Perinatal Mental Health Learning Community
Feb. 2020 – Dec. 2021

Post

The Perinatal Mental Health (PMH) Learning Community provides California hospitals with education, technical assistance, and peer support to strengthen perinatal mental health.  The program assists hospitals to comply with Assembly Bill 3032, the Maternal Mental Health Conditions law. The program is administered by HQI, funded by California HealthCare Foundation and  delivered in collaboration with Maternal Mental Health NOW and CommonSpirit Health.

Program at a Glance

Webinars

Upcoming Webinars 

April 15, 2021 – Birth Trauma and Perinatal Mental Health

Participants will learn about birth trauma and its impact on perinatal mental health, three potential causes of birth trauma for women and birthing people, and two new ways to implement trauma-informed care.  Guest speaker will be Walker Ladd, Ph.D., Maternal Mental Health Researcher, Educator and Advocate; and the author of “Transformed by Postpartum Depression: Women’s Stories of Trauma and Growth.”

June 17, 2021 – Substance Use Disorders and Perinatal Mental Health

Participants will learn about substance use disorders are their potential co-occurrence with perinatal mental health disorders. The webinar will also cover how perinatal staff can screen and help patients suffering from substance use disorders in the perinatal period.  Guest speaker will be Margaret Lynn Yonekura, MD, FACOG, specialist in Maternal Fetal Medicine, CommonSpirit Health’s Perinatal Behavioral Health Physician Champion, and Executive Director of Los Angeles Best Babies Network.

August 19, 2021 – Child Abuse Reporting and Perinatal Mental Health

Participants will learn about the impact of child welfare involvement on both parent and infant mental health; the role that hospital staff plays in the process of child abuse reporting during the perinatal period; and steps to file a child abuse report as a mandated reporter.  Guest speakers will be Patrisha Taylor, Psy.D., LMFT, Assistant Regional Administrator with the Los Angeles County Department of Children and Family Services; and Anna King, LCSW, PMH-C, Clinical Training Specialist, Maternal Mental Health NOW.

October 21, 2021 – Breastfeeding and Perinatal Mental Health

Participants will learn about the role that breast/chestfeeding plays in perinatal mental health and identify two ways to support breast/chestfeeding with individuals struggling with mental health disorders.  Guest speaker will be Nakeisha Robinson, MA, LMFT, perinatal health and mental health advocate and consultant. 

December 16, 2021 – Fathers and Partners and Perinatal Mental Health

The webinar will discuss the risk for perinatal mental health issues for fathers and partners in the perinatal period and three symptoms of perinatal depression they may exhibit.  The participants will learn how partners may serve as a protective factor when a mother or birthing person is struggling with a perinatal mental health disorder.  Guest speaker will be Kevin Gruenberg, Psy.D., a clinical psychologist and the director of Love, Dad, a non-profit organization promoting work with fathers as an integral part of perinatal and early childhood support programs.

Past Webinars

February 18, 2021 – Supporting NICU Families

Recording

Slides

December 17, 2020 –  Supporting Patients with Perinatal Loss​

Recording

Slides

    October 15, 2020 –  Disparities in Perinatal Mental Health Care​

    Recording

    Slides

    August 20, 2020 –  Developing Referrals and Community Resources​

    Recording

    Slides

    June 18, 2020 –  Hospital Approaches to Staff Training and Patient Education

    Recording

    Slides

    April 2020 – The Impact of COVID-19 on Maternal Mental Health & Introducing New Training Resources for Hospitals

    Recording 

    Slides

    February 2020 - A Hospital’s Role in Supporting Maternal Mental Health

    Recording

    Slides

    January 2020 – Introductory Webinar

    Recording

    Slides

    Group Office Hours

    Virtual opportunity for hospital participants to receive practical implementation advice from program faculty and experienced peers. Office hours are held in the alternate months between webinars. 

    Upcoming Group Office Hours 

    May 20 Group Office Hours will feature a Learning Community discussion on the topic of Birth Trauma and Perinatal Mental Health, which was started at the April 15 webinar. Guest speaker/advisor Walker Ladd, Ph.D. will also be present.

    July 15 Group Office Hours will feature a Learning Community discussion on the topic of Substance Use Disorders and Perinatal Mental Health, which was started at the June 17 webinar. Guest speaker/advisor Margaret Yonekura, MD will also be present.

    September 16 Group Office Hours will feature a Learning Community discussion on the topic of Child Abuse Reporting and Perinatal Mental Health, which was started at the August 19 webinar. Guest speakers/advisors Patrisha Taylor, Psy.D., LMFT and Anna King, LCSW, PMH-C will also be present.

    November 18 Group Office Hours will feature a Learning Community discussion on the topic of Breastfeeding and Perinatal Mental Health, which was started at the October 21 webinar. Guest speaker/advisor Nakeisha Robinson, MA, LMFT will also be present.

    Past Group Office Hours

    Online Resources for Hospitals

    Hospitals are invited to use the following resources, developed for our PMH Learning Community to assist with implementing the provisions of AB 3032 and strengthen hospital approaches to perinatal mental health.  These resources are available free of charge.

    Online Training Course for Hospital Staff

    Maternal Mental Health in the Hospital Setting is a 55-minute course that provides education about features and prevalence of perinatal mood and anxiety disorders, screening approaches that can be done in the hospital, and effective follow up through referrals and resources.

    Quick Reference Guide for Hospital Staff

    Quick Reference Guide to Maternal Mental Health in the Hospital Setting​ is an accompaniment for the online training course, to be used as a handy reference to the concepts and practices covered in the course.

    To access the guide, click here: guide.mmhnow.org

    Brochure Template for Hospitals

    Speak Up When You’re Down is a brochure in four languages that hospitals can use to share information with patients and families about maternal mental health conditions and available resources.  The brochure can be used as-is or edited with hospital-specific additional information about local resources.  It prints as a legal-size (8.5” x 14”) accordion-fold brochure.

    To use as-is (unaltered), simply print a PDF file for a desired language:

    To edit with hospital-specific information, download an InDesign file and an accompanying PDF file with instructions for customizing and printing.

    App for Patients and Families

    Emotional Wellness Self-Help Tool is a free web-based app that hospitals can share with patients and families.  It is a resource to help expecting or new mothers and their support systems get informed about perinatal depression and anxiety, and get prepared to successfully manage these conditions if needed.  

    Peer Sharing

    Peer-to-peer sharing is valuable and highly encouraged.  Below are various documents, templates and other materials that member hospitals have generously shared for the benefit of the Learning Community.  If you’d like to share materials developed by your organization, please contact Julia Slininger at jslininger@hqinstitute.org.

    By Content

    Checklist for Bereavement Services (Emanate Health)

    Checklist for Helping Patients with a Miscarriage (Emanate Health)

    Community Resources List (Dignity Health, Bakersfield Memorial Hospital)

    Community Resources List (Dignity Health, Dominican Hospital, Santa Cruz)

    Community Resources List (Dignity Health, St Elizabeth’s, Red Bluff)

    Patient Brochure – Maternal Health and Grief (fetal demise) (Dignity Health)

    Patient Brochure – Perinatal Mood and Anxiety Disorders (Sharp Mary Birch Hospital)

    Patient Brochure – Pregnancy & Postpartum Resource Guide (Marshall Medical Center)

    Patient Brochure – Speak Up When You are Down (depression) (Dignity Health)

    Patient Flyer – Counseling via Telehealth – North State (Dignity Health)

    Patient Flyer - Dadvice Virtual Support Group for Dads (Pomona Valley Hospital Medical Center)

    Patient Flyer – Virtual Support Group – English (Dignity Health)

    Patient Flyer – Virtual Support Group – Spanish (Dignity Health)

    Patient Fridge Magnet – Resource Guide (Dignity Health, Mercy Medical Center Redding)

    Patient Poster – Depression and Anxiety (Dignity Health)

    Screening – EPDS Referral Algorithm (Dignity Health)

    Screening – EPDS Referral Algorithm (Valley Presbyterian Hospital

    Screening – EPDS Screening Form (Dignity Health)

    Screening FAQs for Staff (Dignity Health)

    Screening Program Announcement (Dignity Health)

    Toolkit to help providers screen and connect patients to resources (Orange County)

    By Hospital/Organization

    1:1 Coaching 

    Upon request, hospitals will receive 1:1 coaching and advice, tailored to each hospital’s context, needs and challenges, and based on specific areas desired for development or improvement.  

    Contact:  Julia Slininger, RN, BS, CPHQ, Program Manager, Perinatal Mental Health Initiative. Email: jslininger@hqinstitute.org, phone: (213) 453-4519.

    Participating Hospitals

    For a map of all enrolled hospitals, click here.

    Enrolled hospitals in alphabetical order:

    Adventist Health and Rideout

    Adventist Health Bakersfield

    Adventist Health Glendale

    Adventist Health Hanford

    Adventist Health Lodi Memorial

    Adventist Health Simi Valley

    Adventist Health Tulare

    Adventist Health Ukiah Valley

    Adventist Health White Memorial

    Alta Bates Summit Medical Center

    Anaheim Global Medical Center

    Anaheim Regional Medical Center

    Antelope Valley Hospital

    Arrowhead Regional Medical Center

    Barstow Community Hospital

    Cedars-Sinai Medical Center

    Centinela Hospital Medical Center

    Clovis Community Medical Center

    Community Regional Medical Center (Fresno)

    Contra Costa Regional Medical Center

    Corona Regional Medical Center

    Cottage Health System

    CPMC – Mission Bernal

    Desert Regional Medical Center

    Desert Valley Hospital

    Doctors Hospital of Riverside/Parkview Community Hospital Medical Center

    Doctors Medical Center (Modesto)

    Dominican Hospital

    East LA Doctors Hospital

    Eisenhower Medical Center

    El Centro Regional Medical Center

    Enloe Medical Center

    Fairchild Medical Center

    Fountain Valley Regional Hospital

    Garfield Medical Center

    Glendale Memorial Hospital

    Good Samaritan Hospital (Bakersfield)

    Greater ElMonte Community Hospital

    Hazel Hawkins Memorial Hospital

    Hemet Valley Medical Center

    Henry Mayo Newhall Memorial Hospital

    Hi Desert Medical Center

    Highland Hospital

    Hollywood Presbyterian Medical Center

    Huntington Hospital

    John Muir Health – Concord hospital

    John Muir Health – Walnut Creek hospital

    Kaiser Permanente Anaheim Medical Center

    Kaiser Permanente Baldwin Park Medical Center

    Kaiser Permanente Fresno Medical Center

    Kaiser Permanente Oakland Medical Center

    Kaiser Permanente Orange County – Irvine Medical Center

    Kaiser Permanente Roseville Medical Center

    Kaiser Permanente San Diego Medical Center

    Kaiser Permanente San Jose Medical Center

    Kaiser Permanente San Leandro Medical Center

    Kaiser Permanente Santa Clara Medical Center

    Kaiser Permanente The Permanente Medical Group

    Kern Medical Center

    Lompoc Valley Medical Center

    Madera Community Hospital

    Marian Regional Medical Center

    Marshall Medical Center

    Martin Luther King, Jr. Community Hospital

    Mee Memorial Hospital

    Memorial Hospital Los Banos

    Memorial Hospital of Gardena

    Memorial Medical Center (Modesto)

    MemorialCare Orange Coast Medical Center

    Mercy General Hospital

    Mercy Hospital of Folsom

    Mercy Medical Center (Merced)

    Mercy Medical Center Mt. Shasta

    Mercy San Juan Medical  Center

    Methodist Hospital of Southern California

    Miller Children’s & Women’s Hospital Long Beach

    Mills-Peninsula Medical Center

    Monterey Park Hospital

    Natividad Medical Center

    NorthBay Healthcare

    Northern Inyo Hospital

    Northridge Hospital

    Olive View – UCLA Medical Center

    Orange County Global Medical Center

    Palomar Health- Escondido campus

    Palomar Health- Poway campus

    PIH Whittier

    Plumas District Hospital

    Pomona Valley Hospital Medical Center

    Providence Cedars-Sinai Tarzana Medical Center

    Providence Holy Cross Medical Center

    Queen Of the Valley Medical Center (Napa)

    Queen of the Valley Medical Center (West Covina)

    Rady Children’s Hospital

    Redlands Community Hospital

    Regional Medical Center of San Jose

    Ridgecrest Regional Hospital

    Riverside Community Hospital

    Riverside University Health System – Medical Center

    Saddleback Medical Center

    Saint Agnes Medical Center

    Salinas Valley Memorial Hospital

    San Antonio Regional Hospital

    San Gabriel Valley Medical Center

    San Gorgonio Memorial Hospital

    San Joaquin General Hospital

    San Ramon Regional Medical Center

    Santa Clara Valley Medical Center

    Scripps Memorial Hospital- Encinitas

    Scripps Memorial Hospital- La Jolla

    Scripps Mercy Chula Vista

    Scripps Mercy Hospital San Diego

    Sharp Grossmont Hospital

    Sharp Mary Birch Hospital for Women & Newborns

    Sierra Nevada Memorial Hospital

    Sierra View Medical Center

    Sierra Vista Regional Medical Center

    South Coast Global Medical Center

    St Louise Regional Hospital

    St. Bernardine Medical Center

    St. Elizabeth Community Hospital

    St. Francis Medical Center

    St. Joseph’s Medical Center (Stockton)

    St. Mary Medical Center (Apple Valley)

    Stanford Health Care ValleyCare Hospital

    Stanford Health Lucille Packard Children’s Hospital 

    Sutter Amador Hospital

    Sutter Coast Hospital

    Sutter Maternity and Surgery Center (Santa Cruz)

    Sutter Roseville Medical Center

    Sutter Solano Medical Center

    Torrance Memorial Medical Center

    Twin Cities Community Hospital

    UCDavis Medical Center

    UC Irvine

    UCLA Health System

    UCLA Resnick Neurophsychiatric Hospital

    UCSF Health & Benioff Children’s Hospital San Francisco

    USC Verdugo Hills Hospital

    Valley Presbyterian Hospital

    Victor Valley Global Medical Center

    Watsonville Community Hospital

    Whittier Hospital Medical Center

    Woodland Memorial Hospital

    Zuckerberg San Francisco General Hospital & Trauma Center

    Enroll

    To enroll, click here

    Requirements for Hospital Participation

    • Identify a lead staff person who will coordinate implementation and act as a key point of contact
    • Complete a short baseline survey and commit to completing a “post-program” survey
    • Hospitals are free to select among the program components based on their specific needs and readiness.  However, for maximum benefit, consistent participation is encouraged.
    • Hospitals are also encouraged to identify executive sponsors and form interdisciplinary project teams that can help facilitate implementation and remove obstacles.

    Contact

    Julia Slininger, RN, BS, CPHQ, Program Manager, Perinatal Mental Health Initiative

    Email: jslininger@hqinstitute.org

    Phone: (213) 453-4519

    FAQs

    What is AB-3032 and what are my hospital’s obligations under this law?

    AB 3032 is a California law that starting on January 1, 2020 requires all birthing hospitals to:

    • Provide education and information about maternal mental health conditions to all regular staff in labor and delivery departments, and
    • Provide education and information to postpartum people and their families about maternal mental health conditions, post-hospital treatment options, and community resources.

    What are requirements for participating in HQI’s Perinatal Mental Health (PMH) Learning Community?

    • Through the PMH Learning Community, California hospitals receive education, technical assistance and peer support to strengthen approaches to mental health in the perinatal period.  To participate, hospitals are asked to identify a lead staff person who will coordinate implementation and act as a key point of contact, complete a short “baseline” survey and commit to completing a “post-program” survey.
    • Once enrolled, hospitals are free to select among the program components based on their specific needs and readiness level.  However, for maximum benefit, consistent participation is encouraged.
    • Hospitals are also encouraged to identify executive sponsors and form interdisciplinary project teams that can help facilitate implementation and remove obstacles.
    • It is not too late to come on board.  To join the program, click on the “Enroll” tab on the PMH Learning Community website.

    What’s the difference between “Webinars” and “Group Office Hours”?

    • Webinars occur every two months and feature faculty experts addressing topics of importance to hospitals and their staff, such as recognizing the signs and symptoms of perinatal mental health disorders, implementing staff training and patient education, best practices for screening, how to make referrals and partner with community resources, and others.
    • Group Office Hours are scheduled in the alternate months between the webinars.  They are virtual opportunities for hospital participants to receive practical implementation advice and engage in peer-to-peer exchange about the topics covered in the webinars.

    If I missed one of the webinars or group office hours, how can I get up to speed?

    Slides and recordings of past webinars and group office hours are available on the website.

    What free resources are available to hospitals through HQI’s PMH Learning Community?

    The following resources are available free of charge to staff and providers who work in California Hospitals participating in the Perinatal Mental Health (PMH) Learning Community.

    • Maternal Mental Health in the Hospital Setting is a 55-minute online course that provides education about features and prevalence of perinatal mood and anxiety disorders, screening approaches that can be done in the hospital, and effective follow up through referrals and resources.
    • Quick Reference Guide to Maternal Mental Health in the Hospital Setting is an accompaniment for the online course, to be used as a handy reference to the concepts and practices covered in the course.
    • Speak Up When You’re Down is a downloadable brochure in four languages that hospitals can use to share information with patients and families about maternal mental health conditions and available resources.  The brochure can be used as-is or edited with hospital-specific additional information about local resources. This is a great resource for other family members (e.g. grandparents) and friends, as well.  It prints as a legal-size (8.5” x 14”) accordion-fold brochure.
    • Emotional Wellness Self-Help Tool is a free web-based app that hospitals can share with patients and families.  It is a resource to help expecting or new mothers and their support systems get informed about perinatal depression and anxiety, and get prepared to successfully manage these conditions if needed.

    To access these resources, click on the “Online Resources for Hospitals” tab on the website.

    How can hospitals make the online course available to their staff?

    • Hospitals can simply share the course URL with their perinatal staff. 
    • Hospital units may also choose to convene staff in groups and conduct the training all together, projecting the modules onto a larger screen, and allowing for questions and discussion.

    How do individuals complete the online course?

    • Once a learner clicks on the URL to access the online training course, he/she will be guided through a few short fields to register as a user, and may then proceed to complete the course by clicking the play button on each successive video module. 
    • It is recommended that the entire course (10 modules-55 minutes total) be completed at once, but, if needed, the learner can exit the course and enter it again at a later time.  The modules are followed by a brief knowledge test and course evaluation.

    Are continuing education units provided for the online course?

    • Yes, 1 CE unit for nursing is awarded upon completion of the online course, the evaluation, and the post test.
    • If employees are taking the course as a group, the system cannot verify and provide the 1 CE unit for each participant, but an individual hospital may choose to approve the content using their own Provider Number.

    How can learners and hospitals verify course completion?

    • Upon course completion the learner will be directed to a knowledge test and course evaluation, after which the certificate of completion can be immediately saved and printed out.
    • The certificate will also show 1 contact hour earned of continuing education for nurses.
    • Hospitals can request reports on course completion by their staff.

    How are stakeholders included in this program?

    HQI’s PMH Learning Community is funded by the California HealthCare Foundation (CHCF) and all the materials have been created through a partnership with subject matter experts at Maternal Mental Health Now and at Dignity Health. During the design phase, and continuing forward in the implementation phase, additional clinicians and stakeholder organizations are contributing input and sharing resources. 

    Can my hospital still join the PMH Learning Community?

    • Yes!  Although the majority of birthing hospitals in California are already on board, any additional hospital is welcome to join the PMH Learning Community at any time during the two-year program period through the end of 2021.