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Singla DR, Savel K, Dennis CL, Kim J, Silver RK, Vigod S, Dalfen A, Meltzer-Brody S. Scaling up Mental Healthcare for Perinatal Populations: Is Telemedicine the Answer? Curr Psychiatry Rep 2022; 24:881-887. [PMID: 36401679 PMCID: PMC9676781 DOI: 10.1007/s11920-022-01389-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/26/2022] [Indexed: 11/20/2022]
Abstract
PURPOSE OF REVIEW Telemedicine has transformed our ability to access and offer mental healthcare. There remain key questions to facilitate scalable, patient-centered solutions for perinatal mental health. We critically evaluate the recent literature and propose potential future directions. RECENT FINDINGS The current literature highlights the promise of telemedicine in the prevention and treatment of perinatal depression, including the preference for and the potential efficacy of telemedicine-delivered mental healthcare when compared to in-person treatments. There remains a need for large, adequately powered randomized controlled trials; integration of trauma into depression and anxiety trials, transdiagnostic treatment of perinatal women, and scaling up these effective treatments into existing health and payer systems. Pragmatic, evidence-based solutions exist to effectively scale-up treatments for perinatal mental health. While research is underway to address the growing treatment gap, questions remain regarding who will deliver and pay for these treatments and how we can leverage telemedicine to treat perinatal mental health transdiagnostically.
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Affiliation(s)
- Daisy R. Singla
- Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 60 White Squirrel Way, Rm 313, Toronto, ON M6J 1H4 Canada ,Department of Psychiatry, Lunenfeld Tanenbaum Research Institute and Sinai Health, Toronto, Canada ,Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada
| | - Katarina Savel
- Department of Psychiatry, Lunenfeld Tanenbaum Research Institute and Sinai Health, Toronto, Canada
| | - Cindy-Lee Dennis
- Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada ,Lawerence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada ,Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Canada
| | - Jo Kim
- Department of Obstetrics & Gynecology, NorthShore University HealthSystem and University of Chicago, Chicago, USA ,Department of Obstetrics & Gynecology, University of Chicago Pritzker School of Medicine, Chicago, USA
| | - Richard K. Silver
- Department of Obstetrics & Gynecology, NorthShore University HealthSystem and University of Chicago, Chicago, USA ,Department of Obstetrics & Gynecology, University of Chicago Pritzker School of Medicine, Chicago, USA
| | - Simone Vigod
- Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada ,Women’s College Hospital, Toronto, Canada ,Women’s College Research Institute, Toronto, Canada
| | - Ariel Dalfen
- Department of Psychiatry, Lunenfeld Tanenbaum Research Institute and Sinai Health, Toronto, Canada ,Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada ,Women’s College Hospital, Toronto, Canada
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