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.
Age range
18 Years – 100 Years
Sex
FEMALE
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
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