What We’re Reading

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Here are the articles that caught our founder Joy Burkhard’s eye in recent weeks. If you have had direct experience with the topic covered on any of these articles please share your insight by adding a comment below.

What It Feels Like To Be In Psychosis

I was diagnosed with bipolar I disorder with psychotic features when I was 25 years old. My mental health journey unraveled my life to the point where I nearly died. An entire year, spanning most of 2005, drove me entirely out of reality. It remains extremely difficult to explain how something called “psychosis” has affected my brain.

Most people understand psychosis to be seeing, hearing and believing things that are not real. Simple. However, it is not easy to explain what being in psychosis feels like...

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California’s Medicaid Program Now Reimburses Screening and Treatment to Prevent Maternal Depression

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In July 2019, the California Medicaid (Medi-Cal) Agency, Department of Health Care Services (DHCS) announced how it would support health plan compliance with the US Preventive Services Task Force assessment of sufficient evidence and recommendation to screen and treat to prevent maternal depression. Read more here.

Other states are likely developing similar positions to provide clarity to Medicaid health plans and screening and treating providers on how services should be billed and covered.

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Study Uncovers the Heavy Financial Toll of Untreated Maternal Mental Health Conditions

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Common and Costly Expenditures Associated with the Birth of Children in 2017 Amount to More than $14 Billion

If you ask people what they think the most common medical complication is during and after childbirth, you probably won’t hear mental health issues. Yet maternal mental health (MMH) disorders — including prenatal and postpartum depression and anxiety — top the list, affecting at least one in seven women. In addition to the substantial human toll of these conditions, they come with a hefty price tag, especially because women who have them often go untreated.

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What We Are Reading

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Below are the news articles that caught my eye this month. Use the comments feature below to share you thoughts with me.

AHRQ Stats: Depression Screening

Though the US Preventive Service Task Force has recommended depression screening in adults since 2009, fewer than half of all Americans ages 35 and older were screened for depression in 2015, according to the federal Agency for Health Care Research and Quality. Read it here.

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What We Are Reading

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Here are my favorite articles since I last shared “What I’m Reading.” Note, I’m eager to get your thoughts on any of these articles, but particularly interested in your opinions about the three articles at the bottom; are you having problems with insurers? Let us know in the comments below.

Pregnancy Specific Anxiety Impacts How Long Women Breastfeed

New research published in June links anxiety and breastfeeding, a link moms have long been sharing concerns about. Read it here.

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Standing Up for Maternal Health at Mom Congress 2019

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The United States has the worst maternal death rates of any developed country, with Black women dying at 3-4 times the rates of white women, this rate remains unchanged when accounting for income, education and economic status. Maternal death rates for women overall in the U.S. doubled in the past 25 years, meaning that women today have a higher risk of dying at childbirth than their mothers, and the disparities that Black women face have been around for decades. For every maternal death in the country, 70 women face a life-threatening and too often, life-altering complication.

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What is HEDIS and Why Should I Care?

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Have you ever wished that someone would monitor how often screening for maternal depression is happening and to report that rate?

It’s been a dream of mine to have such a measurement in place so we can gauge how quickly change is occurring, determine states where rates are highest/lowest, and push for more aggressive action until screening rates are in the acceptable 90% range nationally.  

Now, development of such a measure, referred to as a Healthcare Effectiveness Data and Information Set (“HEDIS”) measure, is underway thanks to The California Health Care Foundation and the ZOMA Foundation.  

In addition to a measure of screening, there is also a measure being developed to address whether the screening provider followed-up.  Here are the proposed measures - which include assessment for screening/follow-up during both pregnancy and the postpartum period. 

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What We Are Reading

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SO, I just posted a “What We’re Reading” blog post a week ago, but I have more to share. Here are some of the highlights: More about the gut-biome brain connection, the latest article by our favorite journalist, April Dembosky. April calls out that America is lacking adequate inpatient treatment facilities for mothers and their babies, that reimbursement is an issue, and how lack of sleep is a public health emergency.

Kaiser Health News: Postpartum Psychosis is Rare, Real, and Dangerous

There had been no crime after all — Lisa Abramson’s destination that day wasn’t a jail cell, but rather the general psychiatric ward at Sutter Health’s California Pacific Medical Center in San Francisco. The other patients were there for drug overdoses or alcohol withdrawal. People were screaming. Read it here.

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What We Are Reading

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Here are articles that caught Joy’s eye this month:

One of my favorite things to do is comb through articles that come across my desk (more like kitchen counter, where I work) from various sources. Here are the articles that I picked to share with you this month.

Wired: Virtual Reality’s Latest Use: Diagnosing Mental Illness?

Diagnosing psychiatric and neurological conditions is tricky. Physicians have long reported that diagnoses are fraught with complications and subtleties. Anywhere from 35 percent to 85 percent of mental health conditions go undetected and undiagnosed, according to the World Health Organization, depending on where you live on the planet. Needless to say, to treat depression, Alzheimer's, or autism, it must first be detected. Now clinicians and researchers are trying a new tool: virtual reality. Read it here.

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What Would You Share with Congress?

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This week, I head to Washington DC to meet with members of Congress about maternity care.

I will be joined by several colleagues from non-profit organizations, including leaders from groups like Every Mother Counts, The Preeclampsia Foundation, Improving Birth and March for Moms. With more women ever serving in congress, it’s a particularly exciting time to address women’s health and maternity issues.

We have been asked to share what we believe should be the highest priorities in improving maternity care. This includes maternal mental health.

If I were in position to write two federal laws, this is what I’d write.

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Our Most Important Work in 2018, and Looking Ahead to 2019

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Wow, 2018!

I'm pleased to share our 2018 Impact Report infographic and some of our 2018 highlights below.

If you have followed our work, you know our most celebrated accomplishment was our sponsorship and the passage of three pieces of key maternal mental health legislation. These bills made up the most comprehensive MMH legislative package ever.

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