Qualitative Assessment of Access to Perinatal Mental Health Care: A Social-Ecological Framework of Barriers

Kansas Journal of Medicine

article

Deborah Tyokighir¹  Ashley Hervey²  Christy Schunn³  Daniel Clifford¹  Caroyln Ahlers-Schmidt⁴ 

[1] University of Kansas School of Medicine-Wichita;Center for Research for Infant Birth and Survival;Kansas Infant Death and SIDS;University of Kansas School of Medicine - Wichita

关键词: perinatal mood and anxiety disorders;    access to care;    postpartum depression;    low income;    social ecological theory;   

DOI  :  10.17161/kjm.vol15.15853

学科分类：医学（综合）

来源: The University of Kansas Medical Center

【 摘 要 】

Introduction. Psychological distress affects up to 25% of pregnant women and contributes to poor birth outcomes. This project aimed to triangulate themes from interviews with low-income pregnant or postpartum women, primary care providers and mental health providers regarding knowledge of and barriers to mental health services in the perinatal period. Methods. Study personnel conducted interviews in Sedgwick County, Kansas until saturation of themes within each group. Thirty-three interviews were transcribed, independently reviewed using grounded theory and themes were stratified using the social-ecological model framework. Results. Individual level themes including cost/lack of insurance and transportation were consistent across groups, however women only identified barriers at this level. Consistent themes across provider groups included lack of support at the interpersonal level; poor communication between providers at the organizational level; and Medicaid limitations at the public policy level. Conclusions. Multi-level interventions are needed to improve access to mental health care for low-income women in the perinatal period.

【 授权许可】

Unknown