12/26/14
LHJ: Calaveras County
Deliverable Form E – 5-Year Action Plans
Perinatal Mood and Anxiety Disorders (PMAD)
(For further instructions see separate document titled “Action Plan Guidelines”)
MCAH SOW Goal 2:
Problem Category
Perinatal mood/ anxiety disorders
Problem Statement(s)
Pregnant women and mothers of children under 2 years of age and their children are suffering from the effects of perinatal mood/anxiety
disorder (PMAD) due to lack of awareness of PMAD, difficulty accessing mental health services, and providers' lack of awareness of the
problem and available resources.
Five Year Local Goal(s)
Increased number of health care providers who routinely screen pregnant women and mothers of children under 2 years of age for PMAD
and refer as needed.
Increased number of referred women accessing resources as recommended by their health care provider.
Risk/Contributing Factors
Lack of education on the scope of the PMAD problem, lack of education on the signs/symptoms and risk factors, lack of education on the
risks to the woman and to her family
Best Practice Strategies/
Interventions
All pregnant women should be asked about family and personal history of postpartum psychosis, severe depressive disorder and other
psychotic disorders on entry in to PNC. Those at high risk should be assessed for s/sx minimally at 4-6kws and 3-4 months postpartum. A
woman at high risk should have a plan in place that is shared with all of her pregnancy care providers.
Intervention Population(s)
HCPs who care for childbearing age women and/or their children under 2 years of age, women of childbearing age, pregnant women, and
mothers of children 2yrs of age and younger
Short and/or Intermediate Objective(s)
Fiscal Year 1 2015-2016
By July 30, 2015, determine the
number of health care
providers who screen pregnant
women and mothers of children
under 2 years of age for PMAD
and the number of women who
screen (+) they refer for follow
up.
Inputs, including
Community Partner
involvement
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

Primary
care
providers
County
Health
Officer
PH
Education
staff
Local Health Jurisdictions (LHJ) Needs Assessment Timeline and Deliverables
Intervention Activities to Meet Objectives
Performance Measures
Short and/or Intermediate
Process Description and Measure(s)
including data source
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Identify HCPs to interview
Create survey questions for interviews
Identify PMAD Educational resource to
provide participating HCPs
Letter to HCPs from County Health
Officer inviting their participation
Schedule and complete interviews


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Planning meetings notes
Survey questions
Educational Resource
Letter to HCPs from
County Health Officer
Outcome Measure(s) including data
source


Interviews
completed/brief
description of Survey
results
Number and % of
HCPs who screen all
women of
childbearing age
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12/26/14
Short and/or Intermediate Objective(s)
Fiscal Year 2 2016-2017
By July 30, 2016, prepare a
resource directory of therapists
who will see women to assess,
diagnose, and treat for PMAD,
and include type of
payments/insurance accepted.
LHJ: Calaveras County
Inputs, including
Community Partner
involvement



Therapists
Behavior
Health
Services
Social
Services
Intervention Activities to Meet Objectives
Process Description and Measure(s)
including data source




Fiscal Year 2 2017-2018
By July 30, 2016, determine
which mental health providers
will accept Medi-Cal Payment
forms accepted by the
therapists will be.
Fiscal Year 3 2017-2018
By June 30, 2017, HCPs will
screen all pregnant women and
mothers of children under 2
years of age for PMAD and refer
for services. (THIS SEEMS TO
BIG AND BROAD – CONSIDER
BREAKING IT DOWN AND
FOCUSING MORE SPECIFICIALLY
ON EACH OF THESE GROUPS OF
PROVIDERS)



HCPs
Behavior
Health
Services
Social
Services
Prenatal care provide
Performance Measures
Short and/or Intermediate




Meetings with Behavior health
Services
Survey of therapists to determine
sources of payment accepted
Design and printing of Resource
Directory
Develop and implement a continuous
quality improvement /quality
assurance process, including methods
for regularly updating the directory



Develop a collaboration with identified
HCPS who have agreed to participate
in a plan to implement routine
screening of PMAD
HCPs will use tool within their health
care system’s EMRs or a tool that will
be developed for them
Follow up with HCPs on number of
women screened and referred
Develop and implement a continuous
quality improvement /quality
assurance process – identify methods
to track women to see if they acted on
referral and got services





Outcome Measure(s) including data
source
Planning meetings notes
Survey questions
CQI/CQA process
developed

Planning meeting notes
List of identified HCPs
List of screening tools
used
Tool used to track
number of women
screened / referred
CQI/CQA process
developed





Resource Directory
created
Resource Directory
distributed
Brief description of
the CQI/CQA process
outcomes
number of women
screened / Number
of pregnant women
and mothers of
children under 2
years of age seen
number of women
referred/ Number of
women with (+)
screen
Brief description of
the CQI/CQA process
outcomes
Screening in hospital at delivery
Postpartum visits (either
prenatal or PCP in county)
Pediatricians
Local Health Jurisdictions (LHJ) Needs Assessment Timeline and Deliverables
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12/26/14
Short and/or Intermediate Objective(s)
Fiscal Year 4 2018-2019
By June 30,2018 a county wide
public campaign on PMAD
Awareness will be completed
resulting in an increased
number of women requesting
services
Fiscal Year 5 2019-2020
By June 30, 2020 outreach for
PMAD awareness/screening will
expand to pregnant women
and mothers of children under
2 years of age in identified
underserved populations such
as women’s shelters, homeless
populations, teens, and
probation with referrals to
treatment made as needed.
LHJ: Calaveras County
Inputs, including
Community Partner
involvement











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Intervention Activities to Meet Objectives
Process Description and Measure(s)
including data source
Behavior
Health
Services
Media
Outlets
First 5
MTMC
MTHCD
PH Ed Staff

Behavior
Health
Services
Media
Outlets
First 5
MTMC
MTHCD
PH Ed Staff
Probation
Services
The
Resource
Connection
School
districts

Local Health Jurisdictions (LHJ) Needs Assessment Timeline and Deliverables
Performance Measures
Short and/or Intermediate










Create campaign workgroup made up
of community partners
Workgroup planning meetings to
identify activities to best promote
PMAD awareness in the county
Identification of resource materials
HCPs identified who will participate in
before & after survey re: number of
women requesting PMAD services.
Develop and implement a continuous
quality improvement /quality
assurance process
Create campaign workgroup made up
of community partners
Workgroup planning meetings to
identify activities to best promote
PMAD awareness to the targeted
populations
Identification of resources to make
access to services possible for the
identified population
Identification of resource materials
HCPs identified who will participate in
before & after survey re: number of
women requesting PMAD services.
Therapists identified who will see
clients from the targeted populations
Develop and implement a continuous
quality improvement /quality
assurance process











Outcome Measure(s) including data
source
Planning meeting
minutes
List of activities
identified
List of resource
materials
CQI/CQA process
developed

Planning meeting
minutes
List of activities
identified
Resources to access
services identified
List of resource
materials
List of participating HCPs
List of participating
therapists
CQI/CQA process
developed





Promotion activities
completed
Results of before &
after surveys of HCPs
re: number of
women requesting
PMAD services
Brief description of
the CQI/CQA process
outcomes
Promotion activities
completed
Results of before &
after surveys of HCPs
re: number of
women requesting
PMAD services
Brief description of
the CQI/CQA process
outcomes
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