Spatial Lipidomics of the Human Prefrontal Cortex for Metabolic Insights in Schizophrenia.

Appropriate training for healthcare providers to meet unique mental health needs of perinatal individuals is an important public health concern. Mental health disorders among perinatal individuals are common pregnancy complications in the USA with 13% of perinatal individuals experiencing depression after childbirth and 43% of depressed perinatal individuals experiencing co-occurring anxiety []. Kang-Yi and colleagues’ research [] found that over 80% and nearly 40% of low-income pregnant women with psychiatric disorders in one of the largest states in the USA drop out of psychotropic medication use and psychotherapy, respectively, early in their pregnancy. Despite the importance of appropriate perinatal mental health training, there is a lack of opportunities for structured training designed for healthcare providers such as psychiatrists, psychologists, counselors, psychiatric nurse practitioners, and other non-psychiatric providers such as midwives and obstetrics and gynecology clinicians who provide care for perinatal individuals with mental health needs [–]. These care providers report the difficulty of treating pregnant and postpartum women with mental health disorders due to the lack of evidence-based guidance for mental health treatment decisions during pregnancy, differences in beliefs and attitudes for diverse populations, and concerns about adverse effects on perinatal individuals such as self-harm and suicide [, , ]. Effective engagement and communication with perinatal individuals are essential competencies required for healthcare providers to successfully meet the unique mental health needs of perinatal individuals across pregnancy and postpartum stages in perinatal and mental health care settings [, ]. DECIDE is an evidence-based shared decision making intervention developed to improve shared decision making in behavioral health care through effective engagement and communication with patients with mental illness []. DECIDE stands for Decide the problem; Explore the questions; Closed or open-ended questions; Identify the who, why, or how of the problem; Direct questions to your health care professional; Enjoy a shared solution []. DECIDE provider training teaches healthcare providers skills for perspective-taking, reducing attributional errors, and increasing receptivity to the client population in shared decision making [–]. DECIDE including DECIDE-Patient Activation and DECIDE clinician intervention has demonstrated the effectiveness in improving patient activation [, ], patient self-management [, ], perceived quality of care [], collaborative decision-making [], and anxiety symptoms [] when implemented in outpatient mental health care for adults. The DECIDE implementation in children’s behavioral healthcare setting has identified the need for adaptations of DECIDE to fit target populations and care settings []. This study aims to (1) make content adaptation (i.e., adding topical training content to fit perinatal mental health care) and process adaptation (i.e., creating asynchronous training modules to reduce the burden for care providers) to the DECIDE provider training and (2) assess the acceptability, appropriateness, and usability of adapted DECIDE provider training for wide dissemination and rapid implementation of DECIDE in maternal mental health care delivery. This study is approved by the Rutgers University Institutional Review Board.