Indirect psychiatric consultation for perinatal bipolar disorder: A scoping review.

摘要: Abstract Objective To synthesize the literature and develop guidance on supports needed for primary care perinatal providers in screening, initial management, triage, bridging treatment bipolar disorder. Methods We conducted a scoping review by searching six electronic databases using keywords related to summarized descriptive statistics settings extracted information approaches. synthesized indirect models data follow-up, referrals, management. Results 1169 articles were retrieved. 51 included after review. Most papers reviews. Fewer addressed obstetric (n = 20, 39%), (n = 10, 20%), pediatric (n = 2, 4%). (n = 30, 59%) discussed screening instruments Articles mixed recommendations disorder screening. Conclusions Varied strategies structured assessment exist are influenced practice setting. There remains uncertainty about optimal management of recommend period select circumstances (with depression known risk factors, prior starting antidepressants). If specialty mental health is unavailable, we enhancing usual through integrated such as consultation.