Research has shown the effects of social determinant of health (SDoH) in pregnancy for both the patient and the child; however, the ability to adequately assess for the areas can be difficult. Often in residency, residents struggle to adequately address all the medical and psychosocial needs that can arise during pregnancy; however, family medicine residents are in a unique position to provide integrated prenatal care in a primary care setting. In this presentation, participants will learn how the Alaska Family Medicine Residency (AKFMR) successfully implemented strategies to helped patients receive access to integrated prenatal care in a primary care setting through a biopsychosocial framework. An overview is provided of how AKFMR expanded their OB curriculum to provide prenatal care utilizing a biopsychosocial framework delivered by an interdisciplinary team. Based on the 2016 recommended AAFP guidelines for maternity care, AKFMR used an SBIRT model to implement a maternal psychosocial intake and needs assessment to improve provider awareness of SDoH variables impacting women during their pregnancy and gather baseline mood screening using the EPDS. Based on the information gathered, pregnant patients are offered brief interventions and referrals to appropriate interdisciplinary resources. In addition, an interdisciplinary chart review led by family medicine residents was implemented for all patients between 28-32 weeks gestation to assure prenatal care and increase team communication around patient care and needs. An evaluation of the overall OB curriculum expansion process will include data that has been gathered since August 2016 from maternal psychosocial intakes which includes: demographics, social support system, maternal health risk factors, psychiatric and substance use history, SDoH concerns, lifestyle practices, and an initial perinatal mood disorder screening using the EPDS. Additionally, explanation of how the interdisciplinary OB chart review is conducted and tracked will be reviewed.
- identify one model of integrated OB biopsychosocial care that aligns with a SBIRT framework.
- learn how an interdisciplinary chart review process can be developed to identify gaps in prenatal care, provide brief teaching points to residents, and encourage interprofessional communication among providers regarding patient care.
- receive a copy of the maternal psychosocial needs assessment used at the Alaska Family Medicine Primary Care Clinic