Perinatal Identification, Referral, and Integrated Management for Improving Depression: Development, Feasibility and Pilot Randomised Controlled Trial of the PIRIMID System.

ABSTRACT: Background/Objectives: Postnatal depression imposes a substantial burden on wellbeing as well as costs estimated to exceed $7 billion for every one-year cohort of births in Australia. Despite this, most cases go untreated, a major barrier being the poor rate of treatment uptake. We developed and pilot tested an integrated screening and clinical decision support system (PIRIMID) to assist maternal and child health nurses (MCHNs) to create individualised management plans, with specific referral pathways, for women depressed postnatally. We assessed the feasibility of PIRIMID by examining acceptability for both nurses and women, ease of implementation, and referral rates, and we monitored treatment uptake and depression. Methods: An extensive co-design and consultation process w

SUBMITTER: Holt C 

PROVIDER: S-EPMC12564491 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature