Barriers to care for antenatal depression.
OBJECTIVE
This study examined the individual-level factors impacting pregnant women's access to mental health treatment for depression.


METHODS
A total of 1,416 pregnant women receiving prenatal care completed measures of depressive symptomatology, willingness to seek treatment for depression or anxiety, and perceived barriers to seeking such care.


RESULTS
Women with Beck Depression Inventory scores >or=16 (indicating possible depression) (N=183) were more likely than women with lower scores (N=1,233) to identify the following barriers: cost, lack of insurance, lack of transportation, long waits for treatment, previous bad experience with mental health care, and not knowing where to go for treatment. Lower income was correlated with increased endorsement of cost and transportation as barriers.


CONCLUSIONS
Results suggest that addressing financial and logistical barriers through changes in mental health services and policy will improve access to care for antenatal depression. However, attending to these issues alone will not address additional important barriers to care such as lack of trust.
Kopelman
Robin Cook
RC
Department of Psychiatry, University of Iowa, Iowa City, IA 52242, USA. robin-cook@uiowa.edu
Moel
Joy
J
Mertens
Carol
C
Stuart
Scott
S
Arndt
Stephan
S
O'Hara
Michael W
MW
D000328:Adult; D003863:Depression / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D011296:Prenatal Diagnosis; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States