The MC3 team is thrilled to announce the addition of four new team members in recent months. 

September is Suicide Prevention Month. MC3 has gathered several notable resources to help empower providers during this month and beyond.

As MC3 continues to broaden its service offerings and capacity, the team is thrilled to announce three recent employee additions. Learn more about each of these new team members and their roles in this post.

The Eisenberg Family Depression Center (EFDC) awarded Maria Muzik, M.D., M.S., the Dr. Michael Louis Smith Scholar Award and Colloquium. Dr. Muzik is an associate professor of psychiatry and obstetrics and gynecology at the University of Michigan. She is also the co-director of the Women and Infants Mental Health Program at Michigan Medicine and medical director of the Perinatal Psychiatry Clinic, a nationally known program serving hundreds of patients annually with mental health conditions during and after pregnancy. In this role, Dr. Muzik oversees a large team of physicians, psychologists, social workers and other trainees who conduct over 500 new perinatal evaluations annually in addition to providing ongoing care. 

Dr. Muzik has shown a deeply-held commitment to supporting the mental health and wellbeing of perinatal patients since joining the University of Michigan in 2006. Outside of her work at Michigan Medicine, she has helped shape perinatal clinical care throughout the U.S. She serves as the medical director of the perinatal arm of the Michigan Clinical Consultation and Care Program (MC3) and is the co-director of Zero to Thrive, a multi-disciplinary research center and leader in perinatal, infant and early childhood mental health. Through the programs implemented by Dr. Muzik and team, thousands of adults and children across the country  have received evidence-based, trauma and diversity-informed care leading to measurable improvements in their overall wellbeing.

Read Dr. Muzik’s full biography here.

Dr. Muzik will receive a $10,000 grant to bring a visiting lecturer to the University of Michigan whose area of expertise is related to her research. The remaining portion of the grant will be used to provide support to any related academic expenses. 

The Dr. Michael Louis Smith Award and Colloquium is given annually to an EFDC member who is an M.D. or Ph.D., and is working to improve the care of those struggling with depression and related illnesses through the exploration of innovative clinical and research ideas. The award, funded by a generous gift from Edith J. and Michael L. Smith as a tribute to their son Dr. Michael Louis Smith, aims to foster impactful scholarly activity with a goal of improving clinical care. The award recipient is selected by a multidisciplinary committee, chaired by Sagar V. Parikh, M.D.

This award is part of the Eisenberg Family Depression Center’s research awards program, which will be re-launched in 2023. Please watch for announcements and updates in upcoming newsletters and online at depressioncenter.org.

We have been piloting an e-screening tool for perinatal patients in Southeast Michigan. This service allows perinatal providers to offer their patients access to free, same-day access to behavioral health consultants that will provide case management, brief therapy, and care coordination. The behavioral health consultants meet weekly with a perinatal psychiatrist who is also able to provide treatment and medication recommendations to the referring provider.

As a part of this program, we have received 216 referrals and engaged 195 women. On average, women receive five brief therapy sessions. We have found that women in the program are experiencing a reduction in symptoms of depression and anxiety. Specifically, we see a change in mental health ratings from intake (baseline) to five months post enrollment; we found a significant drop in clinical level anxiety (i.e., above cut off on GAD-7 of 10) from 49% to 18%, respectively.

Additionally, we found a significant drop in clinical level depression on PHQ-9 (i.e., above cut off PHQ-9 of 10) from 41% to 10%, respectively.

Based on patient presenting symptoms, it is estimated that 83 ER visits were avoided, and 132 connections were made to community mental health and maternal infant health programs. These numbers demonstrate the continued need for mental health support of women during this period, and also the efficacy of a remote collaborative care model. We look forward to the opportunity to continue to build on this work and support more women in Southeast Michigan.

If you are a provider in Southeast Michigan interested in learning more about these newer services, please contact us at [email protected].

From Sheila Marcus, MD, MC3 Pediatrics Director:

To our provider network,

We are sad that we need to share information and resources about how to support children and adolescents in the aftermath of the Oxford High School shooting. These resources may be useful for families that you are treating. A school shooting in Oakland County will certainly be a source of grave worry in SE Michigan, as well as intense grief for those directly impacted. It occurs during a period of time in which all of us are already struggling with high stress levels, and so will be very challenging for teens and families. Please let us know if we can be of additional help to any of you or your families at this time. 

From Sheila Marcus, MD, MC3 Pediatrics Director:

Earlier this week, the American Academy of Pediatrics (AAP), the American Academy of Child and Adolescent Psychiatry (AACAP), and the Children’s Hospital Association (CHA) declared a National State of Emergency in Children’s Mental Health. In the statement, they wrote:

“This worsening crisis in child and adolescent mental health is inextricably tied to the stress brought on by COVID-19 and the ongoing struggle for racial justice and represents an acceleration of trends observed prior to 2020. Rates of childhood mental health concerns and suicide rose steadily between 2010 and 2020 and by 2018 suicide was the second leading cause of death for youth ages 10-24.”

You can read the full statement here. 

All of us are very aware that this crisis has impacted Michigan children and adolescents and those who care for them. Emergency rooms around the state are beyond capacity and psychiatric beds are in short supply. Wait times for ambulatory services have never been longer. 

To the providers enrolled in MC3, we want to remind you that we are here to help you treat your patients with mental and behavioral health concerns. You can request a same-day consultation from one of our psychiatrists by phone or online at any time. Additionally, we offer the following:

• Telepsychiatry patient evaluations
• Live and remote trainings offered regionally and statewide
• Workflow analysis to better integrate screening, care coordination, and MC3 services
• Local and regional behavioral health resource and referral navigation
• Scheduled educational group case consultation with MC3 psychiatrist

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Thank you for the important work you are doing for your patients. Don’t hesitate to reach out to our team at any time with questions. We are here to help.

Sheila Marcus, M.D.
MC3 Pediatrics Director

We are pleased to introduce our newest Consulting Psychiatrist, Dr. Natalie Prohaska! Dr. Prohaska is a Clinical Assistant Professor of Psychiatry and Assistant Professor of Pediatrics at Michigan Medicine and is also the Medical Director of the Comprehensive Eating Disorders Program at C. S. Mott Children’s Hospital. She is an expert in treating eating disorders and is now available to provide consultations to our providers who are treating patients experiencing disordered eating.