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Perinatal Mood and Anxiety Disorders (PMAD): Problem Analysis Diagram
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Target Outcome(s):
Consequences:
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Social/Economic/Policy Level
System/Services
Lack of behavioral/mental health services insurance
Transportation
Social issues
Racism
Stigma on mental illness
Poverty
Policy
Lack of policies supporting screening
Lack of maternity leave policies
Family/Community/Institutional
Healthcare Institutions
Provider attitudes toward screening
Lack of providers who screen for PMAD
Availability and use of screening tools
Lack of education on PMAD
Cost of treatment
Lack of behavioral/mental health services
Family/Home
Family history of depression
Domestic violence
Social isolation/lack of support
Lack of access to care/lack of health coverage
Community
Availability of child care
Language/cultural barriers
Lack of education on PMAD
Availability and use of screening tools
Psychological/mental health
Personal or family history of depression, anxiety, or postpartum depression
Previous psychiatric illness
Depression or anxiety during pregnancy
Premenstrual dysphoric disorder (PMDD or PMS)
Low self esteem
Individual characteristics
History of sexual abuse/trauma
Lack of sleep
Unhealthy relationships
Previous pregnancy, birth or postpartum difficulties
Stress
Poor maternal health
Substance use
Individual Level
Other factors
Perinatal loss
Poor infant health
Major recent life event: loss, house move, job loss
Lack of prenatal care; Substance use; Impaired attachment; Infant neglect; Poor infant health; Maternal suicide; Infanticide; maternal mental wellness
Maternal morbidity/mortality; Infant morbidity/mortality; increased use of health and/or support services; family stress; societal impact (impact on foster care and educational system)
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