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| Photo by Chutze Chou |
(Boston Orange綜合報導)麻州州長奚莉(Maura Healey)9月15日宣佈,將追加225萬元預算,加強麻州對孕婦產後及心理健康的照顧,擴大辦理護士免費到府訪視,強化專業醫療諮詢與修訂篩檢法規,以提早發現並協助處理孕產婦心理健康問題。
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| Photo by Chutze Chou |
奚莉州長在貝斯以色列女執事醫療中心(Beth Israel Deaconess Medical Center)公佈的這新措施,旨在預防重於治療。
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| Photo by Chutze Chou |
麻州每年約有6.8萬名新生兒,目前公共衛生局(Department of Public Health, DPH)免費且自願性的「歡迎家庭」(Welcome Family)計劃,每年僅約3,000名新生兒使用這服務。奚莉提案撥款200多萬美元,要普及全州的讓所有新手父母都得到專業護士到府訪視的服務。護士將協助新手母親哺育,指導照顧新生嬰兒方法、執行心理健康與物質濫用篩檢,並提供社福轉介與電話追蹤。
從2025年該計劃實施後,麻州共篩檢1,620人,查出208例產後憂鬱陽性個案,並成功轉介服務。
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| Photo by Chutze Chou |
心理衛生局(Department of Mental Health, DMH)旗下「麻州兒童精神病學諮詢計劃—媽媽專案」(MCPAP for Moms)將獲25萬美元撥款,用以追蹤全州產後精神病數據、成立臨床教育團隊,並向醫療人員與大眾推廣早期警訊教育,協助醫師即時聯繫專家與進行轉介。
DPH將更新州法,把篩檢範圍從傳統的產後憂鬱擴大至孕期與產後的焦慮症等全方位心理疾患,並增加婦產科、小兒科及家庭醫師等多重時機點篩檢。
麻州副州長Kim Driscoll與衛生與人民服務廳廳長馬哈尼亞(Dr. Kiame Mahaniah)強調,這政策旨在讓家長獲得在地支援,銜接麻州政府過往延長 MassHealth 醫療保險至產後12個月及擴大陪產員(doula)服務等政策。
若民眾需要即時且免費的心理健康支援,可撥打麻州行為健康協助專線:833-773-2445。
Governor Healey Announces New Actions to Strengthen Maternal Mental Health and Postpartum Care
Actions focus on earlier screening, expanded home visits and stronger connections to care
BOSTON – Governor Maura Healey today announced new measures to strengthen postpartum care and mental health support for mothers and families across Massachusetts, with a focus on reaching people earlier, making support easier to access and helping providers connect patients to care when they need it.
Governor Healey is proposing $2 million to provide universal access to the Department of Public Health’s Welcome Family home visiting program statewide and $250,000 to strengthen the Department of Mental Health’s Massachusetts Child Psychiatry Access Program for Moms, known as MCPAP for Moms. The funding will be included in an upcoming supplemental budget. DPH will also update state regulations to strengthen screening for perinatal mood and anxiety disorders and help providers identify concerns earlier.
“Becoming a mother is a profound life change, and every parent deserves support—not just during pregnancy, but in the months that follow,” said Governor Maura Healey. “Postpartum depression, anxiety and other maternal mental health conditions are real medical conditions, and no mother should feel ashamed to ask for help or feel like she has to navigate this journey alone. We’re working to expand postpartum care, identify concerns earlier and connect families to the mental health support they need, because taking care of moms means taking care of the whole family.”
“We’re strengthening the system around new parents so that no matter where they turn for care, there’s someone who knows what to look for and how to help,” said Lieutenant Governor Kim Driscoll. “By expanding home visits, improving screening and giving providers more tools, we can help mothers get connected to the care they need sooner and closer to home.”
“It’s hard to emphasize how crucial the first few months of life are, for a child, a family and for the community. Massachusetts has some of the best maternal health outcomes in the country, but there’s more work to be done to make sure families are connected to the services they need, and feel concretely the supportive love of their community,” said Health and Human Services Secretary Dr. Kiame Mahaniah. “Under Governor Healey’s leadership, the Department of Mental Health and Department of Public Health will now be able to expand their reach, help more moms, and make sure every parent knows they are not alone in confronting the many challenges of early parenthood.”
Expanding Postpartum Support at Home
Governor Healey is proposing $2 million to expand Welcome Family, a voluntary and free home visiting program that supports parents and caregivers in the weeks after a baby is born.
Welcome Family currently serves approximately 3,000 births each year. The additional funding would give every parent and caregiver in the postpartum period across the state the opportunity to have a home visit, following Massachusetts’ approximately 68,000 annual births.
Through the program, an experienced maternal and child health nurse visits a family’s home following the birth of a child to check on both the caregiver and baby, answer questions and connect the family with additional support when needed. The service is available regardless of age, income or other eligibility criteria.
During a visit, nurses can help with breastfeeding and newborn care, screen for mental health concerns and substance use, connect families with health care and social supports, and provide referrals for needs including domestic violence, food access and other community resources. Nurses follow up with caregivers by phone two to three weeks later to make sure they were able to connect with services, address barriers and provide additional support.
In 2025, Welcome Family offered 1,620 postpartum depression screenings. Of those, 208 screened positive, and every person who screened positive received a referral to services.
Helping Providers Recognize Concerns Earlier
Governor Healey is also proposing $250,000 to strengthen MCPAP for Moms, a Department of Mental Health program that helps health care providers prevent, identify and treat mental health and substance use concerns during pregnancy and the postpartum period.
MCPAP for Moms gives obstetricians, pediatricians, primary care providers, psychiatrists and other clinicians real-time access to specialists in perinatal mental health, along with care coordination and training.
The additional funding would allow the program to:
• Track postpartum psychosis data across Massachusetts to improve understanding and clinical response;
• Create a clinical education team to help mental health providers recognize and manage perinatal behavioral health concerns; and
• Expand education for mothers, families and providers about the early warning signs of postpartum psychosis and when to seek help.
The goal is to make sure providers are better equipped to recognize serious concerns and help mothers get connected to appropriate care as quickly as possible.
Strengthening Screening and Connections to Care
DPH will also take steps to strengthen mental health screening during pregnancy and after a baby is born, so that concerns can be identified earlier and families can get help sooner.
Right now, state regulations are largely focused on postpartum depression. The updated regulations will reflect the broader range of mental health conditions that can affect people during pregnancy and after giving birth, including anxiety and other serious conditions. They will also create more opportunities for screening across different points of care.
This means a mother will have more chances to be asked how she is doing, whether she is seeing her OB-GYN, primary care provider, pediatrician or another health care professional. The goal is to make sure warning signs are not missed and that, when someone is struggling, their provider knows how to connect them with the right care.
DPH will also issue updated guidance to health care providers on what to look for, how to respond when there are concerns and how to connect patients with treatment and support.
The actions announced today also build on Governor Healey’s broader work to improve maternal health and strengthen support for families. Since taking office, the Healey-Driscoll Administration has extended continuous MassHealth coverage through 12 months postpartum, expanded access to doula services, strengthened postpartum mental health screening requirements and supported health care providers through MCPAP for Moms.
Together, these efforts are focused on making sure mothers are supported throughout pregnancy, childbirth and the months that follow, and that families know where to turn when they need help.
If you - or a loved one - is struggling, you can be connected to immediate, free, and confidential mental health support in Massachusetts by contacting the Massachusetts Behavioral Health Help Line at 833-773-2445.