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Preventative Perinatal Psychiatric Care.

Seamless Access for OB Practices.

Our Vision

To eliminate preventable maternal mental health related morbidity and mortality by ensuring early access to specialized perinatal psychiatric care for every birthing person.

Our Mission

To provide early, collaborative, evidence-based perinatal psychiatric care—rooted in midwifery values and focused on prevention—in partnership with obstetric practices.

The PMHP Model

An integrated, preventive perinatal psychiatric care model for OB practices

The Perinatal Mental Health Partners (PMHP) model is a collaboration between perinatal mental health providers and obstetric practices. It uses universal psychiatric screening as the entry point to timely evaluation, referrals, and specialized care.

The PMHP model removes barriers to care and closes the gap between screening and treatment by integrating provider consultation, shared care planning, and accessible, insurance-based services. 

The PMHP model supports both birthing people and providers from pregnancy through postpartum. This early, collaborative, evidence-based psychiatric care is rooted in midwifery values of respect, partnership, and whole-person care, beginning at the initial OB visit.

How the PMHP Model Works (for Providers)

1. OB Screening

OB practices continue universal screening for perinatal depression and anxiety during prenatal and postpartum visits using validated tools such as the EPDS, PHQ-9, GAD-7, and PASS.

2. EMR Referral

Patients who screen positive or present identified risk factors can be referred directly to Perinatal Mental Health Partners through the electronic medical record, minimizing delays and fragmentation in care.

3. Comprehensive Evaluation & Coordinated Care

PMHP provides timely perinatal psychiatric evaluations, medication consultation and management when indicated, and coordination with evidence-based psychotherapy services. Each patient receives a personalized Birth and Postpartum Emotional Wellbeing Plan, which outlines individual risk factors and perinatal support strategies and is shared with the OB care team.

4. Interprofessional Psychiatric Support

OB providers have access to perinatal psychiatric expertise through:
  - Asynchronous eConsults for patient-specific clinical questions
  - Perinatal Mental Health Virtual Office Hours for real-time discussion of screening, risk assessment, and medication considerations

Office hours are educational and non–patient specific.

5. Ongoing Communication & Shared Care

    PMHP maintains consistent communication with OB practices to support shared care, provide clinical updates, and ensure continuity throughout pregnancy and the postpartum period within the EMR.

6. Group-Based Care (Coming Soon)

Pregnancy and postpartum group psychotherapy and medication management programs to enhance access and peer support. Practice-specific groups may be arranged upon request.

Why the PMHP Model Is Needed

Current System Failures

Fragmented referral pathways
Long waits for psychiatric evaluation
Non-specialized care
Inconsistent follow-up
Preventable perinatal psychiatric decompensation

Benefits of the PMHP Model

Standardized, early referrals

Shorter waits for evaluation

Specialized perinatal mental health care

Scheduled monitoring for health changes

Early intervention to mitigate decompensation risk

LEARN MORE ABOUT THE PMHP MODEL

PMHP Founder

Jamie Swietlikowski, MS, CNM, PMHNP, FACNM

Mental Health Midwife & Founder


Dual-trained Certified Nurse-Midwife and Psychiatric Mental Health Nurse Practitioner with advanced expertise in reproductive psychiatry.


Clinical background includes:

  • Community birth center and (high risk) tertiary obstetric care
  • Reproductive psychiatry clinic
  • Integrated perinatal mental and behavioral health programs


Why PMHP was founded:

After years in obstetric care, Jamie repeatedly identified patients at risk for perinatal mental health complications—but timely access to specialized psychiatric care was often unavailable. PMHP was created to close this gap through early, integrated, OB-aligned psychiatric care.


A former president for the Maryland chapter of the American College of Nurse Midwives, Jamie also contributes to maternal health policy and workforce initiatives across the mid-Atlantic. Her advocacy on perinatal mental health care informs the PMHP model.


PARTNER WITH US

New Partners

  • OB providers are not accountable for prescribing or managing medications.
  • No extra staffing or workflow burden is necessary.
  • Care is initiated early and is focused — we proactively intervene for patients identified as at risk, enhancing prevention and outcomes.
  • Comprehensive, midwifery-guided specialized psychiatric care bridges the gap between screening and access to evidence-based specialized perinatal mental health services.
  • Minimize the risk of perinatal mental health complications.
  • Facilitate the early identification of high-risk patients.
  • Deliver reliable, expert care to patients while maintaining a seamless workflow.
  • Integrate midwifery values with perinatal psychiatric expertise for improved outcomes and patient satisfaction.

To schedule an information session, a training, or establish a new partnership, please contact us.

Provider FAQs

Pregnant and postpartum patients who are at risk for perinatal mental health conditions may benefit from our services.

Early, preventive referral is encouraged for patients with known risk factors, even in the absence of active symptoms.

For patients:

  • Comprehensive perinatal psychiatric care


For providers:

  • Perinatal Psychiatry eConsults
  • Perinatal Mental Health Virtual Office Hours

Support is provided asynchronously via your electronic medical records system for patient-specific clinical questions.


How It Works:

  1. Submit an eConsult Request: Send a focused, patient-specific clinical question through your EMR.
  2. Specialty Review: A PMHP perinatal psychiatric provider reviews the information asynchronously and sends written recommendations addressing diagnosis, medication considerations, and next steps.
  3. Collaborative Decision Support: Guidance supports clinical decision-making while ongoing care remains with the referring provider.

    Examples of Appropriate Use:
  • Medication recommendations for a pregnant or postpartum patient with active symptoms
  • Risk–benefit considerations in complex psychiatric histories
  • Diagnostic clarification or treatment planning questions

Connect with a perinatal psychiatric provider in real time for general clinical guidance and education.


How It Works:

  1. Bring General Clinical Questions: Questions regarding best practices, screening approaches, and medication considerations.
  2. Join During Office Hours: Participate in scheduled, secure virtual sessions during designated times.
  3. Gain Clinical Insights: Receive expert perspectives to inform care decisions while retaining full responsibility for patient management.

    Examples of Appropriate Topics:
  • Selecting screening tools for perinatal anxiety or depression
  • General considerations for antidepressant use in pregnancy or lactation
  • Interpreting screening score trends at a population or practice level


Office hours are educational and non–patient specific.

The office hours schedule is provided to new partners as part of the onboarding process.

Yes. We accept most commercial and public insurance plans in Maryland.


At this time, we do not accept Kaiser Permanente Maryland or Johns Hopkins–affiliated insurance products.
Coverage varies by plan. A current list of accepted plans is available upon request.

General referrals and ongoing care:
Information shared between referring clinicians and PMHP for referral, evaluation, and treatment coordination follows standard HIPAA provisions for treatment. Separate patient authorization is not required beyond routine consent for care.

Perinatal Psychiatry eConsults:
Patient-specific information is shared only through formal eConsults completed via a secure, EMR-based workflow. Relevant clinical information may be included. Appropriate patient consent should be obtained and documented by the referring clinician in accordance with standard interprofessional consultation practices.

Perinatal Mental Health Virtual Office Hours:
Office hours are educational and non–patient specific. Identifiable patient information should not be shared, and no documentation is entered into the medical record.

Email Communication:
Email may be used for referral coordination or administrative communication, including limited patient identifiers when sent through a secure email system. Email should not be used for clinical consultation. Patient-specific clinical questions should be submitted through a formal eConsult.

Privacy and Compliance:
All patient information is handled in accordance with HIPAA and applicable privacy regulations.

Patient referrals are available to established PMHP partners to support coordinated care and secure information sharing.


Once a partnership is established:

  1. Submit a referral via your internal EMR messaging workflow.
  2. Include the patient’s name and reason for referral.
  3. PMHP will coordinate next steps, including patient outreach and communication with your practice through the shared care pathway.

    Early, preventive referral is encouraged for patients identified as being at risk, even in the absence of active symptoms.


If you have issues, contact us.

New Patients

You have been referred to PMHP by your OB provider as part of a preventive, collaborative approach to mental health care during pregnancy or postpartum.

Many people are referred to PMHP not because something is “wrong,” but to support emotional wellbeing early during a time of significant change. You do not need to be in crisis to benefit from our care.

How the PMHP Model Works (for Patients)

PMHP provides preventive mental health care in close partnership with your obstetric (OB) care team.
You do not need to be experiencing mental health symptoms to be referred—many patients are referred proactively for support to stay well.

Getting started

  • Talk with your OB provider about your emotional wellbeing during pregnancy or postpartum
  • If additional support would be helpful, your OB provider submits a referral to PMHP
  • PMHP contacts you with next steps and access to our secure patient portal
  • You self-schedule your first appointment
  • Before your visit, you’ll complete a few brief forms to customize your support
  • A PMHP provider works collaboratively with you and your OB provider throughout pregnancy and the postpartum period


Important to know

  • PMHP services are initiated through referrals from partner OB practices
    • Self-referral is not available at this time
    • Ask your OB provider whether their practice partners with PMHP

What should I expect?

Care typically begins with a comprehensive perinatal psychiatric evaluation designed to understand you as a whole person—your history, current concerns, strengths, and goals for care. Most people complete this over one to two extended visits.


From there, care is shaped collaboratively based on what you need and what feels most supportive to you.


Depending on your needs, care may include:

  • Identifying personal risk factors early and creating proactive plans to support emotional wellbeing postpartum
     (such as sleep protection, infant feeding, and relapse prevention planning)
  • Developing a shared mental health support plan with your OB team for labor, delivery, and early postpartum care
  • Individualized medication consultation and management, when appropriate
  • Referral to evidence-based psychotherapy and supportive services as needed
  • Coordination of care with your OB provider to support continuity and safety
  • Ongoing support across pregnancy, the postpartum period, pregnancy loss, fertility-related care, and other reproductive transitions


Care is collaborative, flexible, and centered on early support and prevention, with respect for your values, preferences, and lived experience.

The PMHP Approach to Care

PMHP provides perinatal mental health care that is preventive, individualized, and collaborative. Care draws on specialized training in perinatal psychiatry and is guided by a midwifery-based approach that emphasizes respect, partnership, and patient choice.


We focus on early support and planning, recognizing that emotional wellbeing during pregnancy and postpartum is shaped by biology, lived experience, relationships, and systems of care. Decisions about care—including therapy, medication, and supportive strategies—are guided by our clinical expertise and recommendations, and made by you, with respect for your values, goals, and lived experience.


Throughout care, we work in close collaboration with your OB provider to support continuity, safety, and clear communication across your care team. Our goal is to offer care that is thoughtful, respectful, and supportive—meeting you where you are and adapting as your needs change over time.

Learn more about our Patient Care Philosophy.

Patient FAQs

We provide specialized perinatal mental health care during pregnancy and the postpartum period, with a focus on early support and planning for birth and the postpartum period.


Care includes psychiatric evaluation and may include medication management when appropriate, postpartum emotional wellbeing planning, and help connecting to evidence-based psychotherapy and supportive services that fit your needs, preferences, and insurance.


Care is coordinated with your obstetric provider as part of a collaborative approach.

Yes. We accept most major commercial insurance plans and Medicaid in Maryland.

Coverage can be confirmed prior to your first visit.


At this time, we do not accept Kaiser Permanente Maryland or Johns Hopkins–affiliated insurance plans.

Appointments are scheduled after a referral from your OB provider.
Once a referral is received, PMHP will send you a secure link to create an account in our patient portal, where you can complete onboarding forms and schedule your first appointment.


If you already have a patient portal account, you can log into the PMHP Patient Portal.

Yes, we prioritize your privacy and ensure that all our services are confidential and HIPAA compliant.


To support your health and wellbeing during pregnancy and the postpartum period, we work collaboratively with your obstetric care team. Relevant information from your evaluation and ongoing care may be shared with your OB provider to promote safe, coordinated care and support the best possible outcomes for you and your pregnancy.

PMHP does not provide emergency or crisis services. If you are experiencing a mental health crisis or feel unsafe, please seek immediate support.


You can contact:
988 Suicide & Crisis Lifeline — call or text 988
National Maternal Mental Health Hotline — 1-833-TLC-MAMA (1-833-852-6262)
Maryland Healthy New Moms — 1-833-9-HELP4MOMS

If you are in immediate danger, call 911 or go to the nearest emergency department.