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Sponsor: Indiana University
Conditions: Anxiety Disorders, Stress Disorders, Post-Traumatic, Pregnancy, High Risk, Depressive Disorder, Major, Pregnancy Complications
Interventions: Collaborative Mental Health Care Program (CMHCP)
Countries: United States
Pregnant and postpartum patients hospitalized for medical complications experience high rates of depression, anxiety, and trauma-related symptoms, yet access to timely psychiatric care during obstetric hospitalization is limited. Project MOCHA integrates early mental health screening, trauma-informed psychotherapy, and structured follow-up into routine inpatient maternity care for individuals at elevated clinical risk. This single-arm implementation study examines the feasibility, acceptability, and fidelity of delivering a Collaborative Mental Health Care Program within a high-risk obstetric inpatient setting. The program includes brief inpatient psychotherapy, symptom monitoring, and post-discharge follow-up over three months. Preliminary changes in depression, anxiety, attention-deficit hyperactivity disorder, and posttraumatic stress symptoms will be assessed to inform future effectiveness trials and broader health system integration.
Sex: FEMALE
Age: 18 Years to 100 Years
Healthy volunteers: No
Study type: OBSERVATIONAL
Inclusion Criteria: * 18 years old or older * Pregnant (or recently have given birth) at any gestational age * Must have experienced at least one adverse pregnancy outcome * Admitted for an extended inpatient stay * English speaking Exclusion Criteria: * Under 18 years old * Not currently pregnant or past one year postpartum * Not experienced at least one adverse pregnancy outcome * Not admitted for an extended inpatient stay at RMT
- Indianapolis, Indiana, United States