You have 6 hours to respond to mom, but sooner is better. Remember what it was like for you. So try to respond to her via text in your Care Coordinator portal within 1 hour.

Positive Screen, 10 - 19 on EPDS

When a patient screens positive, 10-19 score on their EPDS, attempt to reach her a total of a minimum of:

3 times within 72 hours

You have up to 6 hours to reach out for the first time, the goal is within 1 hour.

1. We prefer the first response to be within the first hour after screening positive. For this first response, you can send a text message to introduce yourself (see below on proper protocol).

2. If she does not reply after the first attempt, reach out again 24 hours later. This time by calling her on the phone. If she does not respond to your phone call. Let the provider know and ask them if they can let the mom know you are trying to reach them.

3. Try again, 72 hours after she screened positive, this can be via text or phone. If no response on the third time, let the provider know.

4. At this point, we like to send several more texts for an additional 2 to 3 weeks with updates on support groups, a gentle reminder that you are there if they need any support and that if they ever feel they want to speak to a therapist, you are there to help.

High Screen 20 Plus on EPDS

When a mom screens high positive, 20 plus on her EPDS, attempt to reach her a total of:

3 times within 48 hours

1. You have up to 1 hour to reach out for the first time. We prefer the first response to be within 10 minutes after screening high positive. For this first response, you can text first to let her know you are going to call her on the phone. Then call on the phone to speak to her.

2. If she does not reply after the first attempt, let the provider know if they can let the mom know you are trying to reach them.

3. Try to reach them again 24 hours later, by phone and text. If no response, again, let the provider know you haven’t been able to reach them and can they help.

4. Attempt to reach out again via phone and text, 48 hours after screening. If no response on the third attempt, let the provider know.

5. At this point, we like to send several more texts for an additional 2 to 3 weeks with updates on support groups, a gentle reminder that you are there if they need any support and that if they ever feel they want to speak to a therapist, you are there to help.

Positive to Thoughts of Self-Harm (Question 10 on EPDS)

When a mom screens positive to thoughts of self-harm, positive on question 10 on the EPDS, attempt to reach her a total of:

3 times within 48 hours

1. You have up to 1 hour to reach out for the first time. We prefer the first response to be within 10 minutes after screening yes to question 10. For this first response, you can text first to let her know you are going to call her on the phone. Then call on the phone to speak to her.

2. If she does not reply after the first attempt, let the provider know if they can let the mom know you are trying to reach them.

3. Try to reach them again 24 hours later, by phone and text. If no response, again, let the provider know you haven’t been able to reach them and can they help.

4. Attempt to reach out again via phone and text, 48 hours after screening. If no response on the third attempt, let the provider know.

5. At this point, we like to send several more texts for an additional 2 to 3 weeks with updates on support groups, a gentle reminder that you are there if they need any support and that if they ever feel they want to speak to a therapist, you are there to help.