MOCHA: Embedded Inpatient Mental Health Care for High-Risk Perinatal Patients

NOT YET RECRUITING

NCT07540585

Sponsor: Indiana University

Summary

Pregnant and postpartum patients hospitalized for medical complications experience high rates of depression, anxiety, and trauma-related symptoms, yet access to timely psychiatric care during obstetric hospitalization is limited. Project MOCHA integrates early mental health screening, trauma-informed psychotherapy, and structured follow-up into routine inpatient maternity care for individuals at elevated clinical risk. This single-arm implementation study examines the feasibility, acceptability, and fidelity of delivering a Collaborative Mental Health Care Program within a high-risk obstetric inpatient setting. The program includes brief inpatient psychotherapy, symptom monitoring, and post-discharge follow-up over three months. Preliminary changes in depression, anxiety, attention-deficit hyperactivity disorder, and posttraumatic stress symptoms will be assessed to inform future effectiveness trials and broader health system integration.

Official title: MOCHA Protocol: Embedded Inpatient Mental Health Care for High-Risk Perinatal Patients

Key Details

Gender

FEMALE

Age Range

18 Years - 100 Years

Study Type

OBSERVATIONAL

Enrollment

50

Start Date

2026-06-01

Completion Date

2027-06-01

Last Updated

2026-04-20

Healthy Volunteers

No

Conditions

Anxiety Disorders Stress Disorders, Post-Traumatic Pregnancy, High Risk Depressive Disorder, Major Pregnancy Complications ADHD - Attention Deficit Disorder With Hyperactivity

Interventions

BEHAVIORAL

Collaborative Mental Health Care Program (CMHCP)

The CMHCP intervention provides mental health support to pregnant and postpartum patients hospitalized for medical complications on a high-risk obstetric unit. After enrollment, participants complete a brief mental health questionnaire. During their hospital stay, participants may receive brief individual therapy sessions delivered in person and adapted to medical needs and length of stay. Therapy uses trauma-informed strategies to support emotional well-being. Participants complete short symptom check-ins during hospitalization, and some may receive optional telehealth sessions if additional support is needed. Participants are contacted about three months after discharge for follow-up to assess mental health symptoms and well-being.

Locations (1)

Riley Hospital for Children at Indiana University Health

Indianapolis, Indiana, United States

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