Immigrant Women and Mental Health Care: Findings from an Environmental Scan

O’Mahony, Joyce; Clark, Nancy

doi:10.1080/01612840.2018.1479903

Cited by 26 publications

(33 citation statements)

References 27 publications

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“…Professional capacity building was deemed an important strategy to enhance effectiveness of existing providers and organizations in meeting needs of immigrant women with PPD. This is consistent with previous research that identified professional limitations as a barrier to care for immigrant women with PPD (O’Mahony & Clark, 2018; Teng et al., 2007; Wener & Woodgate, 2018). Providers in our study suggested that expanding knowledge and confidence around PPD management could lead to improvements in service accessibility by enabling physicians and psychiatrists in women’s own communities to effectively manage and treat them.…”

Section: Discussionsupporting

confidence: 92%

“…Limitations with existing assessment tools have been previously reported as barriers to PPD identification and treatment for immigrant women, as well as women’s perceptions of cultural competence of services (Fung & Dennis, 2010; O’Mahony & Clark, 2018). Our research identified that organizational approaches to assessment, such as the timing, cultural appropriateness of tools used, and telephone-based intake, can make it more difficult to identify immigrant women with PPD.…”

Section: Discussionmentioning

confidence: 99%

“…The ability of providers and organizations to address social health determinants also were believed to contribute to accessibility. Studies exploring factors contributing to PPD among immigrant women identified a lack of social support, language proficiency, history of abuse, and reduced access to health care as significantly contributing to depression rates (Bandyopadhyay, Small, Watson, & Brown, 2010; Dennis, Merry, & Gagnon, 2017; Pao, Guintivano, Santos, & Meltzer-Brody, 2019), while others have shown how these same social determinants of health and others can create barriers to care seeking (Allin, 2006; Bender, Harbour, Thorp, & Morris, 2001; Carr, 2006; Cruise, Layte, Stevenson, & O'Reilly, 2018; Kinnon, 1999; McLafferty & Grady, 2005; O’Mahony & Clark, 2018; Williams & Hampton, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…The perspective of service providers can provide unique insight into service delivery factors, shedding light on structures and processes (Doebbeling & Flanagan, 2011) and population health-based service delivery decisions (Maynard, 1997). To date, only one exploratory qualitative study (Teng, Robertson Blackmore, & Stewart, 2007) and an environmental scan (O’Mahony & Clark, 2018) have examined barriers to providing postpartum care and perinatal mental-health care to immigrant women from the perspective of health-care workers. The studies identified several professional challenges providers face in working with immigrant women such as fear of incompetence, language barriers, inadequate assessment tools, cultural uncertainty, gender sensitivity, and inaccessible pathways for mental health support.…”

mentioning

confidence: 99%

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Provider Perspectives on Facilitators and Barriers to Accessible Service Provision for Immigrant Women With Postpartum Depression: A Qualitative Study

et al. 2019

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Background Immigrant women are at greater risk for postpartum depression than native-born women and face multiple barriers to accessing services. Service providers themselves face challenges in delivering accessible care for immigrant women with postpartum depression. Purpose This research explored provider perspectives on facilitators and barriers providers faced in terms of providing accessible services. Methods The study used an interpretive descriptive design, shaped by an integrated knowledge user–researcher partnership. Fourteen health and social service providers participated in individual in-depth interviews. Using a socioecological framework as an organizing structure, an inductive thematic content analysis was conducted. Results Providers identified attributes that foster relationship building, including building trust, addressing power dynamics, understanding women’s experiences, enacting cultural competence, involving family members, providing adequate time, and facilitating system navigation. Organizational features shaping accessibility included assessment and treatment approaches, wait times, gate keeping, and the ability to address social health determinants. Different organizational approaches could facilitate or discourage service coordination across organizations. Finally, providers believed that health and immigration system mechanisms could work more effectively for optimal postpartum depression support. Conclusion Health service providers are critical in supporting immigrant women with postpartum depression and facilitating service accessibility. Organizational and system gaps restrict optimal postpartum depression service provision and integration.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Provider Perspectives on Facilitators and Barriers to Accessible Service Provision for Immigrant Women With Postpartum Depression: A Qualitative Study

et al. 2019

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“…Charmaz (2009Charmaz ( , 2012 ensures researchers are self-aware of their role within GT inquiries by encouraging application of theoretical lenses that concentrate on social justice and societal issues. It is well understood in current health research, that societal issues are fraught with multilevel complexity and inequity (Clark, 2018;O'Mahony & Clark, 2018;Pauly et al, 2009). Thus, implications of embracing versatility within Charmaz's CGT include having freedom to explore differing theoretical lenses that appreciate such complexity.…”

Section: Charmaz's Cgtmentioning

confidence: 99%

Applying Intersectionality With Constructive Grounded Theory as an Innovative Research Approach for Studying Complex Populations: Demonstrating Congruency

Kassam

Marcellus

Clark

et al. 2020

International Journal of Qualitative Methods

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One goal of qualitative health research is to fully capture and understand stories of people who experience inequities shaped by complex interlocking structural and social determinants. With this social justice–oriented goal in mind, it is critical to use a methodological approach that appreciates prevailing inequities and oppression. In this article, we propose an innovative approach that joins qualitative health research methodology with critical inquiry. Specifically, we propose advancing constructive grounded theory (CGT) through applying intersectionality as an emergent critical social theory and an analytical tool. With our proposed approach being novel, minimal attempts to conceptualize and operationalize CGT with intersectionality exist. This article focuses on initiating theoretical conceptualization through focusing on demonstrating congruency. We are guided by this focus to seek connectedness and fit through analyzing historical and philosophical assumptions of CGT and intersectionality. In our article, we demonstrate congruency within four units of analysis: reflexivity, complexity, variability, and social justice. Through these units, we offer implications to applying intersectionality within CGT methodology. These include a foundation that guides researchers toward further conceptualizing and operationalizing this novel research approach. Implications also include innovatively exploring complex population groups who face structural inequities that shape their lived vulnerabilities. Our proposed research approach supports critical reflection on the research process to consider what shapes the researcher–participant relationship. This includes reflecting on analysis of power dynamics, underlying ideologies, and intermingling social locations. Thus, our conceptual paper addresses the call for evolving social justice methodologies toward inquiring into complex populations and generating knowledge that challenges and resists inequity.

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Communication in refugee and migrant mental healthcare: A systematic rapid review on the needs, barriers and strategies of seekers and providers of mental health services

Krystallidou,

Temizöz,

Wang

et al. 2024

Health Policy

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Immigrant Women and Mental Health Care: Findings from an Environmental Scan

Cited by 26 publications

References 27 publications

Provider Perspectives on Facilitators and Barriers to Accessible Service Provision for Immigrant Women With Postpartum Depression: A Qualitative Study

Provider Perspectives on Facilitators and Barriers to Accessible Service Provision for Immigrant Women With Postpartum Depression: A Qualitative Study

Applying Intersectionality With Constructive Grounded Theory as an Innovative Research Approach for Studying Complex Populations: Demonstrating Congruency

Communication in refugee and migrant mental healthcare: A systematic rapid review on the needs, barriers and strategies of seekers and providers of mental health services

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