TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.10 GENERAL APPLICABILITY
Section 2110.10 General Applicability
This Part implements the Perinatal Mental Health Disorders
Prevention and Treatment Act [405 ILCS 95] that concerns perinatal mental
health disorders, commonly referred to as "post-partum depression".
 | TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.20 PURPOSE
Section 2110.20 Purpose
The purpose of the Perinatal Mental Health Disorders
Prevention and Treatment Act and this Part is to provide information to women
and their families about perinatal mental health disorders in order to lower
the likelihood that new mothers will continue to suffer from this illness in
silence; to develop procedures for screening for risk of perinatal mental
health disorders and assessing women for perinatal mental health disorders
during prenatal and postnatal visits to licensed health care professionals; to
promote early detection and early treatment of perinatal mental health
disorders; and, when medically appropriate, to avoid medication.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.30 INCORPORATION BY REFERENCE
Section 2110.30 Incorporation by Reference
Clinical Report Incorporating Recognition and Management of
Perinatal and Postpartum Depression into Pediatric Practice, Marian F. Earls
and The Committee on Psychosocial Aspects of Child and Family Health,
Pediatrics, published online October 25, 2010, available at www.pediatrics.org.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.40 DEFINITIONS
Section 2110.40 Definitions
"DHS" means the
Department of Human Services.
"HFS" means the
Department of Healthcare and Family Services.
"Hospital" has the
meaning given to that term in the Hospital Licensing Act [210 ILCS 85/3].
"Licensed health care
professional" means a physician licensed to practice medicine in all its
branches, an advanced practice nurse who has a collaborative agreement with a
collaborating physician that authorizes care, or a physician assistant who has
been delegated authority to provide care. A medical director within a public
health setting may assign the task of screening to a subordinate, under his/her
supervision, who has satisfactorily completed training on perinatal mental
health disorders and use of screening tools.
"Perinatal mental health
disorders", commonly referred to as "post-partum depression",
means a wide range of emotional, psychological and physiological reactions to
childbirth, including feelings of hopelessness, excessive guilt, sustained
sadness, and thoughts of death or suicide, that challenge the stamina of a
woman during pregnancy and after childbirth and impair her ability to care for
her child.
"Postnatal care" means
an office visit to a licensed health care professional occurring after birth,
with reference to the infant or mother.
"Prenatal care" means an
office visit to a licensed health care professional for pregnancy-related care
occurring before birth.
"Screening" means the
use of a questionnaire as a tool administered by a licensed health care
professional to detect perinatal mental health disorders, such as the Edinburg
Postnatal Depression Scale, the Postpartum Depression Screening Scale, the Beck
Depression Inventory, the Patient Health Questionnaire, or other validated
assessment methods, including any validated screening tool approved by HFS to
detect perinatal mental health disorders.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.50 PRENATAL VISITS
Section 2110.50 Prenatal Visits
A licensed health care professional providing prenatal care
to a woman at a prenatal visit shall:
a) Once
during the pregnancy, provide education regarding the signs and symptoms of
perinatal mental health disorders, including but not limited to offering
materials to the patient, and if possible, to fathers, partners and other
family members.
b) Once
during the pregnancy, request permission from the pregnant patient to offer
education regarding perinatal mental health disorders to fathers, partners and
other family members.
c) Invite
the pregnant patient, at least once during the pregnancy, to complete a
perinatal mental health disorders questionnaire unless the patient states that
she has already completed such a questionnaire during the current pregnancy.
The questionnaire must be offered more frequently when, in the professional
judgment of the licensed health care professional, a reasonable possibility
exists that the woman suffers from perinatal mental health disorders.
d) Repeat
the questionnaire for perinatal mental health disorders when, in the
professional judgment of the licensed health care professional, a reasonable
possibility exists that the woman suffers from perinatal mental health
disorders.
e) Review
the completed questionnaire in accordance with the formal opinions and
recommendations of the American Congress of Obstetricians and Gynecologists.
Information and materials may be found at www.acog.org., with respect to
perinatal mental health disorders. The ACOG Depression Toolkit may be found at
http://mail.ny.acog.org/website/DepressionToolkit.pdf.
f) Document
the offer of the questionnaire in the patient record.
g) Obtain
the patient's consent to share the results of the questionnaire with the patient's
primary licensed healthcare professional, if indicated by criteria commonly
relied upon by providers in assessing a patient's mental health. If the patient
is determined to present an acute danger to herself or someone else, consent is
not required.
h) Document
action taken if the questionnaire indicates that the woman is experiencing
symptoms of perinatal mental health disorders.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.60 HOSPITAL MATERNITY CARE SERVICES
Section 2110.60 Hospital Maternity Care Services
a) Hospitals
that provide labor and delivery services shall:
1) Provide
complete information about perinatal mental health disorders, including its
symptoms, methods of coping with the illness, and treatment resources to
patients who have given birth, prior to discharge from the maternity unit
following childbirth. Hospitals may use written information provided by DHS to
satisfy this requirement.
2) If
possible, provide the written information to fathers, partners and other family
members.
b) Hospitals
may use resources that are provided from State or nationally recognized health,
mental health or child development organizations to satisfy the requirements of
this Section.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.70 POSTNATAL VISITS
Section 2110.70 Postnatal Visits
A licensed health care professional providing primary care,
obstetric or gynecological services to a woman at a postnatal visit shall:
a) Invite
a post-partum patient to complete a questionnaire to screen for risk of perinatal
mental health disorders at least once post-partum.
b) Offer
the questionnaire at least once post-partum, unless the woman states that she
has already completed the questionnaire during this period. The questionnaire
may be offered more frequently, based on the licensed health care professional's
clinical judgment. In deciding on the timing or frequency of any additional
screenings, the licensed healthcare professional may consider the
recommendations of the American Academy of Pediatrics Clinical Report
Incorporating Recognition and Management of Perinatal and Postpartum Depression
into Pediatric Practice (AAP in Journal of Pediatrics in 2010 126:5; pgs.
1032-1039).
c) Review
the completed questionnaire in accordance with the formal opinions and
recommendations of the American College of Obstetricians and Gynecologists,
found at www.acog.org., with respect to perinatal mental health disorders. The
ACOG Perinatal Depression Toolkit may be found at
http://mail.ny.acog.org/website/DepressionToolkit.pdf.
d) Document
the offer of the questionnaire in the patient record.
e) Obtain
the patient's consent to share the results of the questionnaire with the
patient's primary licensed healthcare professional, if indicated. If the
patient is determined to present an acute danger to herself or someone else,
consent is not required.
f) Document
actions taken if the questionnaire indicates that the woman is experiencing
symptoms of perinatal mental health disorders.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.80 VISITS TO PEDIATRIC PROVIDERS
Section 2110.80 Visits to Pediatric Providers
Licensed health care professionals providing pediatric care
to an infant shall:
a) Invite
the infant's mother to complete a questionnaire at least once 6 weeks
post-delivery to screen for risk of perinatal mental health disorder. This should
occur prior to the infant's first birthday, unless the mother states that she
has already completed the questionnaire during the post-partum period. The
questionnaire may be offered earlier or more frequently, based on the licensed
health care professional's clinical judgment. In deciding on the timing or
frequency of any additional screenings, the licensed health care professional
may consider the recommendations of the American Academy of Pediatrics Clinical
Report Incorporating Recognition and Management of Perinatal and Postpartum
Depression into Pediatric Practice found at http://www.pediatrics.org.
b) Review
the completed questionnaire in accordance with the formal opinions and
recommendations of the American Academy of Pediatrics or the American College
of Obstetricians and Gynecologists, found at www.acog.org., with respect to
perinatal mental health disorders.
c) Document
the offer of the questionnaire to the mother in the infant's or the mother's
record, if available.
d) Obtain
the mother's consent to share the results of the questionnaire with the mother's
primary licensed healthcare professional, if indicated. If the mother is
determined to present an acute danger to herself or someone else, consent is
not required.
e) Document
actions taken if the questionnaire indicates that the woman is experiencing
symptoms of perinatal mental health disorders.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.90 QUESTIONNAIRE TOOL
Section 2110.90 Questionnaire Tool
The perinatal mental health disorders questionnaire utilized
must be approved by HFS. Approved tools used for screening pregnant and
post-partum women for perinatal mental health disorders can be found in the Provider
Handbook at www2.illinois.gov/hfs/medicalprovider/
maternalandchildhealthpromotion. HFS, in coordination with DHS, will
notify providers of changes to the list of approved tools.
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.100 PRIVACY OF QUESTIONNAIRE RESULTS
Section 2110.100 Privacy of Questionnaire Results
Documentation concerning issues of mental health are
protected in accordance with the Confidentiality of Alcohol and Drug Abuse
Patient Records Rules (42 CFR 2) and the Mental Health and Developmental
Disabilities Confidentiality Act [740 ILCS 110] and shall be shared only with
the written consent of the patient, except as provided in Section 2110.80(d).
If the licensed health care professional's patient is the infant, he/she shall
request permission to share screening results with the woman's primary health
care provider, except as provided in Section 2110.80(d).
| TITLE 77: PUBLIC HEALTH
CHAPTER X: DEPARTMENT OF HUMAN SERVICES
SUBCHAPTER h: MATERNAL AND CHILD HEALTH
PART 2110
PERINATAL MENTAL HEALTH DISORDERS
PREVENTION AND TREATMENT
SECTION 2110.110 FOLLOW-UP
Section 2110.110 Follow-Up
a) If
screening results or clinical judgment indicate a need for follow-up, pre-natal
and post-natal licensed health care professionals may, in accordance with their
professional judgment, offer referral to an appropriate healthcare provider for
further assessment and/or treatment.
b) If
screening results or clinical judgment indicate a need for follow-up, pediatric
care licensed health care professionals whose patient is the infant may, in
accordance with their professional judgment, offer referral to an appropriate
healthcare provider for further assessment and/or treatment.
c) Licensed
health care professionals treating patients who demonstrate risk of immediate
harm to self or others shall notify emergency personnel or follow existing
emergency protocols of the health care setting.
|
|
|
|
|
|
|
|
|
|
|
