Mental Health Care Among Low-Income Pregnant Women with Depressive Symptoms: Facilitators and Barriers to Care Access and the Effectiveness of Financial Incentives for Increasing Care
Abstract
Access to mental health care is suboptimal for low-income pregnant women. Using in-depth interviews, we examined barriers and facilitators to accessing care among 42 low income pregnant women with depressive symptoms. To pilot whether financial incentives would increase utilization during pregnancy, half the women were randomized to receive $10 gift cards after mental health visits. Women reported external and internal barriers to accessing mental health care, and internal and interpersonal facilitators. Financial incentives did not impact how often the women visited mental health providers, suggesting that small incentives are not sufficient to catalyze mental health care use for this population.
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Computer-based therapies may be most appealing to pregnant women who do not want to take medication or face barriers such as scheduling demands, access to transportation, or childcare.
“Computer-based therapies may be most appealing to pregnant women who do not want to take medication or face barriers such as scheduling demands, access to transportation, or childcare.48,49”
From Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments (2017) · cites this paper as [48]
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Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments
Hantsoo, L., Podcasy, J., Sammel, M., Epperson, C. N., & Kim, D. R. (2017) · Journal of Women's Health · doi:10.1089/jwh.2016.6255 · Cited by 27 · see citing works
Systematic review on use of health incentives in U.S. to change maternal health behavior
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- Authors
- Sacks, R. M., Greene, J., Burke, R., & Owen, E. C.
- Affiliations
- George Washington University (US)
- Slocum Research and Education Foundation (US)
- Corresponding author
- Sacks, Rebecca M.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2014-06-05
- Volume
- 42
- Issue
- 4
- Pages
- 484-492
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- OpenAlex
- W2041722963
- Cited by
- 13
- References
- 11
- Citations by year
- 2025: 3 · 2023: 2 · 2022: 2 · 2021: 1 · 2019: 2 · 2017: 2 · 2016: 1
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Northwest Health Foundation
- Agency for Healthcare Research and Quality
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- maternal depression, antenatal depression, low-income pregnant women, access to mental health care, barriers to care, facilitators of care, financial incentives, gift cards, health care utilization
- MeSH terms
- Adult, Depression, Female, Health Services Accessibility, Humans, Medicaid, Mental Health Services, Motivation, Pilot Projects, Poverty, Pregnancy, Pregnancy Complications, United States, Young Adult
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