Pregnant and postpartum patients hospitalized for medical complications experience high rates of depression, anxiety, and trauma-related symptoms, yet access to timely psychiatric care during obstetric hospitalization is limited. Project MOCHA integrates early mental health screening, trauma-informed psychotherapy, and structured follow-up into routine inpatient maternity care for individuals at elevated clinical risk. This single-arm implementation study examines the feasibility, acceptability, and fidelity of delivering a Collaborative Mental Health Care Program within a high-risk obstetric inpatient setting. The program includes brief inpatient psychotherapy, symptom monitoring, and post-discharge follow-up over three months. Preliminary changes in depression, anxiety, attention-deficit hyperactivity disorder, and posttraumatic stress symptoms will be assessed to inform future effectiveness trials and broader health system integration.
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Change in depressive symptoms measured by the Edinburgh Postnatal Depression Scale (EPDS)
Timeframe: From baseline (hospital admission) to 3 months post-discharge
Change in anxiety symptoms measured by the Generalized Anxiety Disorder 7 (GAD-7)
Timeframe: From baseline (hospital admission) to 3 months post-discharge
Change in posttraumatic stress symptoms measured by the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)
Timeframe: From baseline (hospital admission) to 3 months post-discharge
Feasibility of weekly symptom screening during hospitalization
Timeframe: During hospitalization (from admission to discharge)
Acceptability of psychotherapy sessions measured by the Session Rating Scale (SRS)
Timeframe: During hospitalization (from admission to discharge)
Fidelity to psychotherapy protocol: percentage of scheduled sessions delivered
Timeframe: During hospitalization (from admission to discharge)
Acceptability of the MOCHA program measured by the Client Satisfaction Questionnaire (CSQ-8)
Timeframe: 3 months post-discharge
Change in symptoms of Attention Deficit Hyperactivity Disorder as measured by Adult ADHD Self-Report Scale
Timeframe: From baseline (hospital admission) to 3 months post-discharge