Kay Matthews is the founder of the Shades of Blue Project, in Houston, Texas.
Isabel Morgan (
Health Aff (Millwood). 2021 Oct;40(10):1597-1604. doi: 10.1377/hlthaff.2021.00808.
Structural racism causes significant inequities in the diagnosis of perinatal and maternal mental health disorders and access to perinatal and maternal mental health treatment. Black birthing populations are particularly burdened by disjointed systems of care for mental health. To identify strategies to address racism and inequities in maternal and infant mental health care, we interviewed ten Black women who support Black birthing people, including mental health practitioners, researchers, and activists, in February 2021. The five key pathways to address racism and inequities that we identified from the stakeholder interviews are educating and training practitioners; investing in the Black women mental health workforce; investing in Black women-led community-based organizations; valuing, honoring, and investing in community and traditional healing practices; and promoting integrated care and shared decision making. These pathways highlight critical resources needed to improve the quality of maternal mental health care for Black birthing populations.
结构性种族主义导致围产期和孕产妇心理健康障碍的诊断以及获得围产期和孕产妇心理健康治疗方面存在显著的不平等。黑人生育群体特别受到心理健康护理系统不连贯的困扰。为了确定解决孕产妇和婴儿心理健康护理中的种族主义和不平等问题的策略，我们于 2021 年 2 月采访了十名支持黑人生育群体的黑人女性，包括心理健康从业者、研究人员和活动家。我们从利益攸关方访谈中确定了五条解决种族主义和不平等问题的主要途径，即教育和培训从业者；投资于黑人女性心理健康工作者；投资于黑人女性领导的社区组织；重视、尊重和投资于社区和传统的治疗实践；以及促进综合护理和共同决策。这些途径突出了改善黑人生育群体孕产妇心理健康护理质量所需的关键资源。
