Task Force Meeting Materials - September 2015

Meeting Materials

Meeting Minutes

We have an engaging agenda planned:

1. Barriers to care, Federal Landscape & Health Disparities, Joy Burkhard, MBA Founder & Director of 2020 Mom
2. Many Cultures one Familia, Alinne Barrera, PhD, Palo Alto University
3. Revised MIHA data: Mental Health MCAH Action 2015, Heather Forquer, MPH, Research Scientist, Maternal, Child and Adolescent Health Division Center for Family Health

Pre-Webinar Reading/Viewing Materials
In order to prepare for the meeting please review the following pre-webinar reading/viewing materials

1. 2020 Mom Video - Barriers (3 min. video)
The 2020 Mom Project video talks about the challenges of having a new baby, including the fact that 20% of new moms will experience postpartum depression or anxiety and why these moms aren't being diagnosed and treated. The video also discusses a solution, engaging new stakeholders like hospitals and insurers.

2. Marguerite Morgan, PhD (35 min. video)
Dr. Marguerite Morgan is the Founder and Mental Health Coordinator for Strong Beginnings, a federally funded healthy start program in Grand Rapids, Michigan.  She discusses this clinical treatment model that has been proven effective in reducing barriers that prevent the engagement of African American child-bearing women in the Grand Rapids area into treatment for mental health services and substance abuse disorders to increase birth outcomes. She discusses several psychological and cultural barriers to African American women seeking treatment. She also discusses the lifelong stresses related to racism and its effect on health/birth outcomes.
https://www.youtube.com/watch?v=qFn0W4TC8Ko (Video of Presentation)

(Her PowerPoint can be found here if you wish to review it.)

3. The PBS documentary clip, “When the Bough Breaks” (racism and health):
(8 min. clip and other clips available to view)
This PBS program highlights research that seeks to explain why infant mortality rates among African Americans remain more than twice as high as among white Americans.  Although birth outcomes are generally better for women with higher education and income, researchers have found that Black women with college degrees are still more likely to have premature births than white women without high school diplomas.  A study conducted by two pediatricians/researchers in Chicago (Collins & David) claims that the chronic stress of racism can be a determining factor in the higher rates of infant mortality and premature births among African Americans

After clicking the link below, Click the second link, “Unraveling the mystery of Black-white differences in infant mortality.”

4. Latina’s and MMH
This Huffington Post article, “Latinas at higher risk of postpartum depression due to cultural stigmas,” discusses several cultural reasons Latinas have higher risk factors and face culturally unique barriers to diagnosis and treatment.

5. Asians and MMH
In this article, “Smiling, Selfies and other Lies” published by Hyphen Magazine, the writer Sharline Chiang, discusses her experience as an Asian woman with postpartum depression and her attempt to cover up her condition due to the cultural stigmas attached to mental illness.

Additional References:
1. NICHM -Identifying and Treating Maternal Depression
This issue brief from National Institute for Health Care Management (NIHCM) provides an comprehensive overview of how to identify and treat maternal depression by offering strategies and considerations for health plans. The brief emphasizes the important role health plans play in identifying maternal depression and coordinating management of care following diagnosis.

2. Kozhimannil, K. B., Trinacty, C. M., Busch, A. B., Huskamp, H. A., & Adams, A. S. (2014). Racial and ethnic disparities in postpartum depression care among low-income women. Psychiatric Services.
The goal of this study was to characterize racial-ethnic difference in mental health care utilization associated with postpartum depression in multiethnic cohort of Medicaid recipients. The New Jersey study included 29,600 women (13,001 whites, 13416 blacks and 3,184 Latinas) who gave birth between 2004 – 2007.)  They found a significant racial-ethnic difference in depression-related mental health care after delivery. Suboptimal treatment was prevalent among all low-income women in the study. However, racial and ethnic disparities in the initiation and continuation of postpartum depression indicated additional challenges and barriers.

3. This article was referred to in the PBS clip (the doctors who were interviewed wrote this article).
Collins, J., David, R., Handler, A., Wall, S., & Andes, S. (n.d.). Very Low Birthweight in African American Infants: The Role of Maternal Exposure to Interpersonal Racial Discrimination. Am J Public Health American Journal of Public Health, 2132-2138.
This journal article written by (Collins & David) sets out to determine whether African American women’s lifetime exposure to interpersonal racial discrimination is associated with pregnancy outcomes.  The study sample consisted of African American women who delivered in two Chicago Hospitals. The study was conducted and data collected for 104 case subjects and 208 control subjects through an administered interview/questionaire. They concluded that a risk factor for preterm delivery among African American women was a lifelong accumulated experiences of racial discrimination. They also found that African American women who were older than 30 years or those having more than 12 years of education, when compared with all others, had a significantly increased association with very low birth weight.

4. Postpartum Progress Blog Post - “Being Black with Postpartum Depression:  Too Blessed to be Stressed?”
This blog post written by guest contributor, Addye, whois an African American mother who suffered from postpartum depression.  She writes about her experience and the barriers she faced in seeking treatment due to cultural stigmas around mental illness.  She also discusses the lack of knowledge and support she received from her “village” - family, friends, church and co-workers.  

5. Transcript of the complete PBS program series, “When the Bough Breaks”