With so much current attention being placed on screening practices, it’s interesting to take note of what’s working and what isn’t working. A recent (May, 2009) study published by BJOG, An International Journal of Obstetrics and Gynecology is titled: “Is it clinically and cost effective to screen for postnatal depression: a systematic review of controlled clinical trials and economic evidence.”

Clinicians who are interested in program development or private practice should take note that although the formal screening practices (Edinburgh) did seem to be associated in lower EPDS scores, the authors note it is unclear what is a result of the screening component and what was resulting from the “enhanced care” and other interventions because of the positive EPDS screen.

We’ve noticed this is our clinical work, that screening is only as effective as the “screener”, the environment and actions that both precede and follow the screening itself.

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