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.
Inclusion Criteria
- 18 years old or older
- Pregnant (or recently have given birth) at any gestational age
- Must have experienced at least one adverse pregnancy outcome
- Admitted for an extended inpatient stay
- English speaking
Exclusion Criteria
- Under 18 years old
- Not currently pregnant or past one year postpartum
- Not experienced at least one adverse pregnancy outcome
- Not admitted for an extended inpatient stay at RMT