The mission of is to increase awareness of perinatal mood disorders among medical professionals and consumers, thereby improving the quality of care provided to at-risk women. You can become part of that commitment. By successfully completing all 9 of the following core learning modules, you become eligible for inclusion in the Provider Network. Your name will have an asterisk next to it, indicating to patients and consumers that you have received basic training in the assessment and/or treatment of postpartum mental illnesses.

Module 1

Responsible PPD Screening: Rationale, Timing, and Follow-up
Katherine L. Wisner, MD, MS
Dr. Wisner provides an overview of the epidemiology and risk factors for postpartum depression, and outlines strategies for developing a responsible screening mechanism for depression intervention during the postpartum period. Also discussed are common barriers to instituting responsible screening.

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Module 2

PPD Safety Assessment: Identifying Patients at High Risk for Psychosis, Suicide, and Homicide
Margaret G. Spinelli, RN, MD
Dr. Spinelli discusses the critical importance of identifying and treating mothers suffering from postpartum psychosis. Issues of bipolar disorder and schizophrenia are covered, as well as strategies to develop safety protocols for mothers and their children.

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Module 3

Taking Antidepressants While Breastfeeding: Duration, Risks, and Long-term Effects
Ruth A. Lawrence, MD, FAAP, FACCT, FABM
Dr. Lawrence discusses issues regarding pharmacologic treatments for postpartum depression. She specifically addresses taking medications while breastfeeding, and provides data on breast milk and blood serum concentrations of drugs currently being used to treat postpartum depression.

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Module 4

Non-drug PPD Interventions
June A. Horowitz, PhD, APRN, BC, FAAN
Dr. Horowitz discusses the available nonpharmacologic options for the treatment of postpartum depression. Pharmacologic and nonpharmacologic approaches are discussed, as well as barriers to their use from both patients and physicians.

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Module 5

PPD as it Relates to Posttraumatic Stress Disorder (PTSD), Domestic Violence, and Sexual Abuse: Co-morbidities, Life Circumstances, and Stressors
Judy C. Chang, MD, MPH
Dr. Chang discusses pregnancy and postpartum depression in the context of posttraumatic stress disorder (PTSD), and intimate partner violence (IPV). Incidence rates, risk factors, and intervention challenges are discussed, with an emphasis on screening that considers the full context of a woman's life.

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Module 6

Postpartum Depression in the Cultural Context: Provider and Patient Perspectives
James K. Boehnlein, MD
Dr. Boehnlein describes ways in which clinicians can incorporate culturally-appropriate approaches to assess and treat women suffering from postpartum depression. The discussion focuses on cultural competence and the perinatal experience across cultures.

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Module 7

Identifying and Utilizing Community Resources and Support Networks
M. Cynthia Logsdon, DNS, ARNP
Dr. Logsdon discusses how to identify and use community resources and support networks for women with postpartum depression. National and local organizations, online and print resources, provider networks, and referral and support services are reviewed, with an emphasis on empowering women with PPD in their own self-care.

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Module 8

Providers and Patients Lost in the System: Identifying Day-to-Day Practice Barriers to Treating PPD, Including Professional Protocols, Coding, and Billing
Hilda B. Templeton, MD
Dr. Templeton identifies practice barriers to treating postpartum depression found in today's managed care environment, including professional protocols; insurance coding, billing and reimbursement; and lack of insurance. To provide patients with the best care, it is essential that healthcare providers be aware of and manage these issues within their own practices.

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Module 9

Training Office Staff on PPD Basics
Pec Indman, EdD, MFT
Very often, front-line office staff are the first contact for women with postpartum depression. Dr. Indman discusses the importance of training office staff to screen women with PPD and identify situations where clinical personnel must be immediately informed on behalf of these women.

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