that the community recognized that supporting children also meant
supporting mothers, fathers, partners, and caregivers who raised them.
Councilmember Bowers introduced Dr. Scott Gspandl, a board-certified
psychiatrist and clinical lead for outpatient behavioral health at
OhioHealth. She noted that he earned his medical degree from Wright
State University School of Medicine, completed his psychiatry residency
at The Ohio State University Wexner Medical Center where he served as
chief resident, and later earned his MBA from The Ohio State University
Fisher College of Business. She explained that in his role at OhioHealth,
Dr. Gspandl collaborated across the healthcare system to develop
behavioral health programs tailored to meet the needs of patients and
families.
Dr. Scott Gspandl thanked Council for the opportunity to speak and
stated that he appreciated the City recognizing perinatal mental health as
an important initiative. He explained that approximately one in five
women experienced a perinatal mental health condition during pregnancy
or the postpartum period. He stated that perinatal mental health
conditions represented the leading preventable cause of
pregnancy-related morbidity and mortality and noted that mental health
conditions accounted for the number one cause of death during
pregnancy and the postpartum period. He added that more than 50
percent of women diagnosed with these conditions did not receive
treatment. Dr. Gspandl also discussed disparities in diagnosis and
treatment, noting that Black and Indigenous women were two to three
times more likely to experience maternal mental health conditions but
were significantly less likely to receive care. He referenced the Adverse
Childhood Experiences study and explained that untreated maternal
mental health conditions now qualified as an adverse childhood
experience.
Dr. Gspandl explained that mental health conditions stemmed from
biologic, psychological, and social causes that all affected brain function.
He discussed genetic predispositions, medical conditions, hormonal
changes, thyroid disease, pregnancy, and substance use as biologic
contributors to mental health conditions. He also explained that life
experiences, childhood trauma, learned coping mechanisms,
relationships, finances, work, housing, diet, and exercise influenced
mental health and brain function. He stated that conditions such as
thyroid disease, chronic obstructive pulmonary disease, arrhythmia,
epilepsy, and stroke could impact mood and thought processes. Dr.
Gspandl reviewed treatment approaches, including medication, medical