Our adaptation, Brief Interpersonal Psychotherapy for Pregnant Adolescents (IPT-BPA), aims to treat depression in low-income pregnant adolescents and to decrease risk of postpartum depression and associated negative maternal and child outcomes
. We did not pursue a culturally specific approach because pregnant adolescents typically seek care in multicultural settings such as public health clinics. Culturally specific interventions are difficult to apply in multicultural settings with evolving demographic
To address the range of confounding needs, IPT-BPA includes case manage- ment services
all participants are provided with a localized resource list of agencies and programs offering support based on common needs of low-income adolescent mothers.
Throughout treatment case management was offered when requested or when an identified need emerged in treatment. The level of support was individualized to meet the current need of the mother based on her level of depressive symptoms.
functioning is severely impacted
depressive symptoms begin to improve
Case management typically occurred at either the beginning or end of therapy sessions
We reasoned that both the familiar location in a medical/social service setting and the program introduction by clinic staff would increase treatment acceptability and reduce stigma associated with psychiatric treatment.
a) decrease depressive symptoms before the infant’s birth, (b) increase maternal social support and interpersonal skills, (c) identify social and material resources for healthy pregnancy and the new maternal role, and (d) prevent postpartum depression.
within one week
perception of pregnancy
nine individual one-hour sessions. Although weekly sessions are ideal, we allowed participants up to 18 weeks to complete
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