{"id":4519,"date":"2025-01-24T10:29:22","date_gmt":"2025-01-24T15:29:22","guid":{"rendered":"https:\/\/www.med.unc.edu\/ncmatters\/?page_id=4519"},"modified":"2025-04-11T15:24:07","modified_gmt":"2025-04-11T19:24:07","slug":"screening-for-perinatal-mental-health-conditions","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/ncmatters\/provider-tools\/screening-for-perinatal-mental-health-conditions\/","title":{"rendered":"Screening for Perinatal Mental Health Conditions"},"content":{"rendered":"<p><span class=\"TextRun SCXW55048236 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW55048236 BCX0\">Browse our collection of screening forms to help providers assess potential behavioral health conditions in their perinatal patients. <\/span><\/span><span class=\"TextRun SCXW3612809 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW3612809 BCX0\">Providers may be able to bill insurance for completing mental health assessments. <a href=\"https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2023\/07\/Coding-for-Telepsychiatry-and-Other-Behavioral-Health-Services.pdf\" target=\"_blank\" rel=\"noopener\">Click here to view our Billing Guide<\/a>.<\/span><\/span><\/p>\n<h4><span style=\"color: #330066\">Mood and Anxiety Disorders<\/span><\/h4>\n<span class=\"collapseomatic \" id=\"id69d48976af9b8\"  tabindex=\"0\" title=\"Patient Health Questionnaire (PHQ-9)\"    >Patient Health Questionnaire (PHQ-9)<\/span><div id=\"target-id69d48976af9b8\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for<\/span><\/b><b><span data-contrast=\"auto\">: <\/span><\/b><span data-contrast=\"auto\">Unipolar depression in the general population<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages:<\/span><\/b><span data-contrast=\"auto\"> 18+ (The PHQ-Modified can be used for teens aged 11-17)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages<\/span><\/b><span data-contrast=\"auto\">: English, Spanish, and 29 other languages<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Learn more<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The PHQ-9 assesses all diagnostic criteria for Major Depressive Disorder (MDD) as outlined in the DSM-5, including suicidal ideation. Providers who are short on time may start with the PHQ-2, which screens for the core symptoms of depression (anhedonia, feeling down or sad) and indicates whether further evaluation is needed.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><strong>Scoring the PHQ-2<\/strong><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Response categories are scored 0 \u2013 3 according to increased severity of the symptom. A score of 2 or more indicates a possible positive screen for depression and suggests that patients should subsequently complete the PHQ- 9.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div>\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><strong>Scoring the PHQ-9<\/strong><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Response categories are scored 0 \u2013 3 according to increased severity of the symptom with a maximum score of 27.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<li><strong>PHQ-9 Score of<\/strong>:\n<ul>\n<li>\u2265 5 indicates mild depression<\/li>\n<li>\u2265 10 indicates moderate depression<\/li>\n<li>\u2265 15 indicates moderately severe depression<\/li>\n<li>\u2265 20 indicates severe depression<\/li>\n<li>\u2265 0 on Q9 indicates the need for additional risk assessment<span style=\"font-family: inherit;font-size: inherit\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p><b><span data-contrast=\"auto\">Access the form in your preferred language: <\/span><\/b><a href=\"https:\/\/www.phqscreeners.com\/select-screener\"><b><span data-contrast=\"none\">PHQ Screeners<\/span><\/b><\/a><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<\/div>\n<span class=\"collapseomatic \" id=\"id69d48976afe6d\"  tabindex=\"0\" title=\"Generalized Anxiety Disorder (GAD-7)\"    >Generalized Anxiety Disorder (GAD-7)<\/span><div id=\"target-id69d48976afe6d\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for: <\/span><\/b><span data-contrast=\"auto\">Generalized Anxiety Disorder for the general population<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages:<\/span><\/b><span data-contrast=\"auto\"> 11+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages:<\/span><\/b><span data-contrast=\"auto\"> English, Spanish, and many other languages<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Learn More<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The GAD-7 is designed to screen for and assess the severity of generalized anxiety disorder (GAD). Providers who are short on time may start with the GAD-2, which consists of just two questions from the GAD-7 and indicates whether further evaluation is needed.<\/span><\/p>\n<p style=\"text-align: left\"><div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><strong>Scoring the GAD-2<\/strong><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Response categories are scored 0 \u2013 3 according to increased severity of the symptom with a maximum score of 6. A score of 3 indicates a possible positive screen for generalized anxiety disorder and suggests the patients should subsequently complete the GAD-7.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: left\"><\/div>\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><strong>Scoring the GAD-7<\/strong><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Response categories are scored 0 \u2013 3 according to increased severity of the symptom with a maximum score of 21.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<li><strong>GAD-7 Score of<\/strong>:\n<ul>\n<li>\u2265 5 indicates mild anxiety<\/li>\n<li>\u2265 10 indicates moderate anxiety<\/li>\n<li>\u2265 15 indicates severe anxiety<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: left\"><\/div>\n<\/div>\n<p><b><span data-contrast=\"auto\">Access the form in your preferred language:<\/span><\/b> <a href=\"https:\/\/www.phqscreeners.com\/select-screener\"><b><span data-contrast=\"none\">GAD Screeners<\/span><\/b><\/a><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0 <\/div>\n<span class=\"collapseomatic \" id=\"id69d48976b017f\"  tabindex=\"0\" title=\"Perinatal Anxiety Screening Scale (PASS)\"    >Perinatal Anxiety Screening Scale (PASS)<\/span><div id=\"target-id69d48976b017f\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for: <\/span><\/b><span data-contrast=\"auto\">Anxiety symptoms specifically in the perinatal population<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages: <\/span><\/b><span data-contrast=\"auto\">18+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages: <\/span><\/b><span data-contrast=\"auto\">English<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Learn More<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The PASS<\/span><span data-contrast=\"auto\"> screens for four main categories of anxiety as they are present in pregnant and postpartum individuals: 1) General worry and specific fears, 2) Perfectionism, control and trauma, 3) Social anxiety, and 4) Acute anxiety and adjustment.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Scoring the PASS<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">A total PASS score is obtained by adding all of the items. Scoring a 26 on the PASS can be considered the cut-off score for differentiating between high and low risk for presenting with an anxiety disorder. The maximum score on the PASS is 93.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p style=\"text-align: left\"><div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><strong>PASS Score of:<\/strong><\/p>\n<ul>\n<li><span data-contrast=\"auto\">0-20 indicates the patient is asymptomatic\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">21-41 indicates mild-moderate anxiety symptoms<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">42-93 indicates severe anxiety symptoms<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div>\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><strong>Subscales<\/strong><\/p>\n<ul>\n<li><span data-contrast=\"auto\">Excessive worry and specific fears- Q1-Q10<\/span><\/li>\n<li>Perfectionism, control, trauma- Q11-Q18<\/li>\n<li>Social anxiety- Q19-Q23<\/li>\n<li>Acute anxiety and adjustment- Q24-Q31<span style=\"font-family: inherit;font-size: inherit\" data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p><b><span data-contrast=\"auto\">Access the form in English<\/span><\/b><span data-contrast=\"auto\">: <strong><a href=\"https:\/\/postpartumhealthalliance.org\/resources\/screening\/pass-assessment\/\">PASS Screener <\/a><\/strong><\/span><span data-ccp-props=\"{}\">\u00a0<\/div><\/span><span class=\"collapseomatic \" id=\"id69d48976b047d\"  tabindex=\"0\" title=\"Edinburgh Postnatal Depression Scale (EPDS)\"    >Edinburgh Postnatal Depression Scale (EPDS)<\/span><div id=\"target-id69d48976b047d\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for: <\/span><\/b><span data-contrast=\"auto\">Postpartum Depression (PPD)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages: <\/span><\/b><span data-contrast=\"auto\">16+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages: <\/span><\/b><span data-contrast=\"auto\">English, Spanish, and many other languages<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">Learn More<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The Edinburgh Postnatal Depression Scale (EPDS) was developed to assist primary care health professionals in detecting mothers suffering from postpartum depression (PPD). The EPDS may be used at six to eight weeks to screen postnatal women or during pregnancy. The child health clinic, postpartum check-up or a home visit may provide suitable opportunities for its completion.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Scoring the EPDS:<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Scores on the EPDS range from 0 \u2013 30. Response categories are scored on a scale of 0-3 according to increased severity of the symptom. Items 3 and 5-10 are reverse scored. The total score is calculated by adding together the individual scores for each of the ten items.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">EPDS Score of:\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">&lt; 13 Depression likely not indicated\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">\u2265 13 Positive screen for depression\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Responds \u201cyes\u201d to Q10 (self-harm): conduct further risk assessment<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true}\"><strong>Access the form in English: <a href=\"https:\/\/www.med.unc.edu\/ncmatters\/wp-content\/uploads\/sites\/1000\/2025\/04\/edinburghscale.pdf\">EPDS <\/a><\/strong><\/div>\n<span class=\"collapseomatic \" id=\"id69d48976b050c\"  tabindex=\"0\" title=\"Mood Disorder Questionnaire (MDQ)\"    >Mood Disorder Questionnaire (MDQ)<\/span><div id=\"target-id69d48976b050c\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for: <\/span><\/b><span data-contrast=\"auto\">Bipolar Disorder\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages: <\/span><\/b><span data-contrast=\"auto\">18+; MDQ-Adolescent 12+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages:<\/span><\/b><span data-contrast=\"none\"> English, Spanish, and multiple other languages.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Learn More<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The Mood Disorder Questionnaire (MDQ) assists in identifying bipolar disorder and distinguishing it from other mood disturbances in clinical populations. This includes bipolar I, bipolar II, and bipolar NOS.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Scoring The MDQ<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Further medical assessment for bipolar disorder is clearly warranted if patient:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"4\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Answers Yes to 7 or more of the items in Question #1 (symptom checklist)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">,\u00a0<strong>AND<\/strong><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Answers Yes to Question #2 (have several symptoms ever happened during the same period),\u00a0<strong>AND<\/strong><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Answers \u201cModerate Problem\u201d or \u201cSerious problem\u201d to Question #3<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Access the form in English: <a href=\"https:\/\/www.ohsu.edu\/sites\/default\/files\/2019-06\/cms-quality-bipolar_disorder_mdq_screener.pdf\">MDQ Screener <\/a><\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\"><\/div>\n<span class=\"collapseomatic \" id=\"id69d48976b0576\"  tabindex=\"0\" title=\"Rapid Mood Screener (RMS)\"    >Rapid Mood Screener (RMS)<\/span><div id=\"target-id69d48976b0576\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for: Bipolar I Disorder in patients with depressive symptoms<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages: 18+<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages: <\/span><\/b><span data-contrast=\"none\">English, Spanish, Chinese (Mandarin, Cantonese), French, Tagalog, and Vietnamese.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">Learn More<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The Rapid Mood Screener (RMS) is a screening tool that was developed to differentiate bipolar I disorder from major depressive disorder (MDD) in patients with depressive symptoms who have been diagnosed with MDD. <\/span><span data-contrast=\"auto\">The RMS consists of six questions that assess both depressive and manic symptoms. It can be completed in less than 2 minutes.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Scoring the RMS<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cYES\u201d responses to 4 or more of the 6 items is considered a positive screen providing high confidence for BP-I, with an estimated 88% sensitivity, 80% specificity, and 84% accuracy<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><strong>Access the form in English: <a href=\"http:\/\/howdenmedicalclinic.com\/wp-content\/uploads\/2021\/03\/RMS-scale.pdf\">RMS<\/a><\/strong><\/p>\n<p><b><span data-contrast=\"auto\">Contact <\/span><\/b><a href=\"mailto:Mehul.Patel@Allergan.com\"><b><span data-contrast=\"none\">Mehul.Patel@Allergan.com<\/span><\/b><\/a><b><span data-contrast=\"auto\"> for your preferred language<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\"> <\/div>\n<h4><span style=\"color: #330066\">Substance Use<\/span><\/h4>\n<span class=\"collapseomatic \" id=\"id69d48976b05d9\"  tabindex=\"0\" title=\"5Ps\"    >5Ps<\/span><div id=\"target-id69d48976b05d9\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for:<\/span><\/b><span data-contrast=\"auto\"> Substance use in pregnant women<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages: <\/span><\/b><span data-contrast=\"auto\">15+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages: <\/span><\/b><span data-contrast=\"auto\">English and Spanish<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Learn More<\/span><\/b> <span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The Modified 5P\u2019s assesses patient\u2019s use of alcohol or illicit drugs and risk of substance use based on parent, peer, partner, and past risk factors. This screening tool poses questions related to substance use by women\u2019s parents, peers, partner, during her pregnancy and in her past.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Scoring The 5Ps:<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Response categories are stratified into low risk, average risk, and high risk. Low risk is classified as patients who have never used alcohol or other drugs. Average risk is classified as patients who report using drugs and\/or alcohol in the past, but not since learning of their pregnancy. High risk is classified as patients who used alcohol or drugs in the past month.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Access the form in English: <a href=\"https:\/\/ilpqc.org\/wp-content\/docs\/toolkits\/MNO-OB\/5Ps-Screening-Tool-and-Follow-Up-Questions.pdf\">5Ps Screener<\/a><\/span><\/b><\/div>\n<h4><span style=\"color: #330066\">Safety<\/span><\/h4>\n<span class=\"collapseomatic \" id=\"id69d48976b064c\"  tabindex=\"0\" title=\"Ask Suicide-Screening Questions (ASQ)\"    >Ask Suicide-Screening Questions (ASQ)<\/span><div id=\"target-id69d48976b064c\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for:<\/span><\/b><span data-contrast=\"auto\"> Suicide Risk<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages: <\/span><\/b><span data-contrast=\"auto\">8+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages: <\/span><\/b><span data-contrast=\"auto\">English, Spanish, and many other languages<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Learn More<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The Ask Suicide-Screening Questions (ASQ) tool is a set of four brief suicide screening questions that takes 20 seconds to administer. Patients who screen positive for suicide risk on the ASQ should receive a brief suicide safety assessment (BSSA) conducted by a trained clinician (e.g., social worker, nurse practitioner, physician assistant, physician, or other mental health clinicians) to determine if a more comprehensive mental health evaluation is needed.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p style=\"text-align: center\"><strong>Scoring the ASQ<\/strong><\/p>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><span data-contrast=\"none\">If patient answers \u201cNo\u201d to all questions 1 through 4, screening is complete (not necessary to ask question #5). No intervention is necessary<\/span><\/p>\n<p style=\"text-align: center\"><\/div>\n<div class=\"col-lg-6 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<p style=\"text-align: center\"><span data-contrast=\"none\">If patient answers \u201cYes\u201d to any of questions 1 through 4, or refuses to answer, they are considered a positive screen. Ask question #5 to assess acuity:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">\u201cYes\u201d<\/span><\/b><span data-contrast=\"none\"> to question #5 = <\/span><b><span data-contrast=\"none\">acute positive screen<\/span><\/b><span data-contrast=\"none\"> (imminent risk identi\ufb01ed)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:&#091;9675&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"2\"><b><span data-contrast=\"none\">Patient requires a STAT safety\/full mental health evaluation. Patient cannot leave until evaluated for safety.<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:&#091;9675&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"2\"><span data-contrast=\"none\">Keep patient in sight. Remove all dangerous objects from the room. Alert physician or clinician responsible for patient\u2019s care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">\u201cNo\u201d<\/span><\/b><span data-contrast=\"none\"> to question #5 = <\/span><b><span data-contrast=\"none\">non-acute positive screen<\/span><\/b><span data-contrast=\"none\"> (potential risk identi\ufb01ed)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:&#091;9675&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"2\"><b><span data-contrast=\"none\">Patient requires a brief suicide safety assessment to determine if a full mental health evaluation is needed. If a patient (or parent\/guardian) refuses the brief assessment, this should be treated as an \u201cagainst medical advice\u201d (AMA) discharge.<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:1440,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:&#091;9675&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"2\"><span data-contrast=\"none\">Alert physician or clinician responsible for patient\u2019s care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335557856&quot;:16777215,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p><b><span data-contrast=\"auto\">Access the form in your preferred language: <\/span><\/b><a style=\"background-color: #ffffff\" href=\"https:\/\/www.nimh.nih.gov\/research\/research-conducted-at-nimh\/asq-toolkit-materials\"><span data-contrast=\"none\">ASQ Screeners<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\"> <\/div>\n<span class=\"collapseomatic \" id=\"id69d48976b09f8\"  tabindex=\"0\" title=\"P4 Screener\"    >P4 Screener<\/span><div id=\"target-id69d48976b09f8\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for: <\/span><\/b><span data-contrast=\"auto\">Suicide Risk<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages: <\/span><\/b><span data-contrast=\"auto\">16+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages: <\/span><\/b><span data-contrast=\"auto\">English and 15 other languages<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"none\">Learn More<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The P4 screener assesses suicide risk by asking about the \u201c4 P\u2019s\u201d: past suicide attempts, a plan, probability of completing suicide, and preventive factors. <\/span><span data-contrast=\"none\">The screener stratifies participants into one of three risk categories: \u2018minimal\u2019, \u2018lower\u2019, or \u2018higher\u2019<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Scoring The P4<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Minimal: the first three items are negative AND the individual lists one or more preventive factor<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Lower: Either of the first 2 items are positive, BUT the third item indicates that self-harm is \u2018Not at all likely\u2019 AND the individual lists one or more preventive factor<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Higher: Either the third item suggests some likelihood of self-harm OR the individual indicates that there are no preventive factors<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Access the form in English<\/span><\/b><b><span data-contrast=\"auto\">: <a href=\"https:\/\/ahpnetwork.com\/wp-content\/uploads\/2020\/02\/P4-Screener.pdf\">P4<\/a><\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\"> <\/div>\n<span class=\"collapseomatic \" id=\"id69d48976b0abc\"  tabindex=\"0\" title=\"Humiliation, Afraid, Rape, Kick (HARK)\"    >Humiliation, Afraid, Rape, Kick (HARK)<\/span><div id=\"target-id69d48976b0abc\" class=\"collapseomatic_content \">\n<ul>\n<li><b><span data-contrast=\"auto\">Screens for: <\/span><\/b><span data-contrast=\"auto\">Interpersonal Violence (IPV)<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Ages:<\/span><\/b><span data-contrast=\"auto\"> 17+<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><b><span data-contrast=\"auto\">Languages: <\/span><\/b><span data-contrast=\"auto\">English<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><b><span data-contrast=\"auto\">Learn More<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The HARK (Humiliation, Afraid, Rape, and Kick) was developed to assist primary care health professionals in identifying persons experiencing interpersonal violence (IPV), including emotional, sexual, and physical abuse. It has four questions that help identify individuals who have experienced IPV in the past year. The scale will not detect persons experiencing other mental health conditions like depression, anxiety, or post-traumatic stress disorder.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Scoring The HARK<\/span><\/b><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Scores on the HARK range from 0 \u2013 4. Response categories are scored on a scale of 0 \u2013 1. A score of 1 or more is indicative of a positive screen.<\/span><\/p>\n<p><strong>Access the form in English<\/strong>: <strong><a href=\"https:\/\/www.henryford.com\/-\/media\/files\/henry-ford\/hcp\/research\/hdrc\/hdrc-questionnaires\/exposure-to-violence-intimate-partner-violence-hark.pdf?rev=ab18568aec2249eeba33b2045b81f95d&amp;hash=BD50E0212BA89AC1632F8E6581105065\">HARK<\/a><\/strong><\/p>\n<p><span data-ccp-props=\"{}\"> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Browse our collection of screening forms to help providers assess potential behavioral health conditions in their perinatal patients. Providers may be able to bill insurance for completing mental health assessments. Click here to view our Billing Guide. Mood and Anxiety Disorders Substance Use Safety<\/p>\n","protected":false},"author":61261,"featured_media":0,"parent":3500,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-4519","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Screening for Perinatal Mental Health Conditions | NC Maternal Mental Health MATTERS<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/ncmatters\/provider-tools\/screening-for-perinatal-mental-health-conditions\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Screening for Perinatal Mental Health Conditions | NC Maternal Mental Health MATTERS\" \/>\n<meta property=\"og:description\" content=\"Browse our collection of screening forms to help providers assess potential behavioral health conditions in their perinatal patients. 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