacting legislation, requiring education and/or screening, and developing awareness campaigns.

• States requiring screening women for maternal mental health challenges include California, Illinois, New Jersey, Pennsylvania, and West Virginia.
• States requiring educating healthcare providers and/or maternity patients include California, Minnesota, Oregon, Pennsylvania, Texas, and Virginia.
• States with public awareness campaigns include California, Colorado, Florida, Michigan, Oregon, and Washington.
• One state – Illinois – recognizes maternal mental health issues as a factor in criminal cases.

Several states (and the District of Columbia) have task forces addressing maternal mental health.

• California / California Task Force On The Status Of Maternal Mental Health Care (now 2020Mom)
• Colorado / Colorado Maternal Mental Health Collaborative
• District of Columbia / DC Collaborative for Mental Health in Pediatric Primary Care
• Florida / Florida Maternal Mental Health Collaborative
• Maine / Maternal Mental Health Alliance of Maine
• Massachusetts / The Ellen Story Commission on Postpartum Depression
• Maryland / Task Force To Study Maternal Mental Health
• Oregon / Public Health Initiative for Perinatal Depression
• Utah / Utah Maternal Mental Health Collaborative

States that have Maternal Mental Health Awareness Day and/or Month  include:

• Arizona
• California
• Illinois
• Michigan
• North Dakota
• Pennsylvania (House and Senate)
• Utah
• Virginia

Several organizations offer beautiful print materials — no need to create something new!

• 2020 Mom
• Cherished Mom
• Health Resources and Services Administration
• National Institute for Child Health and Human Development
• Noodle Soup
• Pinterest
• Postpartum Stress Center — clinical tools for professionals
• Postpartum Support International
  • Brochures
  • Posters
• Postpartum Support Virginia
• Substance Abuse and Mental Health Services Administration

The organizations listed below offer FREE comprehensive toolkits for addressing maternal mental health issues.

• American Academy of Family Physicians /  Postpartum Depression Toolkit
• American College of Obstetricians and Gynecologists / Postpartum Depression Toolkit
• Council on Patient Safety in Women’s Healthcare (Alliance for Innovations on Maternal Health) / Patient Safety Bundle
• MCPAP for Moms / Toolkit for Providers
• Minnesota Department of Health / Perinatal Mental Health, Information for Health Professionals
• SAMHSA’s Addiction Technology Transfer Center / Perinatal Provider Tookit 

CE4Less offers 2 online courses in maternal mental health, both authored by Karen Kleiman, MSW and Amy Wenzel, PhD:

• Dropping the Baby and Other Scary Thoughts provides essential information for both the client and the treating therapist when dealing with postpartum distress.
• Tokens of Affection: Reclaiming Your Marriage After Postpartum Depression looks closely at marriages that have withstood the passing storm of depression and are now seeking, or in need of, direction back to their previous levels of functioning and connectedness.

Massachusetts’ General Hospital’s Center for Women’s Health provides a BLOG with almost-daily postings about a wide range of issues affecting women’s mental health across the lifespan and a monthly NEWSLETTER with information about the latest news and research in women’s mental health.

ONLINE COURSE: Psychiatric Disorders in Women:  Diagnostic and Treatment Considerations Across the Female Lifespan.  This course will focus on the diagnosis and treatment of psychiatric disorders in women across the reproductive lifespan.  Specialized knowledge is necessary to tailor treatments to reproductive events such as pregnancy and pregnancy planning, the postpartum, breastfeeding, the menopausal transition, and menstrual cycle related mood dysregulation. Up to date and comprehensive knowledge is required to help patients make collaborative and individualized treatment decisions. Learning in this course will be facilitated by didactic materials delivered by the faculty from the MGH Center for Women’s Mental Health. Faculty will also provide question and answer and case-based discussion sessions for course participants. Readings to accompany course materials will also be provided.  Learn more HERE.

Maternal Mental Health NOW offers several online self-paced training opportunities, including an introductory-level self paced online certificate training and 5 advanced-level specialized courses.

Learn more HERE.

The National Curriculum in Reproductive Psychiatry (NCRP) is a peer-reviewed online curriculum created by the National Task Force on Women’s Reproductive Mental Health and MONA (Marce of North America).  The NCRP curriculum can be used in a modular fashion for residency education and in its entirety as a fellowship curriculum.  The interactive web-based curriculum includes 50 hours of classroom education and serves three purposes:

• To provide materials to be used in the classroom using non-expert facilitators, which could be freely adopted by any residency program in any specialty.
• To provide self-study materials for trainees or doctors in general practice to learn materials on their own.
• To provide rigorous CME assessments that, if taken together, could represent an examination of a trainee’s knowledge in the entire field of reproductive psychiatry and, with an eye toward certification and eventual sub-specialty recognition.

Learn more HERE.

The Postpartum Action Institute is dedicated to the power of professionals and advocates who are willing to improve care during the transition to parenthood.  A maximum of 6 attendees per session will practice skills in an interactive and intimate home setting – not in a typical classroom. Through innovative training methods over one and a half days, will gain insights not taught anywhere in schools or professional conferences.  The Postpartum Action Institute is led by two notables in the field of maternal mental health: Jane Honikman, Founder of Postpartum Support International, and Shoshana Bennett, PhD.

Workshops for 2020 are held in Santa Barbara on the following dates:

• February 15-16
• May 2-3
• August 15-16
• November 7-8

Learn more HERE.

Karen Kleiman, LCSW, founder of the Postpartum Stress Center, leads a 2-day training entitled The Art Of Holding Perinatal Women in Distress: Assessment, Treatment, and Advanced Clinical Practice.   Held in a small group format, this course is designed to enhance clinical skills and therapeutic effectiveness by expanding and strengthening the clinical and personal repertoire.  The purpose of the course is to prepare competent, reflective perinatal experts who are passionate about providing excellent clinical treatment.

Trainings for 2020 are held in suburban Philadelphia on the following dates::

• March 6-7
• June 5-6
• September 11-12

Learn more HERE.

2-day Certificate Course in Perinatal Mood and Anxiety Disorders.

The 2-day PSI Certificate of Completion Course, taught by experienced and engaging faculty, is a thorough and evidence-based curriculum designed for nurses, physicians, social workers, mental health providers, childbirth professionals, social support providers, or anyone interested in learning skills and knowledge for assessment and treatment of perinatal mood disorders. Registration includes training binder, handouts, breakfast and lunch, and continuing education credits. Approved for CMEs, CNEs, and CEs.

Advanced Trainings in Psychotherapy and Psychopharmacology

PSI also provides advanced trainings in psychotherapy and psychopharmacology in conjunction with the 2-day Certificate Course.  These two courses complete the pre-requisite for PSI’s Perinatal Mental Health Certification.

Training dates for 2020:

• January 23-25.  Nashville TN
• February 5-7.  Arlington TX
• February 26-28. Los Angeles CA
• March 4-5.  Bishop, CA
• April 1-2.  Columbia MO
• April 22-23.  Peoria IL
• May 7-8.  Lakeport, CA
• May 20-22.  Kingston ON (Canada)
• June 15-17.  Oklahoma City OK

Learn more HERE.

Maternal Mental Health 101 (offered periodically) is a FREE 90-minute webinar presented in partnership with 2020Mom.  Learn from the experts: Joy Burkhard, Executive Director of 2020Mom; Wendy Davis, Executive Director of PSI; and Birdie Gunyon Meyer, former President of PSI.  Learn more HERE.

Maternal Mental Health Online Certificate Course (February 2020) is an online webinar series presented in partnership with 2020Mom.  The Course includes eight live sessions, small group discussions, supplemental reading materials, 16 continuing education credits (where applicable), and a certificate of completion.  Learn more HERE.

Perinatal Mental Health Webinar Series (on demand) is a 7-class webinar series covering identification, diagnosis, support, treatment, and latest research about perinatal mental health. The expert faculty, members of the PSI President’s Advisory Council, are experienced clinicians, researchers, and advocates.  Learn more HERE.

Psychopharmacology in Perinatal Mental Health (on demand) is an educational presentation of a live webinar  presented by Chris Raines, APRN-BC. The 2-hour webinar covers Pharmacological Interventions in Pregnancy, Postpartum and Lactation and is designed as an intermediate level educational event in the study of perinatal mental health. Learn more HERE.

Webinars for Family and Community Support (on demand) is a 4-class webinar series for families, communities, and advocates to learn from leaders in the field about strengthening support for families and communities.  Led by PSI Founder Jane Honikman and other notables in the field of maternal mental health.  Learn more HERE.

The Seleni Institute’s Maternal Mental Health Intensive Course is a 16-hour CE-accredited training in perinatal mood and anxiety disorders, along with grief and loss.  Instruction includes diagnosis and treatment of perinatal distress and grief from miscarriage, stillbirth, and child loss.  This course is offered ONLINE and IN PERSON.

Maternal Mental Health 101 (offered periodically) is a FREE 90-minute webinar presented in partnership with Postpartum Support International (PSI).    Learn from the experts: Joy Burkhard, 202Mom Executive Director ; Wendy Davis, PSI Executive Director; and Birdie Gunyon Meyer, former President of PSI.  Learn more HERE.

Maternal Mental Health Online Certificate Course (February 2020) is an online webinar series presented in partnership with Postpartum Support International.  The Course includes eight live sessions, small group discussions, supplemental reading materials, 16 continuing education credits (where applicable), and a certificate of completion.  Learn more HERE.

Periodic webinars on specific topics (learn more HERE) along with an inventory of past webinars (learn more HERE).

Psychiatry Access Programs build capacity to address maternal mental health issues by:

• providing psychiatric consultation to front-line providers, such as obstetricians and family physicians, to help them treat women experiencing maternal mental health disorders
• connecting affected women with additional resources for recovery, including therapists and support groups
• providing one-on-one psychiatric consultation to women with complex maternal mental health issues

Lifeline4Moms is providing programmatic guidance and coordination among the organizations implementing maternal psychiatric access lines, including program development and implementation assistance, training and workforce development, consultation, evaluation and opportunities for collaborations with other health care organizations and states working to integrate perinatal mental health efforts in perinatal care.

These types of programs are patterned after successful psychiatry access programs for children and adolescents.  The National Network of Child Psychiatry Access Programs supports existing and emerging child psychiatry consultation programs and works to further national progress toward effective integration of mental health with primary care.

Legislation

In 2016, the United States Congress enacted the Bringing Postpartum Depression Out of the Shadows Act as part of the 21^st Century Cures Act.  This law provides funding, in the form of grants to the states, for programs addressing maternal mental health issues at the state level.  Read the entire text of the law.

Grant Process

The Health and Resources and Services Administration (HRSA), an agency of the Department of Health and Human Services, was charged with administering the grants funded through the 21st Century Cures Act.  In 2018, seven states were awarded up to $650,00 to launch psychiatry access programs in their states.

• HRSA Notice of Funding July 2018
• HRSA awards grants press release

Postpartum Support International offers a national Psychiatric Consult Line for medical professionals who have questions about the mental health care related to pregnant and postpartum patients and pre-conception planning.  Medical providers can request an appointment with highly-trained reproductive psychiatrists who are members of PSI.  Learn more HERE.

Lifeline4Moms is providing programmatic guidance and coordination among the organizations implementing maternal psychiatric access lines, including program development and implementation assistance, training and workforce development, consultation, evaluation and opportunities for collaborations with other health care organizations and states working to integrate perinatal mental health efforts in perinatal care.

The following states have (or are developing) psychiatry access programs.  States marked with (*) are HRSA grant recipients.

• Canada / Dignity Health Foundation
• Colorado / Children’s Hospital Colorado
• Florida* / Florida Maternal Mental Health Collaborative
• Illinois / Collaborative Care Model for Perinatal Depression Support Services
• Kansas*
• Louisiana* / Louisiana Maternal Mental Health Perinatal Partnership
• Massachusetts / MCPAP for Moms
• Michigan / MC3 for Moms
• Montana* / The Meadowlark Initaitive
• North Carolina* / NC Maternal Mental Health MATTERS
• Rhode Island* / Moms Psychiatry Resource Network
• Vermont* / Screening, Treatment, and Access for Mothers and Perinatal Partners
• Washington / Partnership Access Line (PAL) for Moms
• Wisconsin / The Periscope Project

Psychiatry fellowship programs are available at the following institutions / locations throughout the country, including:

• Colorado / Denver: University of Colorado
• Illinois / Chicago: Loyola University and Edward Hines Jr. VA Hospital
• Illinois / Chicago: Northwestern University
• Illinois / Chicago: University of Illinois
• Iowa / Iowa City: University of Iowa
• Maryland / Baltimore: Johns Hopkins University
• Massachusetts / Belmont: McLean Hospital
• Massachusetts / Boston: Brigham and Women’s Hospital
• New Mexico / Albuquerque: University of New Mexico
• New York / New York City: Columbia University / New York Presbyterian Hospital
• New York / New York City: The Motherhood Center
• New York / New York City: NYU School of Medicine / Bellevue Hospital
• New York / New York City: Zucker Hillside Hospital
• North Carolina / Chapel Hill: University of North Carolina
• Ohio / Cleveland: Case Western Reserve University / Cleveland Medical Center
• Rhode Island / Providence: Brown University / Women&Infants Hospital
• South Carolina / Charleston: Medical University of South Carolina
• Texas / Dallas: University of Texas Southwestern
• Washington / Seattle: University of Washington

While mental health issues are the MOST COMMON complications of pregnancy and childbirth —  affecting approximately 1 in 5 women during pregnancy or the first year after being pregnant – these illnesses are often undiagnosed and untreated.

A childbearing woman will see a healthcare provider an average of 30 times during a routine pregnancy and first year of baby’s life.  However, no medical provider is required to screen her for mental health issues, and medical professionals often cite lack of knowledge, reimbursement, time, and resources for recovery as barriers to discussing these illnesses or screening for them.

The following national level medical organizations and governing bodies have issued statements encouraging medical providers to screen women for maternal mental health issues during pregnancy and after giving birth:

• American Academy of Family Physicians
• American Academy of Pediatricians
• American College of Obstetricians and Gynecologist
• American Psychiatric Association
• Association of Women’s Health, Obstetric, and Neonatal Nurses
• United States Preventive Services Task Force

Medicaid reimburses screening for maternal depression on a state-by-state basis; learn more.

MMHLA is committed to creating a Gold Standard for screening maternal mental health disorders at regular intervals during pregnancy and throughout first year of baby’s life.

Postpartum Support International hosts Climb Out of the Darkness each year.  Learn more HERE.

Several states host runs & walks to raise awareness about maternal mental health issues, including:

• California  Jenny’s Light
• Connecticut  Light for Kara 5K
• Kentucky  Healthy Mommy 5K
• Minnesota  Daisy Dash 5K
• New York  Sounds of Silence 5K
• Pennsylvania  Run for Joy 5K
• Virginia  Shelane’s Run 5K