title: Addressing access barriers to services for mothers at risk for perinatal mood disorders: A social work perspective.
abstract: This article identifies variables at the micro/individual, mezzo/partner/spouse and family, and macro/health care-system levels that inhibit mothers at risk for perinatal mood disorders from accessing health and mental health care services. Specific recommendations are made for conducting thorough biopsychosocial assessments that address the mothers' micro-, mezzo-, and macro-level contexts. Finally, the authors provide suggestions for how to intervene at the various levels to remove access barriers for mothers living with perinatal mood disorders as well as their families.
authors.affiliation: a School of Social Work , University at Buffalo, SUNY , Buffalo , New York , USA.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Keefe
authors.affiliation: b Nazareth College and The Greater Rochester Collaborative MSW Program , Rochester , New York , USA.
authors.forename: Carol
authors.initials: C
authors.lastname: Brownstein-Evans
authors.affiliation: a School of Social Work , University at Buffalo, SUNY , Buffalo , New York , USA.
authors.forename: Rebecca S
authors.initials: RS
authors.lastname: Rouland Polmanteer
mesh_terms: D002662:Child Health Services / Q000458:organization & administration*; D005190:Family / Q000523:psychology*; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000458:organization & administration*; D019964:Mood Disorders / Q000628:therapy*; D009035:Mothers / Q000523:psychology*; D018743:Perinatal Care / Q000458:organization & administration*; D011247:Pregnancy; D012944:Social Support; D012947:Social Work; D014481:United States
keywords: Health care access; maternal and child health; perinatal mood disorders