Date of Award

2025

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Courtney Foss

Readers

Chinanu Chidi

Abstract

Objective. BIPOC (Black, Indigenous, and People of Color) perinatal patients often face systemic, cultural, and logistical barriers to accessing mental health care during pregnancy and postpartum. These challenges contribute to disparities in outcomes, yet patient perspectives remain underrepresented in community health settings. This quality improvement initiative aimed to identify key barriers, raise awareness about perinatal mental health, and improve access to care at a community health clinic in Shoreline, Washington. A culturally inclusive educational handout was developed to support awareness and connect patients with mental health resources.

Methods. A mixed-methods approach was used to explore barriers both quantitatively and qualitatively. English-speaking BIPOC perinatal patients were invited to complete a survey during routine clinic visits. The survey included demographic questions, Likert-scale items on perceived barriers, and open-ended prompts. Participants received a culturally tailored educational handout designed to raise awareness, encourage early intervention, and provide information on accessible mental health resources.

Results. Despite careful planning and collaboration with clinic staff, patient participation was not achieved within the intended timeframe. The most significant barrier was inconsistent patient attendance at scheduled visits, limiting opportunities for survey distribution. Additional factors included limited staff capacity to assist with recruitment during busy clinic workflows and the sensitivity of addressing mental health during short appointments. These challenges highlighted the importance of trust, relationship continuity, and integrating mental health outreach into routine care.

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