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Maternal & Perinatal Program
Pediatric Program

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- About Us
Maternal & Perinatal Program
Pediatric Program

Forms & Screening Tools

Screening Tools

Edinburgh Postnatal Depression Scale (EPDS)

EPDS English
EPDS Spanish
EPDS Other Languages

Patient Health Questionnaire (PHQ-9)

PHQ-9 English
PHQ-9 Spanish
PHQ-9 Haitian/Creole

Generalized Anxiety Disorder Assessment (GAD-7)

GAD-7 English
GAD-7 Spanish

NIH NIDA Quick Screen for Substance Use

Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS)

5 P’s for Substance Abuse

IHR Integrated 5 P’s Screening Tool
5 P’s Prenatal Screening Tool
Combined EPDS and 5 P’s Example

Abuse Assessment Screen

Abuse Assessment Screen English
Abuse Assessment Screen Spanish

This website is not meant to diagnose or prescribe treatment nor is it monitored 24/7 by healthcare professionals. If you feel that you need help managing your emotional stress and mental health, please contact your healthcare provider for additional assistance. If this is a medical or psychiatric emergency, please contact emergency services by dialing 9-1-1 on your phone.

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