SPECIAL COMMENTARYAddressing caregiver mental health in the neonatal ICUSadler, Erin M.a,c,d; Okito, Ololadeb,c; Soghier, Lamiab,c Author Information aDivision of Psychology and Behavioral Health bDivision of Neonatology, Children's National Hospital cDepartment of Pediatrics dDepartment of Psychiatry and Behavioral Sciences, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA Correspondence to Lamia Soghier, MD, MEd, MBA, 3 WW Children's National, 111 Michigan Ave, NW, Washington, DC 20010, USA. Tel: +1 202 476 5018; e-mail: [email protected] Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.co-pediatrics.com). Current Opinion in Pediatrics 35(3):p 390-397, June 2023. | DOI: 10.1097/MOP.0000000000001242 Buy SDC Metrics Abstract Purpose of review The neonatal ICU (NICU) setting is a unique opportunity to not only detect major changes in caregiver mental health through universal perinatal mood and anxiety disorder (PMAD) screening but also intervene with specialized support. We review evidence for addressing caregiver mental health in the NICU, explore current guidelines and models for integrated behavioural health programmes, and describe challenges specific to NICUs, particularly in standalone paediatric hospitals. Recent findings Parents of infants admitted to the NICU are at an increased risk for developing PMADs at rates well above the general postpartum community. Select NICUs within the United States and internationally have recognized the importance of having an embedded psychologist to address caregiver PMADs. However, organizational structures within paediatric healthcare systems are not equipped to manage the logistical, ethical, legal and practical needs of comprehensive caregiver mental health programmes. Summary To properly address caregiver mental health in NICU settings, clinical and administrative teams must work together to ensure seamless service provision. Systems that facilitate the development of unique parent medical records at the onset of paediatric care are likely to significantly reduce potential liability risks and solve several challenges related to caregiver-focused mental health support in the NICU. https://links.lww.com/MOP/A70 Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.