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Drill Kit

Postpartum Mental Health Crisis

Introduction

Step Up Together Drill Implementation Toolkits support interdisciplinary clinical teams to run emergency drills involving transfer of care.

Each toolkit can be used to run a Full Transfer Drill that begins in the community, travels by ambulance or private vehicle, and ends in the hospital or to run just one segment of the drill (e.g. before transfer or after hospital hand-off). The toolkit includes a standardized high-fidelity case designed to test the process of transferring a postpartum person from one location to another with an interdisciplinary team involved in the care. Observation criteria and a Debriefing and Action Guide are provided to elicit continuous improvement of transfer processes and respectful care along the continuum.

Drill Description

This Drill Kit tests the emergency response to a postpartum mental health crisis occurring in an outpatient care setting including urgent transport of a postpartum client either by EMS or private vehicle to the Emergency Department.  

It is appropriate for:

  • Home birth practices
  • Birth centers
  • Outpatient care facilities
  • Urgent care centers
  • Critical access hospitals without OB services
  • Other facilities or units requiring patient transport for emergency surgery (e.g. emergency department)

And may further engage:

  • EMS or other emergency transport partners, if appropriate
  • Emergency Department, Neonatologist, and other relevant units at the referral hospital

To test the process of:

  • Outpatient Emergency Transfer

Learning Objectives:

  • Identify and respond to a postpartum mental health crisis in the community setting
  • Utilize appropriate tools and referrals for assessing perinatal mental health
  • Identify and respond to social and clinical risk factors for perinatal mood disorders
  • Review ways to promote person-focused care during emergencies
  • Use debriefing skills to promote equity and ensure integration of individual and collective learning
Publish Data

Authored by:

Jennifer Johnson, MS, CNM

Reviewed by:

Alexa Dougherty, MSN, PHN, CNM
Deborah Flam, M.A., LPC, PMH-C
Amy Romano, MBA, MSN, CNM, FACNM
Laura Winters, LCSW, PMH-C

Last updated: December 2024


Will you be coordinating a partial or full transfer drill?

Set up for the Step Up Together drills depends on whether you plan to run a Partial Transfer Drill or a Full Transfer Drill. Select which type of drill you will be coordinating and follow the instructions in the following sections.

Need help deciding which type of drill to run? Watch our video on Running Full or Partial Transfer Drills.

Partial Transfer Drill


What is it?

An emergency drill of a clinical scenario that requires transfer, but participants are only practicing part of the scenario: either the part that happens in the community before hospitalization, or the arrival at the hospital and post-transfer management.

Who's involved?

Minimum of two individuals from a practice, up to the full practice/facility, with or without collaborating partners present.

Planning Needs

Can be impromptu with a small group or scheduled in advance at regular times, for which participation should be compensated.

Full Transfer Drill


What is it?

An emergency drill of a clinical scenario that requires transfer and participants practice all phases of the transfer: care in the community, emergency transport, and arrival and management at the hospital.

Who's involved?

Full practice/facility team from the community birth setting, plus transport and hospital personnel.

Planning Needs

Requires coordination and advanced planning with community practice, EMS, and hospital teams. Compensate for time to participate.


Sign up to coordinate this drill.

Access everything you need to run a Postpartum Mental Health Crisis drill.