Eligible and consenting participants will be randomized in a single blind manner (research visitor will be blinded to condition) at a 1:1 ratio to either MInD (parenting intervention and usual perinatal collaborative care) or usual collaborative care in their second trimester of pregnancy. Research assessments will be administered during pregnancy and post-partum.
Age
18–any
Sex
FEMALE
Healthy volunteers
Not accepted
You may be eligible if
English speaking pregnant women between gestational age (GA) 13 - 24 weeks
≥ 18 years,
EPDS score ≥10,
Ability to send and receive text messages (TM)
You may not be if
Severe substance use disorder in the past 6 months (score of 4 or above on the Alcohol Use Disorders Test AUDIT-C or a score of 6 or more on the Drug Abuse Screening Test (DAST).
Active suicidal ideation as measured by follow up to a positive answer to question 10 on the EPDS.
Bipolar disorder (Composite International Diagnostic Interview score ≥7) or psychotic disorder (assessed by chart review);
Multiple gestation (assessed by self-report and medical record);
Ongoing active treatment with psychotropic medications by mental health specialist (but not a PCP or Obstetrician).
Clareo Health | A Dyadic Approach to Perinatal Depression in Primary Care: Maternal Infant and Dyadic Care