Text-Based Screening for Postpartum Mental Health & Substance Use Disorders

This trial aims to determine if text message screenings for mental health and substance use issues are more effective than traditional in-person screenings for pregnant women. Participants will either receive the usual face-to-face assessment or a new approach called "Listening to Women & Postpartum People," which uses text messages to identify issues like depression, anxiety, or substance use and refer them to treatment. The trial seeks individuals who are pregnant, have started prenatal care at MUSC clinics, and have attended a prenatal appointment there.

As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance mental health screening for pregnant women.

The trial information does not specify whether you need to stop taking your current medications. It seems focused on screening and referral through text messages, so it's unlikely that you would need to change your medication routine.

Research has shown that the Listening to Women and Pregnant and Postpartum People (LTWP) program supports new and expecting mothers facing mental health and substance use challenges. The program uses text messages to check in and connect individuals with treatment. No evidence suggests that this method causes harm or negative side effects. Since the program relies on text messages for screening, it is generally considered safe. The aim is to offer support without adding stress to participants. Safety remains high because it involves communication rather than medication or medical procedures.¹²³⁴⁵

Researchers are excited about this trial because it explores a new protocol for screening postpartum mental health and substance use disorders using text-message-based surveys. Unlike traditional in-person screenings, this approach offers a more accessible and convenient option for new mothers, who may find it challenging to attend appointments due to time constraints and childcare responsibilities. The text-based method could potentially increase early detection and intervention rates by reaching more individuals in a timely manner. Additionally, this protocol includes phone-based assessments and referrals, ensuring that those in need receive the appropriate follow-up care.

Research has shown that the "Listening to Women and Pregnant and Postpartum People" (LTWP) program, which participants in this trial may receive, can effectively identify and assist individuals with mental health and substance use issues. One study found that using text messages and phone calls for screening improved attendance and participation in treatment programs compared to older methods. This approach addresses problems like depression, anxiety, and substance abuse by facilitating access to help through digital communication. Participants in that program were more engaged in their treatment, suggesting this method could be a promising way to support recovery from mental health and substance use challenges.¹²⁶⁷⁸