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.
18 years old or older
Pregnant (or recently have given birth) at any gestational age
Must have experienced at least one adverse pregnancy outcome
Admitted for an extended inpatient stay
Under 18 years old
Not currently pregnant or past one year postpartum
Not experienced at least one adverse pregnancy outcome
Not admitted for an extended inpatient stay at RMT
Indiana University
Lead sponsor