Perinatal Mental Health Learning Community

Post

The Perinatal Mental Health (PMH) Learning Community was HQI’s initiative to provide California hospitals with education, technical assistance, and peer support to strengthen perinatal mental health.  The program concluded in December 2021.  However, key resources developed remain on this website for ongoing free use by hospitals, as needed.  Any questions regarding the resources on this web page can be directed to Boris Kalanj, HQI’s Director of Programs, at bkalanj@hqinstitute.org.

Program at a Glance

Webinars

Past Webinars

November 18, 2021 – Fathers and Partners and Perinatal Mental Health

Recording

Slides

October 21, 2021 – Breastfeeding and Perinatal Mental Health

Recording

Slides

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

Recording

Slides

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

    Recording

    Slides

      April 15, 2021 – Birth Trauma and Perinatal Mental Health

      Recording

      Slides

      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. 

        Past Group Office Hours

        Capstone Event 12/8/21

        The virtual Capstone Event rounded out our learnings and celebrated the achievements of California hospitals in advancing maternal mental health. 

        • For event recording, click here.
          • Timing of key event sessions:
            • 13:45  Review of Learnings
            • 1:01:15  Hospital Panel (Cedars-Sinai Medical Center, Marshall Medical Center & Scripps Health)
            • 1:51:30  Personal Story: Sarah Nevison
            • 2:48:28  Keynote: Psychopharmacology and Perinatal Mental Health (Miriam Schultz, MD)
            • 3:43:53  Celebration & Recognition
            • 3:51:25  Resources for Continued Learning
        • For slides, click here.

        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. The course is available in two formats:

        • As a YouTube link to the course content, available here (Note that playback begins with the first module, but you can select subsequent modules from the right navigation panel.)
        • As a SCORM file for upload to your organization’s own Learning Management System.  Click below for details.

        SCORM Instructions

        The online training course “Maternal Mental Health in the Hospital Setting – What to Know & How to Screen” has been converted into a SCORM file that can be uploaded into an organization’s existing Learning Management System (LMS). 

        SCORM, which stands for Sharable Content Object Reference Model, is a set of technical standards for eLearning software products.  SCORM is the de facto industry standard for eLearning interoperability, which means it is the universal language for all Learning Management Systems.  In other words, it does not matter which Learning Management System your institution uses; it should be able to read and upload this SCORM file.

        To import a SCORM course into your LMS:

        1. Download the SCORM file by clicking here. (Note: It appears as a zip file.  You will need a SCORM compliant authoring software installed on your computer in order to open or read the file.)
        2. Upload the SCORM zip file, via your browser or LMS administrator UI.
        3. Your LMS will then attempt to find the manifest file and import its contents, preparing it for use by learners. A good LMS will attempt to validate the manifest and flag potential issues.

        In case you encounter problems uploading the SCORM file to your LMS, a company called KOGN8 is available to help.  They have offered a reduced hourly rate of $150 to hospitals associated with the Perinatal Mental Health Learning Community to troubleshoot SCORM uploading issues.  To inquire further, please contact:

        Michael Coffin
        Founder
        KOGN8
        (805) 712-1245
        mc@kogn8.com

        Theresa Wheat
        Partner, Business Development
        KOGN8 
        (727) 743-6152
        theresa@kogn8.com

        Remember, the full course content is also available as a series of videos on YouTube

        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

        Below are various documents, templates and other materials that member hospitals have generously shared for the benefit of the Learning Community.

        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)

        Inpatient Perinatal Psychiatric Unit (El Camino Health)

        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 – Maternal Mental Health Support, English (Adventist Health Bakersfield)

        Patient Flyer – Maternal Mental Health Support, Spanish (Adventist Health Bakersfield)

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

        Patient Poster – Depression and Anxiety (Dignity Health)

        Provider Flyer – Free Perinatal Psychiatry Consultation Service (Dignity Health)

        Screening – EPDS Policy and Procedure (Emanate Health)

        Screening – EPDS Referral Algorithm (Dignity Health)

        Screening – EPDS Referral Algorithm (Valley Presbyterian Hospital

        Screening FAQs for Staff (Dignity Health)

        Screening Protocol Example (Sierra Vista Regional)

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

        By Hospital/Organization

        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

        Emanuel 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 Health Good Samaritan Hospital

        PIH Health Hospital-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

        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.

        Case Studies

        The following three case studies showcase hospitals that have demonstrated exemplary levels of maternal mental health integration, achieved through committed leadership and purposeful action.