TY  - SER
AU  - Wright, Tanya
AU  - Young, Kate
AU  - Darragh, Margot
AU  - Corter, Arden
AU  - Soosay, Ian
AU  - Goodyear-Smith, Felicity
TI  - Perinatal e-screening and clinical decision support: the Maternity Case-finding Help Assessment Tool (MatCHAT) 
PY  - 2020///
PB  - The Royal New Zealand College of General Practitioners, 
KW  - DOMESTIC VIOLENCE
KW  - INTIMATE PARTNER VIOLENCE
KW  - MENTAL HEALTH
KW  - PREGNANCY
KW  - REPRODUCTIVE HEALTH
KW  - SCREENING
KW  - SUBSTANCE ABUSE
KW  - NEW ZEALAND
N1  - Journal of Primary Health Care, 2020, 12(3): 265-271
N2  - INTRODUCTION Screening tools assist primary care clinicians to identify mental health, addiction and family violence problems. Electronic tools have many advantages, but there are none yet available in the perinatal context. AIM To assess the acceptability and feasibility of the Maternity Case-finding Help Assessment Tool (MatCHAT), a tool designed to provide e-screening and clinical decision support for depression, anxiety, cigarette smoking, use of alcohol or illicit substances, and family violence among pre- and post-partum women under the care of midwives. METHODS A co-design approach and an extensive consultation process was used to tailor a pre-existing electronic case-finding help assessment tool (eCHAT) to a maternity context. Quantitative MatCHAT data and qualitative data from interviews with midwives were analysed following implementation. RESULTS Five midwives participated in the study. They reported that MatCHAT was useful and acceptable and among the 20 mothers screened, eight reported substance use, one depression and five anxiety. Interviews highlighted extensive contextual barriers of importance to the implementation of maternity-specific screening. DISCUSSION MatCHAT has potential to optimise e-screening and decision support in maternity settings, but in this study, use was impeded by multiple contextual barriers. The information from this study is relevant to policymakers and future researchers when considering how to improve early identification of common mental health, substance use and family violence problems. (Authors' abstract). Record #7310
UR  - https://doi.org/10.1071/hc20029
ER  -