The care of women in life stages related to childbirth (pregnancy, postpartum, lactation) poses unique challenges and risks for psychiatrists. The adverse effects of untreated maternal mental disorders such as perinatal depression on fetal and infant development are significant such as low birth weight and pre-eclampsia. Fetal and/or infant exposure to psychotropic medications is a major concern for psychiatrists and patients due to the possibility of major congenital malformations or other long-term developmental problems in children. The use of neuromodulation therapies in this patient population is also growing and offers some advantages such as possible lessened need for psychotropic exposure, but with unknown long-term risks. Obtaining timely, relevant, and evidence-based information in a rapid and easily understandable format is critical for both psychiatrists and patients. Developing strategies for ensuring safe and quality care as well as mitigating any practice risks is key. The presenters are psychiatrists with decades of experience in the practice of women’s mental health and neuromodulation (electroconvulsive therapy and transcranial magnetic stimulation) and experts in risk management who will review foundational knowledge and relevant cases from their practice to illustrate quality and safe women’s mental health care. Participants will discuss relevant cases with colleagues and debate best practices. Sound risk management strategies including the ABCDEs and the 3 Cs will be reviewed. Helpful resources including online and literature references for the practicing psychiatrist and residents/fellows will be provided and demonstrated.

Format

Recorded webinar, non-interactive, self-paced distance learning activity.

This presentation was recorded at the American Psychiatric Association Annual Meeting 2022.

Learning Objectives

• Discuss relevant cases common in women’s mental health care practice
• Review foundational knowledge required for safe and quality care of women who are pregnant, postpartum, or lactating
• Locate reliable and expert online resources and literature regarding women’s mental health care concerns (e.g. psychopharmacology, neuromodulation) for clinician and patient education
• Demonstrate sound risk management strategies in caring for women who are pregnant, or lactating

Target Audience

Psychiatrists

Estimated Time to Complete

Estimated Duration: 75 minutes
Begin Date: March 1, 2023
End Date: March 1, 2026

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course including the evaluation. A multiple choice quiz is provided based on the content. A passing score of 60% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the event date and hours earned.

Continuing Education Credit

In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

The APA designates this enduring activity for a maximum of 1.25 AMA PRA Category 1 Credit ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Program Presenters

• Jacqueline Hobbs, MD, PhD, UF Department of Psychiatry. Reports no financial relationships with commercial interests.
• Richard Holbert, MD, Medical Director, UF Health Shands Psychiatric Hospital. Reports no financial relationships with commercial interests.
• Donna Vanderpool, MD. Reports no financial relationships with commercial interests.
• Lauren Schmidt, MD, Assistant Professor. Reports no financial relationships with commercial interests.

Program Planners

• Jacqueline Maus Feldman, M.D., Chairperson, Scientific Program Committee, Reports no financial relationships with commercial interests.
• Robert O. Cotes, M.D., Vice-Chairperson, Scientific Program Committee, Reports no financial relationships with commercial interests. 
• Uchenna Okeye, M.D., Vice-Chairperson, Scientific Program Committee, Reports no financial relationships with commercial interests. 

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact learningcenter@psych.org for technical assistance