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 a perinatal program design and consulting practice, built around 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.
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.
Training a practice’s staff to recognize what they were never taught to see.
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.
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.
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.
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.
Not talks given. Programs that opened, took patients, and are still running.
Monmouth Medical CenterRWJBarnabas Health · Long Branch, New JerseySign-in, first days of the Center.
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
These are different conditions with different symptoms, different timelines, and different levels of urgency, and they get collapsed into one word constantly.
1 in 5birthing 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 1,000experience 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
Booking Lisa, or need background for a segment?
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.
