Barriers and facilitators of accessing perinatal mental health services: The perspectives of women receiving continuity of care midwifery

Midwifery
Candice Jacquelyn Viveiros, Elizabeth Kathleen Darling

Abstract

To explore what factors midwifery care recipients perceive to prevent or facilitate access to mental health care in the perinatal period. A qualitative descriptive study based on semi-structured individual interviews and focus groups. Ottawa, Ontario, Canada. Sixteen mothers who had received or were currently receiving midwifery care. Eligibility criteria were being 18 or older and self-identifying as having experienced or experiencing perinatal mental health concerns. Five salient themes emerged from the data: cultural values, knowledge, relationships, flexibility, and system gaps. Barriers and facilitators to accessing perinatal mental health services are grouped under each theme. Stigma and fear, broken referral pathways, distant service location, lack of number/capacity of specialised services, baby-centredness, discharge from midwifery care at six weeks postpartum, and cost were barriers to accessing care. Information and midwives' knowledge/experience were context-specific factors that could hinder or facilitate access. Continuity, community, and advocacy were facilitators to accessing care. Many of these facilitators are an inherent part of the Ontario midwifery model of care. Conversely, some aspects of midwives' scope ...Continue Reading

Citations

Sep 13, 2019·Community Mental Health Journal·Márcia Leonardi BaldisserottoTalita Borges Queiroga Dos Reis
Aug 19, 2020·Disability and Rehabilitation·Reshma Parvin NuriAhmed Shafiqul Huque
Apr 14, 2020·Journal of Medical Internet Research·Neesha Hussain-ShamsyEmily Seto
Feb 3, 2021·Journal of Clinical Nursing·Antoinette FletcherPatricia Leahy-Warren
May 9, 2021·International Journal for Equity in Health·Anthony CuValéry Ridde
Jun 3, 2021·International Journal of Environmental Research and Public Health·Minna Anneli SorsaTerese Elisabet Bondas
Jun 28, 2021·Midwifery·Simone L NaughtonAdele Baldwin
Aug 18, 2021·American Journal of Obstetrics & Gynecology MFM·Lucy A HutnerEmily S Miller

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