Motivated by a mandate: a university-clinic partnership to develop a perinatal depression registry at a community based hospital in the Midwest

Disparities in maternal mental health outcomes persist despite the myriad of existing evidence based treatments and recent public health prevention policy efforts. Integrated health care delivery models such as Collaborative Care and patient medical home models have the potential to reduce health disparities in clinic settings. These evidence-based approaches require multidisciplinary teams for successful implementation and to provide quality care to improve specified patient outcomes. However, strategies for successful collaboration and steps for critical reflection are often overlooked in clinical and health services research. Furthermore, a shared vision of social justice is essential in the process of building and sustaining patient-centered care models, but is often understated. The purpose of this paper is to describe the development and implementation of a social justice-informed hospital-based perinatal depression registry to address maternal health disparities. Our partnership is informed by community-based participatory research (CBPR) principles for carrying out health services research. We describe the steps for building a sustainable university-hospital collaboration between traditional and non-traditional researchers using principles from CBPR in a clinic setting.

一朵愤怒的云的自白

一朵愤怒的云抱怨它的压力，但也透露了成功管理的秘诀 我是如此不安。所有对云的宣传都对我施加了巨大的压力。您看，我是一朵云。无论我去到哪里，都有人试图了解我靠什么谋生。他们总是向我提出诸如“你是私有的？公共的？还是混合的？”之类的问题。然后，我就不断听到那些关于云的陈腐笑话——“为什么您要毁灭IT环境中阳光灿烂的日子？”或是“做一朵云？听起来令人沮丧。