Maternal Mental Health NOW

submission by kellyokay
Maternal Mental Health NOW

About Your Application

Organization(s) name(s):

Maternal Mental Health NOW

Organization(s) website(s):

Organization(s) twitter handle(s):

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Describe Your Organization(s)

Non-profit organization

For-profit organization


Other (please specify below):

In one sentence, please describe what your organization does.


We remove the barriers to the identification and treatment of postpartum depression and other perinatal mood and anxiety disorders so that new moms, their babies and families can have optimal beginnings.

In one to three sentences, please describe your proposal.


The overall goal of our project is to improve recognition and response to perinatal mood and anxiety disorders in medical settings in the safety net. We will do this by implementing a model of collaborative perinatal mental health care in 3 FQHCs, evaluating its effectiveness and creating a best practice guide. We will address other barriers to identification and treatment of perinatal mood and anxiety disorders by facilitating stigma-reduction workshops in the communities surrounding the sites.

Where will you be working? Please be specific (e.g. Third Street Middle School; Boyle Heights; LA County).

Central LA

East LA

San Gabriel Valley

San Fernando Valley

South LA


South Bay

Antelope Valley

County of Los Angeles (countywide)

City of Los Angeles (citywide)


Other (please specify below):

How do you plan to use these resources to make change? (check all that apply)

Conduct research

Engage residents and stakeholders

Implement a pilot or new project

Expand a pilot or program

Mobilize for systems change

Advocate with policymakers and leaders

Implement and track policy

Other (please specify below):

How will your proposal improve the following “Live” metrics? (check all that apply)

Access to healthy food

Healthcare access

Exposure to air toxins

Number of households below the self-sufficiency index

Percent of imported water

Obesity rates

Housing affordability

Rates of homelessness

Walk/bike/transit score

Acres and miles of polluted waterways

Rates of mental illness

Prevalence of adverse childhood experiences (Dream Metric)

Percentage of LA communities that are resilient (Dream Metric)

Percentage of residents receiving coordinated healthcare services (Dream Metric)

Percentage of tree canopy cover (Dream Metric)

Describe in greater detail how you will make LA the healthiest place to live.


According to the most recent Los Angeles Mother Baby (LAMB) Survey, administered by the LA County Department of Public Health – Maternal, Child, & Adolescent Health Programs, 29.7% of new mothers in Los Angeles County self-report some form of depression during pregnancy, and an astounding 47.3%--representing more than 60,000 women--self-report depression during the postpartum period. Rates of self-reported depression during pregnancy are significantly higher among ethnic minority and low-income women. But many of these women do not seek treatment due to various barriers, including stigma, financial and insurance limitations, transportation issues, lack of childcare, and other concerns. As a result, mothers and their children are exposed to the negative impacts of untreated depression or anxiety, which include poor birth outcomes, prematurity, low birth weight, emotional dysregulation in the infant, difficulties with attachment, and developmental, cognitive, and emotional difficulties in the developing child.
The unique challenges listed above make the perinatal period an ideal one for instituting a collaborative or integrated care model that treats both the medical and mental health needs of a woman and her family - under one roof.
Between 2012-2015, Maternal Mental Health NOW oversaw a pilot project aimed at improving the behavioral and physical outcomes of pregnant and postpartum women through a collaborative care project based on the IMPACT model, at USC-Eisner Family Medical Center, a federally qualified nonprofit community health center serving Metro, South and South Central Los Angeles. Today, Maternal Mental Health NOW is working to refine and spread an effective model of integrated perinatal mental health care into additional medical settings, including pediatrics, obstetrics and gynecology, primary care, and hospitals throughout Los Angeles, collect data on selected outcome measures, study its impact on the health and well being of pregnant and new mothers and important aspects of their relationship with their new and developing infants. The end product will be to create a guide, which will provide resources to other medical sites wishing to do the same.

Please explain how you will evaluate your work.


Following recommendations of the AIMS Center at the University of Washington, we will work with each medical site to track the following processes and outcomes in order to evaluate our work:

• Number and proportion of patients in treatment for at least 10 weeks with significant clinical improvement
• Total number of patients discharged
• Total number of patients active
• Proportion of active patients receiving any kind of follow-up during the past month
• Average number of contacts since treatment started
• Average length of time in treatment
• Proportion of patients in treatment who have been reviewed by a psychiatric consultant who has made recommendations to the primary care-based treating medical/behavioral health providers
• Proportion of patients in treatment for at least 10 weeks who are not improved and who have not been reviewed with the psychiatric specialist.

How can the LA2050 community and other stakeholders help your proposal succeed? (check all that apply)

Money (financial capital)

Volunteers/staff (human capital)

Publicity/awareness (social capital)

Infrastructure (building/space/vehicles, etc.)


Technical infrastructure (computers, etc.)

Community outreach

Network/relationship support

Quality improvement research

Other (please specify below):

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Submission Began
Tuesday, September 08, 2015

Submission Ended
Tuesday, October 06, 2015
at 07:00 PM UTC

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Voting Began
Tuesday, October 20, 2015

Voting Ended
Tuesday, November 03, 2015
at 08:00 PM UTC

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Winner Announced
Tuesday, December 08, 2015