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Postpartum depression is a common public health problem with serious and lasting consequences for mother and child, especially among low-income women. Maternal mental health is a critical component of perinatal care and maternal safety. We are pleased to announce that we can offer free training and technical support in an evidence-based program that has been shown to reduce cases of postpartum depression by half among low-income women in a series of randomized control trials.

The ROSE Program (Reach Out, Stay Strong, Essentials for mothers of newborns) is an empirically-validated prevention intervention for postpartum depression. The ROSE Program has been specifically cited in the new U.S. Preventive Services Task Force recommendation regarding the prevention of perinatal depression, as well as in the New York Times.

ROSE is an educational class provided during pregnancy in settings that provide health care to low-income pregnant women. We have received funding from the National Institute of Health (NIH) to help clinics/agencies that serve low-income pregnant women learn and use ROSE as part of their routine care. ROSE is highly structured, easy to learn and can be delivered in both Spanish and English. It does not require a mental health professional to deliver it. Nurses, health educators, paraprofessionals, home visitors, and others can successfully provide ROSE.

The goal of the NIH funded study is to find out what kind of technical assistance clinics need to sustain ROSE over time.

The team of researchers from Michigan State University and Brown University will provide your clinic/s with the following:

  • Free initial training for evidence-based postpartum prevention intervention and tools for sustainability, including technical assistance on implementing, such as billing, staffing, etc.
  • Free program that includes the ROSE manual, a workbook with handouts, and an interventionist’s guide
  • Free assistance with challenging issues related to delivery or participants’ responses
  • Training and assistance are provided via distance technology, making scheduling less complicated

Clinical psychologists Dr. Jennifer Johnson of Michigan State University College of Human Medicine ( and Dr. Caron Zlotnick of Brown University, Butler Hospital, and Women and Infants Hospital ( lead the ROSES Study. Clinics interested in participating in getting free training in ROSE may contact us at

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