PIRIMID: A Clinician Decision Support System to Integrate Perinatal Depression E-Screening with Pathways to Care
The Parent-Infant Research Institute (PIRI) has developed a 4-step electronic clinical decision support system, PIRIMID (Perinatal Identification, Referral and Integrated Management for Improving Depression), designed to bridge the gap between perinatal depression screening and effective care.
PIRI is leading a cluster randomised controlled trial (c-RCT) beginning in 2020 in partnership with City of Whittlesea, Beyond Blue, PANDA and University of Melbourne. This trial will assess the acceptability and effectiveness of the PIRIMID tool in facilitating treatment uptake following screening for depression at postnatal Maternal and Child Health appointments.
PIRIMID consists of 4 steps to assist clinicians to develop a management plan.
Follow Steps 2 – 4: integrate EPDS results, risk factor results and other information to determine treatment options.
WHY IS PIRIMID NEEDED?
THE PIRIMID SOLUTION
|Most mums who are identified as depressed are not treated
|Sixty percent of depressed perinatal women are not identified as depressed. Of the 40% whose depression is recognised, only 1 in 4 (10% of all depressed women) receive adequate treatment. Most women identified by screening are not connected with treatment pathways that result in recovery (see chart).
PIRIMID provides step-by-step guidance for pathways to care National roll-out of PIRIMID in tandem with screening Adherence to national perinatal mental health clinical guideline
|Integrating screening & pathways to care is vital
|Screening increases identification of perinatal depression but only reduces perinatal mental health morbidity when integrated effectively with pathways to evidence-based care.
locked onto back-end of iCOPE Ensures further assessment and referral to appropriate care Evidence-based decision tree
|Assisting professionals to find the help mums need
|Coupling PIRIMID, a Clinical Decision Support System, with the iCOPE e-screening tool, will provide step-by-step guidance to ensure the best care pathway is found.
Summary EPDS scores, psychosocial information imported to clinician PIRIMID dashboard.