Skip to content

Perinatal program design, provider training, and expert commentary

The most common complication of childbirth is the one no one is trained to see.

Bloom is the consulting practice of Lisa Tremayne, RN, PMH-C, CBC — the nurse who built New Jersey’s first Center for Perinatal Mood and Anxiety Disorders and helped develop the first universal maternal screening program in the country. We help health systems, practices, and clinicians build perinatal mental health services that work, and we explain this illness to the public in plain language.

How we work Start a conversation

Every engagement starts with a 30-minute call. No cost, and no proposal on that call.

What we do

Four ways to work with Bloom.

Every engagement starts with a conversation about what you are actually trying to build and what you have to spend. The figures below are starting points, not quotes.

For OB, pediatric, midwifery and doula practices

Recognize

You will never treat these patients, and you do not need to. You need to screen correctly, understand what you are looking at, and know exactly where to send someone. This is the starting point for most practices.

  • Screening protocol with written thresholds and an action at each one
  • Escalation card — what to do when a score comes back high
  • Staff training session on recognizing perinatal mood and anxiety disorders
  • Referral pathway built around what actually exists near you

Fixed fee. Scoped on the first call.

Talk to us →
For practices with therapy or prescribing

Respond

You can already treat this population. What is usually missing is the structure around it: what happens at a score of 14 versus 22, who takes the call at midnight, and what gets measured.

  • Clinical pathway from intake through discharge
  • Risk and escalation protocol, including psychosis and infant-harm ideation
  • After-hours coverage model that is not one person’s mobile number
  • Provider training and a route to perinatal certification
  • Follow-up schedule through the first postpartum year
  • The measurement set, from day one

Fixed fee, deliverable-based. Typically eight to ten weeks.

Talk to us →
For health systems and dedicated centers

Build

A service line, not a service. This is the work of standing up a perinatal mental health center inside an existing system — the version Lisa has already done once, and the reimbursement questions that stall most programs before they open.

  • Everything in Respond
  • Staffing model and service line design
  • Payer mapping — what bills, what does not, and what needs philanthropy
  • Peer support build and facilitator training
  • Referral engine: hospitals, OB practices, pediatrics, community
  • Launch plan and outcome reporting

Phased. Discovery is priced separately and comes first.

Talk to us →
For programs already built

Sustain

A program that is never looked at again drifts. We come back, work through the same checklist you were given at the start, and tell you the truth about what is holding and what is not.

  • One to two days on site, against a published checklist
  • Written audit report and remediation list
  • Refresher training for staff hired since launch
  • Support on grant applications and outcome reporting
  • Annual renewal

Annual. Day rate plus travel.

Talk to us →
Track record

Programs we have built.

Not talks given. Programs that opened, took patients, and are still running.

Monmouth Medical Center RWJBarnabas Health · Long Branch, New Jersey

New Jersey’s first Center for Perinatal Mood and Anxiety Disorders

Designed and directed from the ground up: integrated therapy, medication management, peer support, group programming, and a defined escalation pathway. It remains the only designated intensive outpatient perinatal psychiatric program in New Jersey, and one of roughly eleven in the United States.

Open since 2017 · roughly 340 patients a month · 18 staff
State of New Jersey Statewide · 2005

The first universal perinatal screening program in the country

Co-developed the screening program for prenatal and postpartum depression that New Jersey adopted statewide — the first of its kind in the nation, and the template a number of other states worked from.

Adopted statewide · first in the nation
Center outcomes Internal quality improvement data

What the model produced

Mean Edinburgh Postnatal Depression Scale scores fell from 17.03 at intake to 9.15 after one month of services — from the range requiring attention to low-moderate risk. Monthly visits grew from 39 in the opening month to over 300 within two years, and the program moved from a first-year operating loss to a contribution margin of roughly $48,000 in year two.

Clinically effective and financially sustainable
Maternal Mental Health Coalition Washington, D.C. · 2015

Federal appropriations for perinatal mental health

Led the New Jersey lobbying effort on behalf of the national coalition working to bring postpartum depression out of the shadows, in support of federal appropriations for screening and treatment resources.

$5 million appropriated for PMAD screening and resources
Plain language

What these illnesses actually are.

These are different conditions with different symptoms, different timelines, and different levels of urgency, and they get collapsed into one word constantly.

1 in 5 birthing parents experience a perinatal mental health condition

It is the most common complication of childbirth — more common than gestational diabetes or preeclampsia — and it is the one least likely to be screened for consistently.

1–2 in 1,000 experience postpartum psychosis

A different and far rarer condition than postpartum depression. Onset is usually sudden and within the first weeks after birth. It can involve confusion, agitation, sleeplessness, and beliefs or perceptions that are not real, and it can fluctuate hour to hour. It is a psychiatric emergency and it is treatable.

Under 20% of those with symptoms receive treatment

Stigma is part of it. So is a system where the person most likely to notice — a nurse, a pediatrician, a lactation consultant, a family member — was never taught what to look for or what to do next.

For producers and bookers

Everything you need to introduce her, ready to copy.

Take what you need. If you want something written differently for your segment, ask and it will be rewritten.

Lisa Tremayne
Headshot — download
Name & lower third

Lisa Tremayne, RN, PMH-C, CBC — Perinatal Mental Health Specialist

One-line intro

Lisa Tremayne is a registered nurse and certified perinatal mental health specialist who founded New Jersey’s first center dedicated to perinatal mood and anxiety disorders.

Full bio

Lisa Tremayne, RN, PMH-C, CBC, is a perinatal mental health specialist and a survivor of perinatal mood and anxiety disorders. In 2005 she helped develop New Jersey’s universal screening program for prenatal and postpartum depression, the first in the nation. She then created and directed New Jersey’s first Center for Perinatal Mood and Anxiety Disorders, providing integrated therapy, medication management, and peer support to new and expecting parents — the only designated intensive outpatient perinatal psychiatric program in the state. She teaches perinatal mental health to clinicians nationally, has presented at the National Perinatal Association and the NEI Fall Congress, and serves on advisory bodies including the Maternity Care Caucus stakeholder group and PCORI-funded research teams.

Standing quote

“Postpartum psychosis is rare, it is a medical emergency, and it is treatable when someone recognizes it. Almost no one is taught to recognize it. That is the gap that keeps families in danger.”

What she will and won’t speak to.
Lisa speaks to perinatal mental illness generally: what these conditions are, how they present, how they are screened for and treated, and where the standard of care fails. She does not diagnose, assess, or speculate about any individual she has not personally treated, and she does not comment on the facts or the outcome of any active or pending case. Producers working a live case can book her without risk to the record. To book, text Shannon Hayes at 970-219-0719 — same-day and short-notice turnaround available.
On the record

Talks, training, and press.

Aug 2026 Podcast Defense Diaries Postpartum psychosis: what the diagnosis actually involves Second appearance with Bob Motta and Ali Vega, walking through how postpartum psychosis presents clinically, how it differs from postpartum depression, and why it is so often missed. Open → Aug 2026 Podcast Defense Diaries Perinatal mood and anxiety disorders — clinical background Invited to give the clinical context behind a case where postpartum psychosis is central to the defense. Open → Interview Broadcast NJ Spotlight News Treating perinatal mental health challenges On the state of perinatal mental health care in New Jersey and what a dedicated center makes possible. Open → Nov 2024 Conference NEI Fall Congress Perinatal Mood and Anxiety Disorders Presented at the Neuroscience Education Institute’s 20th annual congress at The Broadmoor in Colorado Springs — the country’s flagship psychopharmacology meeting for prescribing clinicians. Open → Ongoing Training PESI Women’s Mental Health Specialist Certificate — perinatal faculty One of thirteen faculty on PESI’s 31-hour certificate course for therapists, teaching the section on pregnancy and postpartum: baby blues through postpartum psychosis, screening tools, and how to read the results. Open → Mar 2017 Conference National Perinatal Association Closing presenter, 38th Annual Conference — Atlanta Selected from a national pool to close the NPA’s annual conference on perinatal mental health, presenting Monmouth Medical Center’s model of care. Written up in Neonatology Today’s conference summary. Open → Mar 2017 Press Patch Monmouth Medical Center nurse selected to present at national conference Open →
Appointments & advisory roles

Where the work has been done.

Research teams, federal stakeholder groups, professional training bodies, and one piece of federal legislation.

Opening of the Center for Perinatal Mood and Anxiety Disorders, Monmouth Medical Center.
Opening of the Center for Perinatal Mood and Anxiety Disorders, Monmouth Medical Center.
PCORI — Comparative Effectiveness of Perinatal Psychiatry Access Programs Member 2020 – Present
Advancing Health Equity Subject matter expert · Monmouth Medical Center 2020 – Present
Maternity Care Caucus Stakeholders, 117th Congress Member 2019 – Present
Postpartum Support International Northeast training expert · Provider certification training 2018 – Present
Sage Therapeutics Advocacy advisory team 2018 – Present
Central Jersey Family Health Consortium Member 2005 – Present
Maternal Mental Health Research Collaborative Patient expert advisor 2016 – 2017
Bringing Postpartum Depression Out of the Shadows Act Lead lobbyist · Maternal Mental Health Coalition 2015
Who we are

Two friends since seventh grade, one of them a nurse.

Bloom was drawn up over a few weeks of long walks in 2017 and has been running on the side ever since. It is a full practice now.

Eighth grade.
Eighth grade.
NEI Fall Congress, Colorado Springs, 2024.
NEI Fall Congress, Colorado Springs, 2024.
Lisa Tremayne, RN, PMH-C, CBC

Lisa Tremayne, RN, PMH-C, CBC

Founder

Lisa is both a survivor and an advocate for improving the standard of care for perinatal mood and anxiety disorders. She helped develop New Jersey’s first-in-nation universal screening program in 2005, then created and directed the state’s first PMAD center — a program that now sees roughly 340 patients a month with a staff of eighteen. She has taught perinatal mental health to clinicians through Postpartum Support International, PESI, and the NEI Fall Congress, and advises federal, research, and industry bodies working on perinatal access to care.

LinkedIn → Facebook →
Shannon Hayes

Shannon Hayes

Co-founder

Shannon brings three decades of experience building small businesses and is the CEO of Vitality Ventures Group. She and Lisa have been friends since seventh grade; Bloom started on one of their regular mom walks in 2017. She handles strategy, communications, and booking.

LinkedIn → Vitality Ventures Group →
Contact

Booking, background, or a question about a program.

All inquiries go to Shannon. Media requests get answered the same day — say what you need and by when.

shannon@vitalityventuresgroup.com
970-219-0719
Eatontown, New Jersey
Bloom on Facebook Lisa on LinkedIn Lisa on Facebook Shannon on LinkedIn