PIRI published one of the most careful estimates of the predictive value of the main screening instrument for PND (the EPDS) and the first estimates of the prevalence of perinatal mental disorders in Indigenous Australians. We have a longstanding interest in improving processes for identifying perinatal mental health difficulties and ensuring that improved identification results in treatment. We have developed new digital clinical decision support systems for health professionals to help collate and act on screening results. With our partners in City of Whittlesea Maternal & Child Health Service we are continuing a pilot cluster RCT in this area or work.

Recently, funding for a new, much larger cluster RCT (n = 1650) of our clinical decision support system (PIRIMID: Perinatal Identification, Referral and Integrated Management for Improving Depression) has been granted by NHMRC and this new trial will involve a comprehensive health economic analysis.