Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 CityMatCH Urban MCH Leadership ConferenceMedicaid coverage prior to pregnancy was reported by 76% of the participants, private insurance by11.5%, and 11.5% were uninsured. Ninety-three percent of the women reported Medicaid payment fordelivery.Participants reported 11 chronic illnesses, including lung problems/asthma (20.8%), migraines (16.9%),and obesity/overweight (10.8%). Among women with pre-pregnancy chronic illness, 85.2% had prepregnancyMedicaid, 11.5% had private insurance, and 3.3% were uninsured. Among women withoutchronic illness, 70.8% had pre-pregnancy Medicaid, 9.2% had private insurance, and 20% wereuninsured. The relatively high prevalence of pre-pregnancy Medicaid coverage among all participants islikely due to Illinois’ generous Medicaid policies, including its Illinois Healthy Women program, and/orthe high prevalence of TANF assistance among this group.LIMITATIONSAnalyses were based on self-reported data. As a result, data on absence or presence of chronic conditionsand time of diagnosis may be subject to recall bias. However, women were interviewed soon after theirpregnancies ended, so the effect of this bias is likely minimal.CONCLUSIONS/IMPLICATIONSThe pervasiveness of chronic illness prior to pregnancy among this population underscores thesignificance of pre-pregnancy health insurance for low-income women. In order for women with chronicillness to enter pregnancy healthy and obtain needed preconception/interconception care, pre-pregnancyinsurance is critical.116
2009 CityMatCH Urban MCH Leadership ConferenceThe co-location of psychiatric services within a community-based MCH agencyPRIMARY CONTACT:Joanne S. White, MSWManager, Behavioral Health DepartmentHealthy Start, Inc.400 N. Lexington Ave.Pittsburgh, PA, 15208Phone: (412) 247-4009 Ext. 308Fax: (412) 247-1877Email: jwhite@hsipgh.orgWebsite: www.healthystartpittsburgh.orgCATEGORYMental healthFOCUSProgram Policy FocusISSUEThe issue was how to connect our participants with quality mental health care that was sensitive to theirneeds. Our program participants faced several barriers in trying to access mental health services such astransportation, child care, lack of or insufficient health insurance, a shortage of psychiatrists whichextends the waiting time for an appointment to at least six weeks, and mistrust of the medical system.SETTINGOffice space for the psychiatric services was co-located within our program’s offices. Our intendedaudience was either pregnant or postpartum women who were enrolled in our program and scored highenough on the depression screen to warrant evaluation by a psychiatrist.PROJECTWe partnered with Women’s Behavioral HealthCARE at the Western Psychiatric Institute and Clinic toprovide psychiatric services for our participants suffering with depression. The pilot was named HealthyStart CARES. The services were provided one afternoon per week for five months. Child care,transportation, and the services were free. During the office visits the participant could have any of herHealthy Start staff present with her. Letters were sent to the participants’ PCP’s to inform them of theparticipant’s treatment status. Home visiting continued during the participants’ treatment.ACCOMPLISHMENTS/RESULTSSixteen of twenty-nine participants who were referred to the pilot project came for services. The averagewait for an appointment with the psychiatrist was two weeks. Ten participants had lowered their scores onthe depression screen. Those participants who wanted to include medication in their treatment receivedprescriptions that were affordable and easy to obtain. The Healthy Start staff maintained their home visitswith the participants, monitoring their progress and implementing the strategies that were devised whenthey came to the CARES project. The scores on the client satisfaction surveys showed a high rate of117
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