Primary caregiver well-being
ideation, anxiety, opioid dependency, depression, Depression
The research team will assess primary caregiver well-being (e.g., parenting stress, attachment, and bonding, depression, anxiety) during the follow-up portion of the study. Primary caregiver well-being will be assessed via the five PROMIS Measures and MPAQ questionnaires. It is possible that these questionnaires may reveal that the primary caregiver is experiencing psychological distress potentially requiring support. Mothers who have exposure to opioids during pregnancy may be vulnerable to suicidal ideation.The study team has determined that a standardized scoring threshold for the PROMIS Depression Measure will be used to identify these individuals. As thresholds specific to postpartum women with opioid dependency have yet to be established and given that severe depression (a If a primary caregiver has a We will train all personnel who administer the PROMIS Measures and MPAQ for appropriate responses if the caregiver expresses suicidal thoughts. This training will include additional questions to gauge the severity of the situation. We will require each hospital to develop a safety plan to provide the research team member immediate access to the Principal Investigator, designee, or other qualified individuals for further evaluation and direction. If there is an immediate concern by the research team member, knowledge of how to access local emergency responses will be available.