# Psychiatry access lines for obstetric clinicians (MCPAP for Moms model) Idea · id `maternal:idea-perinatal-psychiatry-access-programmes` · Maternal & Newborn Atlas · release `c7fb95f1d15a7d13` (public) > General information from published sources, not medical advice, and not reviewed by clinicians. Check the cited source before relying on anything here. The atlas's own text and curation may be reused under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0, https://creativecommons.org/licenses/by-nc/4.0/): credit the atlas, and do not use it commercially. See the atlas About page. Text quoted from a source stays under that source's own terms, given as the source's reuse\_basis. The atlas's reuse terms do not cover it. The downloads list each quotation with its source in third\_party\_quotations. Browse, life stage: Pregnancy; Postpartum Browse, care area: Mental health ## In plain language An idea tested in Massachusetts: give obstetric clinicians access to advice from a perinatal psychiatrist, plus resource and referral help, so they can find and treat mood problems in pregnancy and after birth themselves. Programme data show that clinicians who used it more treated more mood problems, though that does not prove it caused the change. ## Technical summary The Massachusetts Child Psychiatry Access Program for Moms (MCPAP for Moms) is designed to increase clinicians' willingness to address perinatal mood disorders. Its encounters are either resource and referral contacts or psychiatric consultations, in which the programme psychiatrist advises the clinician or the patient. In a 2023 analysis of 1,006 clinicians in obstetrics and gynecology, family medicine and pediatrics, using programme data from July 2014 to June 2020, higher use was associated with more treatment of perinatal mood disorders (IRR 1.07, 95% CI 1.06 to 1.07). The analysis is an association in programme data, with no comparison group, and measures clinician behaviour, not women's outcomes (see the claim on this page). An earlier utilisation report on the programme was not used because it appeared in a journal whose content is identity only in this atlas. The recipient is the clinician in the evidence; the women served are the intended beneficiaries. ## Claims, with the population each applies to ## Context: Clinicians using the Massachusetts Child Psychiatry Access Program for Moms (2023 analysis) Recipient: Mixed recipients; Population: Clinicians in obstetrics and gynecology, family medicine and pediatrics enrolled in MCPAP for Moms (1,006 clinicians), and the pregnant and postpartum women they treat. The analysis uses programme data from July 2014 to June 2020. The outcomes are about the clinicians, not about the health of the women.; Care setting: Practices of obstetrics and gynecology, family medicine and pediatrics (abstract).; Geography: Massachusetts, United States; Life stage: Pregnancy and postpartum (women treated by the clinicians); Gestational age: Not reported; Postnatal age: Not reported; Follow-up: July 2014 to June 2020 (abstract). ### In a longitudinal analysis of 1,006 clinicians in obstetrics and gynecology, family medicine and pediatrics, using programme data from July 2014 to June 2020, higher use of MCPAP for Moms was associated with higher rates of clinicians treating perinatal mood disorders (incidence rate ratio 1.07, 95% CI 1.06 to 1.07). Psychiatric consultations were associated with more frequent treatment of these disorders than resource and referral encounters, and direct patient consultation was associated with the greatest increase in clinicians treating bipolar disorder (incidence rate ratio 2.12, 95% CI 1.82 to 2.41). - Category: Effect - Evidence stage: Observational - Certainty: Certainty not assessed - Applies to: Recipient: Mixed recipients; Population: Clinicians in obstetrics and gynecology, family medicine and pediatrics enrolled in MCPAP for Moms (1,006 clinicians), and the pregnant and postpartum women they treat. The analysis uses programme data from July 2014 to June 2020. The outcomes are about the clinicians, not about the health of the women.; Care setting: Practices of obstetrics and gynecology, family medicine and pediatrics (abstract).; Geography: Massachusetts, United States; Life stage: Pregnancy and postpartum (women treated by the clinicians); Gestational age: Not reported; Postnatal age: Not reported; Follow-up: July 2014 to June 2020 (abstract). - Limitations: Only the PubMed abstract was read. This is an association in programme data, without a randomized or matched comparison, so it does not show that the programme caused clinicians to treat more patients. The outcome is how often clinicians treated, not whether women improved. The programme is one US state's model, and its effects elsewhere are not shown. - Last checked: 2026-10-14 - Sources: 1. Supports: Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, sentence 5. Retrieved 2026-10-14T18:18:31Z. Source state: Current. Snapshot hash: 16dc608110d2125b22c3a213bc1d335066e9c2f23db0da87ac0e688f159205c1. How it applies: The participants. 2. Supports: Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, sentence 4. Retrieved 2026-10-14T18:18:31Z. Source state: Current. Snapshot hash: 16dc608110d2125b22c3a213bc1d335066e9c2f23db0da87ac0e688f159205c1. How it applies: Analysis period. 3. Supports: Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, sentence 8. Retrieved 2026-10-14T18:18:31Z. Source state: Current. Snapshot hash: 16dc608110d2125b22c3a213bc1d335066e9c2f23db0da87ac0e688f159205c1. How it applies: Association between utilization and treatment rates. 4. Supports: Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, sentence 9. Retrieved 2026-10-14T18:18:31Z. Source state: Current. Snapshot hash: 16dc608110d2125b22c3a213bc1d335066e9c2f23db0da87ac0e688f159205c1. How it applies: Psychiatric consultations versus resource and referral encounters. 5. Supports: Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, sentence 10. Retrieved 2026-10-14T18:18:31Z. Source state: Current. Snapshot hash: 16dc608110d2125b22c3a213bc1d335066e9c2f23db0da87ac0e688f159205c1. How it applies: Bipolar disorder result. 6. Background: Improving front-line clinician capacity to address depression and bipolar disorder among perinatal individuals: a longitudinal analysis of the Massachusetts Child Psychiatry Access Program (MCPAP) for Moms (Publication, edition PubMed record (abstract and bibliographic data) from NCBI E-utilities. The full text and the version of record were not fetched.) Locator: Abstract, sentence 12. Retrieved 2026-10-14T18:18:31Z. Source state: Current. Snapshot hash: 16dc608110d2125b22c3a213bc1d335066e9c2f23db0da87ac0e688f159205c1. How it applies: Authors' conclusion. ## Connected pages - Access model for perinatal depression care: Perinatal depression (mother) (`maternal:perinatal-depression`) - Filed under this front: Mental health and support (`maternal:front-mental-health-and-support`) ## Provenance Content hash: 5f9d8560a793c534949a7451a230983dede84aa4d31a73e9d9aacb6a7fb12d6f Last substantive edit: 2026-10-14 Evidence last checked: 2026-10-14