Beneficiary: Stress/Depression INTERVENTION INTERVENTION LEVEL BASED ON Using Motivational Interviewing techniques, complete the following interventions: RISK INFORMATION RISK IDENTIFIER Refused all interventions 1. Review written material on stress, baby blues, and/or perinatal depression/anxiety; emphasize that it’s LOW History of Mental Health common and treatable. Concern Date: Date Achieved: History of “baby blues” 2. Discuss stress reduction/coping strategies and/or self-care skills. (less than 2 weeks duration) Date Achieved: Reports experiencing stress 3. Educate on symptoms of depression and/or anxiety to report to health care provider. Date Achieved: 4. Provide support and encouragement. Date Achieved: 5. Provide information/referral to community resources for stress reduction or problem-solving Date Achieved: In addition to Low Interventions: 6. Discuss treatment options for treating depression (e.g. medication, CMH, clinics, private providers, Currently being treated for support groups, IMH Specialist). mental health concerns Date Achieved: Moderate score of 9 to 12 MODERATE 7. Refer for evaluation and treatment on Edinburgh Postnatal Date:
Beneficiary: Stress/Depression INTERVENTION LEVEL BASED ON RISK IDENTIFIER RISK INFORMATION INTERVENTION Using Motivational Interviewing techniques, complete the following interventions: LOW Date: MODERATE Date: History of Mental Health Concern History of “baby blues” (less than 2 weeks duration) Reports experiencing stress Currently being treated for mental health concerns Moderate score of 9 to 12 on Edinburgh Postnatal Refused all interventions 1. Review written material on stress, baby blues, and/or perinatal depression/anxiety; emphasize that it’s common and treatable. Date Achieved: 2. Discuss stress reduction/coping strategies and/or self-care skills. Date Achieved: 3. Educate on symptoms of depression and/or anxiety to report to health care provider. Date Achieved: 4. Provide support and encouragement. Date Achieved: 5. Provide information/referral to community resources for stress reduction or problem-solving Date Achieved: In addition to Low Interventions: 6. Discuss treatment options for treating depression (e.g. medication, CMH, clinics, private providers, support groups, IMH Specialist). Date Achieved: 7. Refer for evaluation and treatment
Stress__Depression_protected_final_10.1.13_2_436865_7.docx