Consulting

We build the thing that happens after the screen comes back positive.

Screening is the easy part, and most organizations already do some version of it. What is usually missing is everything downstream: what a score actually triggers, who is responsible, where a deteriorating patient goes, and what gets counted.

Where programs fail

Almost never for lack of good intentions. They fail because nobody wrote down what happens at a score of 18. Because after-hours coverage is one clinician’s personal phone. Because the marketing went live before the escalation pathway existed, and the program attracted acuity it could not hold.

We work in a fixed order for that reason. Escalation before marketing, always.

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.

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.

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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.

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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.

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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.

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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

How an engagement runs

A 30-minute call at no cost, to work out which of the four above fits. Then a paid discovery: we look at what you actually do today, walk the patient journey end to end, and write down what exists, what is missing, and what is risky. Discovery can conclude that Bloom is not the right help — that has to be a real possible outcome or the findings are worth nothing.

From there you get a roadmap: what gets built, in what order, by whom, by when, and what it costs you. It arrives with the protocols, templates and training materials, not just a document telling you to go make them.

Next step

Start with a call.

Tell us what you are trying to build and what you have to spend. Thirty minutes, no cost, no proposal on the call.

Email Shannon

We build the thing that happens after the screen comes back positive.

Four ways to work with Bloom.

Recognize

Respond

Build

Sustain

Programs we have built.

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

The first universal perinatal screening program in the country

What the model produced

Federal appropriations for perinatal mental health

Start with a call.

Booking, background, or a question about a program.