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- 17 - accessHealthNews.net October 2024 Volume 11 | Issue No. 89 Imagine the overwhelming joy of bringing a new life into the world, only to be met by a crushing wave of darkness. For countless mothers, the postpartum period is a time of profound emotional turmoil, marked by anxiety, depression, and even thoughts of self-harm. As highlighted during a recent presentation on the "Maternal Health Access Project," Kimberly Brandt, DO, and Elena Horvit, MPH, underscore how maternal mental health is a pressing public health concern that often goes overlooked or undertreated. One of the critical challenges in addressing maternal mental health is the shortage of trained providers, especially in rural and underserved areas. While the Missouri Maternal Health Access Project (MHAP) does not directly aim to expand the maternal mental health workforce, it focuses on capacity building by empowering existing providers -- such as family doctors, OB-GYNs, and home care professionals -- to recognize and treat mental health conditions. "Many OB-GYNs aren't trained in mental health services or the use of screening tools. They need education on how to interpret screening results and what steps to take next," said Nicole Wood, MSW, LCSW, MHAP's senior program manager. MHAP is also leveraging telehealth services to bridge gaps in care, particularly in maternity care deserts, ensuring that women in rural areas have better access to essential mental health services. Launched in April 2024, MHAP has made significant strides in expanding access to mental health care for pregnant and postpartum women in Missouri. With more than 300 providers registered across 50 counties, MHAP is addressing the shortage of perinatal mental health providers and improving early diagnosis and treatment of conditions like perinatal mood and anxiety disorders (PMADs). A key element of MHAP's progress has been its telehealth services, which have been essential for reaching underserved and rural areas. READ MORE Doulas and CHWs, in particular, play a vital role in providing culturally competent care and offering emotional support, making them invaluable in recognizing early signs of mental health struggles.

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