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Pedagogical Implications of Partnerships Between Psychiatry and Obstetrics-Gynecology in Caring for Patients with Major Mental Disorders

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Abstract

Objective

Because there are no formal reviews, the authors set out to identify and describe programs that serve female patients with major mental disorders by integrating mental health care with services in obstetrics and gynecology and to describe the pedagogical implications of those programs.

Method

The authors searched PubMed for all articles describing a program in which psychiatry was formally integrated with obstetric or gynecological services, other than standard consultation-liaison programs, in the care of patients with major mental disorders. The search terms used included interdisciplinary, interprofessional, integrated, collaborative care, psychiatry, and obstetrics-gynecology or psychosomatic obstetrics-gynecology.

Results

The authors found six distinct integrated programs. These included family planning clinics that were integrated into inpatient psychiatry services; inpatient and outpatient psychiatry services for pregnant mentally ill women in close collaboration with obstetric services; a day hospital for pregnant women with psychiatric disorders in an obstetric setting; an interdisciplinary training site providing care for predominantly depressed, low-income, and minority women; a primary care HIV service for women integrated with departments of obstetrics-gynecology and psychiatry; and an obstetrics-gynecology clinic-based collaborative depression care intervention for socially disadvantaged women. Residents’ involvement was described in four of the programs.

Conclusions

These innovative and integrated programs potentially enhance the care of vulnerable and culturally diverse women with major mental disorders. The authors discuss how these programs may contribute to the education of residents in psychiatry and obstetrics-gynecology.

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Disclosures

On behalf of all the authors, the corresponding author states that there is no conflict of interest.

Author information

Authors and Affiliations

  1. Baylor College of Medicine, Houston, TX, USA

    John Coverdale

  2. Stanford University, Stanford, CA, USA

    Laura Weiss Roberts

  3. Wayne State University, Detroit, MI, USA

    Richard Balon

  4. Harvard Medical School, Boston, MA, USA

    Eugene V. Beresin

Authors
  1. John Coverdale
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  2. Laura Weiss Roberts
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  3. Richard Balon
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  4. Eugene V. Beresin
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Correspondence to John Coverdale.

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Coverdale, J., Roberts, L.W., Balon, R. et al. Pedagogical Implications of Partnerships Between Psychiatry and Obstetrics-Gynecology in Caring for Patients with Major Mental Disorders. Acad Psychiatry 39, 430–436 (2015). https://doi.org/10.1007/s40596-015-0364-3

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  • DOI: https://doi.org/10.1007/s40596-015-0364-3

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