Problem: Approximately one-third of parents with infants admitted to Neonatal Intensive Care Units (NICU) endorse posttraumatic stress symptoms (PSS) as an effect of the experience. In a Level IIIB NICU in the United States, approximately 25% of parents are assessed in person to evaluate their mental health needs. Staff observations of parents revealed signs of stress, tension, irritability, poor sleep, avoidance, and feelings of guilt, shame, and blame. An assessment of the organization revealed that mental health screening for parents was lacking, and one social worker (SW) was designated to evaluate the needs of 200-300 NICU parents annually while covering three additional maternal-child health units. Purpose: A quality improvement project (QI) was implemented to identify parents experiencing PSS due to the NICU experience using a valid and reliable screening measure and to provide resources or refer them to mental health services. Methods: In consultation with key stakeholders, the project lead (PL) identified a valid and reliable screening measure, the Impact of Events Scale-Revised (IES-R), and eligible parents, integrated the screening into SW assessments and NICU visitation, and established incentives and methods of communication. QR codes, visual aids, educational materials, and mental health resources were generated to support participation and the mental health of approximately 100 parents over 15 weeks. Results: Out of 77 eligible parents, approximately 48% of mothers and 20% of fathers completed the screening. Of those, 30% endorsed clinically significant PSS. Twenty-five percent received a mental health consultation, and 75% declined. All eligible parents were given information on PSS and resources for perinatal mental health support and community mental health providers. Conclusion: Considerations for future clinical endeavors to enhance the effectiveness of routine parental mental health screening in the NICU are discussed. Keywords: neonatal intensive care, mothers, fathers, posttraumatic stress, screening