Aligning maternal–child health: Designing dyadic care across a large academic medical system.

INTRODUCTION: Historical disparities in maternal and infant health, exacerbated over the COVID-19 pandemic, necessitate investment in a systematic and community-based approach to dyadic care. NewYork-Presbyterian sought to build an innovative, 2-generation program integrating obstetric, pediatric, behavioral health, and community services. METHOD: This report outlines the development of the Maternal and Child Integrated Mental Health Program (MAC-IMP) from 2020 to 2024, utilizing the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, informed by deidentified patient data collected during this period. RESULTS: Through multidisciplinary collaboration, data and health record optimization, risk stratification, and comprehensive service alignment, an equitable and patient-centered model was developed. DISCUSSION: Lessons learned include methods for multisystem clinical and administrative coordination, communication, and community-partnership building. These lessons can be adapted for multispecialty health care systems across the country to build a more patient-centered, preventative, and holistic model of maternal and infant care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).