diff --git a/bin/lint-migrations-file/README.md b/bin/lint-migrations-file/README.md
index 7a6348ce110167f6a11f7288bce6cf63e0cdf594..71d445b4673193f4e781109e71449190dd8d5e76 100644
--- a/bin/lint-migrations-file/README.md
+++ b/bin/lint-migrations-file/README.md
@@ -9,12 +9,12 @@ namespaces while equivalent stricter ones are in `x.strict` namespaces.
 Run the linter with
 
 ```sh
-./bin/lint-migrations-yaml.sh
+./bin/lint-migrations-file.sh
 ```
 
 Add some tests for the checks you add here the `test/` directory; run them with
 
 ```sh
-cd bin/lint-migrations-yaml
+cd bin/lint-migrations-file
 clojure -M:test
 ```
diff --git a/bin/lint-migrations-file/src/change/strict.clj b/bin/lint-migrations-file/src/change/strict.clj
index aecad5dc9957f40494d349f25ad0f8e18566df93..00800a1d4f90cd805d058cea6c856dcb50c78e7d 100644
--- a/bin/lint-migrations-file/src/change/strict.clj
+++ b/bin/lint-migrations-file/src/change/strict.clj
@@ -1,6 +1,7 @@
 (ns change.strict
   (:require change.common
             [clojure.spec.alpha :as s]
+            [clojure.string :as str]
             column.strict))
 
 (comment change.common/keep-me
@@ -29,8 +30,15 @@
    ;; remarks are required for new tables in strict mode
    (s/keys :req-un [:change.strict.create-table/columns ::remarks])))
 
+;; createIndex *must* include an explicit index name.
+(s/def ::indexName
+  #(str/starts-with? % "idx_"))
+
+(s/def ::createIndex
+  (s/keys :req-un [::indexName]))
+
 (s/def ::change
-  (s/keys :opt-un [::addColumn ::createTable]))
+  (s/keys :opt-un [::addColumn ::createTable ::createIndex]))
 
 (s/def :change.strict.dbms-qualified-sql-change.sql/dbms
   string?)
diff --git a/resources/migrations/000_migrations.yaml b/resources/migrations/000_migrations.yaml
index 2faccf9035aea8596a78f1accd6451cc663f11ef..45fff2b8de20da286bd958b064f647b35ebd663b 100644
--- a/resources/migrations/000_migrations.yaml
+++ b/resources/migrations/000_migrations.yaml
@@ -8636,6 +8636,20 @@ databaseChangeLog:
               - column:
                   name: card_id
 
+  - changeSet:
+      id: 382
+      author: camsaul
+      comment: Added 0.41.2 Add index to ModerationReview moderated_item_type + moderated_item_id to fix performance issues (#18759)
+      changes:
+        - createIndex:
+            tableName: moderation_review
+            indexName: idx_moderation_review_item_type_item_id
+            columns:
+              - column:
+                  name: moderated_item_type
+              - column:
+                  name: moderated_item_id
+
   - changeSet:
       id: v42.00-000
       author: camsaul