Skip to main content Skip to main navigation menu Skip to site footer
Articles
Published: 2024-10-31

Community mental health doulas (CMHD): a novel approach to addressing mental health challenges in America

University at Albany, UNY, New York, United States of America
Community Mental Health, Doula Support, Cultural Competence, Mental Health Disparities, Integrated Care Model, United States of America

Abstract

Background: Mental health challenges in the United States persist, with significant disparities in access to care and outcomes. The Community Mental Health Doulas (CMHD) model emerges as a novel approach to address these issues by providing community-based, culturally competent support.

Methods: A literature review was conducted, synthesizing research on doula care, community health workers, and mental health interventions published between 2018 and 2024.

Results: The CMHD model shows promise in improving continuity of care, enhancing cultural competence, reducing stigma, and increasing community engagement. Implementation considerations include sustainable funding, ethical boundaries, collaboration with existing providers, and technology use. Challenges include potential resistance from traditional providers and ensuring quality across diverse communities.

Conclusion: The CMHD model represents a transformative approach to addressing mental health challenges. While further research and pilot studies are needed, it holds significant potential to improve outcomes and reduce disparities. Future efforts should focus on evaluating long-term impacts and advocating for integration into mainstream mental health services.



Downloads

Download data is not yet available.

References

  1. Deb S. Community-based intervention for mental health. 2023:47-99. DOI: 10.4324/9781003452188-4.
  2. Nguyen A. Supporting birthing people and supporting doulas: the impact of the covid-19 pandemic on a community-based doula organization in San Francisco. Health Equity. 2023;7(1):356-363. DOI: 10.1089/heq.2022.0194.
  3. Arcara J, Cuentos A, Abdallah O, Armstead M, Jackson A, Marshall C, et al. What, when, and how long? doula time use in a community doula program in San Francisco, California. Women S Health. 2023; 19:174550572311553. doi: 10.1177/17455057231155302.
  4. Thomas K, Quist S, Peprah S, Riley K, Mittal P, Nguyen B. The experiences of black community‐based doulas as they mitigate systems of racism: a qualitative study. J Midwifery Womens Health. 2023;68(4):466-472. DOI: 10.1111/jmwh.13493
  5. Lanning R, Oermann M, Waldrop J, Brown L, Thompson J. Doulas in the operating room: an innovative approach to supporting skin‐to‐skin care during cesarean birth. J Midwifery Womens Health. 2018;64(1):112-117. doi: 10.1111/jmwh.12930
  6. Attanasio L, Kleppel R, Govantes T, Sankey H, Goff S. Community perspectives on the creation of a hospital-based doula program. Health Equity. 2021;5(1):545-553. doi: 10.1089/heq.2020.0096.
  7. Quiray J. The role of doulas in supporting perinatal mental health -- a qualitative study. Front Psychiatry. 2024;15. doi: 10.3389/fpsyt.2024.1272513.
  8. Safon C. Access to perinatal doula services in Medicaid: a case analysis of 2 states. Health Aff Sch. 2024;2(3). doi: 10.1093/haschl/qxae023.
  9. Clark A, Macey E, Irby A, Stone C, Abernathy M, Turman J. Diverse perspectives to support a human rights approach to reduce Indiana's maternal mortality rate. Humanity & Society. 2022;47(1):69-94. doi: 10.1177/01605976221109785.
  10. Sayyad A, Lindsey A, Narasimhan S, Turner D, Shah P, Lindberg K, et al. "we really are seeing racism in the hospitals": racial identity, racism, and doula care for diverse populations in Georgia. PLoS One. 2023;18(6): e0286663. doi: 10.1371/journal.pone.0286663.
  11. Mottl-Santiago J. Effectiveness of an enhanced community doula intervention in a safety net setting: a randomized controlled trial. Health Equity. 2023;7(1):466-476. doi: 10.1089/heq.2022.0200.
  12. Ochapa A, Viney C, Okoro O, Johnson ME. Doula support for breastfeeding during the COVID-19 pandemic. J Hum Lact. 2023;39(1):98-106. doi: 10.1177/08903344221139616.
  13. Safon C. Medicaid reimbursement for doula care: policy considerations from a scoping review. Med Care Res Rev. 2023;81(4):311-326. doi: 10.1177/10775587231215221.
  14. Sobczak E. Characteristics of doulas and their clients in Poland. Int J Environ Res Public Health. 2023;20(7):5231. doi: 10.3390/ijerph20075231.
  15. Rawlings D, Tieman J, Miller-Lewis L, Swetenham K. What role do death doulas play in end‐of‐life care? a systematic review. Health Soc Care Community. 2018;27(3): e82-e94. doi: 10.1111/hsc.12660.
  16. Yoong W, Omoregie C, Bindra J, Delaney F, Amrane S. Doulas: an under-recognised and under-utilised resource in obstetrics. J Obstet Gynaecol. 2022;42(7):2528-2533. doi: 10.1080/01443615.2022.2027960
  17. Marudo AR. Advancing equity in maternal health through community-based doula care. Health Equity. 2023;7(1):727-729. doi: 10.1089/heq.2023.29022.com.
  18. Gebel C, Howell EA. Improving Black maternal health by increasing access to doulas. JAMA Health Forum. 2024;5(1):e235400. doi: 10.1001/jamahealthforum.2023.5400.
  19. Waymouth L, Dukhovny D, Zephyrin L, Caughey AB. Making the economic case for Medicaid coverage of doula care. Health Affairs Scholar. 2024;3(1). doi: 10.1093/haschl/qxad052.
  20. Mariotti G, Marini E, Ciullo E, Torre C, Fraioli A. The impact of continuity of care on health outcomes: a systematic review. International Journal of Environmental Research and Public Health. 2023;20(3):2433. doi: 10.3390/ijerph20032433.
  21. Christakis DA, Wright JA, Zimmerman FJ, Bassett AL, Connell FA. Continuity of care is associated with well-coordinated care. Ambul Pediatr. 2002;2(6):445-9. doi: 10.1367/1539-4409(2002)002<0445:cociae>2.0.co;2.
  22. Weppner WG, Davis K, Sordahl J, Willis J, Fisher A, Brotman A, et al. Interprofessional care conferences for high-risk primary care patients. Acad Med. 2021;96(7):1040-1046. doi: 10.1097/ACM.0000000000003731.
  23. Walton H, Spector A, Tombor I, Michie S. Measures of fidelity of delivery of, and engagement with, complex, face-to-face health behaviour change interventions: A systematic review of measure quality. Br J Health Psychol. 2017;22(4):872-903. doi: 10.1111/bjhp.12260.
  24. Mayoyo LF, Ongáyo LO, Ongáyo JA. Sustainable financing mechanisms for community health workers in Kenya: a systematic review. Glob Health Res Policy. 2024;9(1):2. doi: 10.1186/s41256-023-00324-z.
  25. Phelan A, McCarthy S, Adams E. Examining the context of health care communication in a digital world: a meta-ethnographic review. Patient Educ Couns. 2023;106(1):5-15. doi: 10.1016/j.pec.2022.09.009.
  26. Belling R, Whittock M, McLaren S, Burns T, Catty J, Jones IR, et al. Achieving continuity of care: facilitators and barriers in community mental health teams. Implement Sci. 2011; 6:23. doi: 10.1186/1748-5908-6-23.
  27. Brand H, Foer D, Weiss S, Sands K, Saha P, Levy D, et al. Improving continuity of care: an innovative electronic discharge summary. J Hosp Med. 2020;15(9):538-542. doi: 10.12788/jhm.3394.
  28. Scrine C, Middleton H, Farrelly T. Professionals working together to support young people with mental health difficulties. Int J Ment Health Nurs. 2017;26(1):95-102. doi: 10.1111/inm.12308.
  29. Nieuwsma JA, Trivedi RB, McDuffie J, Kronish I, Benjamin D, Williams JW. Brief psychotherapy for depression: a systematic review and meta-analysis. Int J Psychiatry Med. 2012;43(2):129-51. doi: 10.2190/PM.43.2.c.
  30. Baker K, Naidu K. Occupational therapists' experiences of working within a new model of care in a spinal cord injury unit. Br J Occup Ther. 2020;83(4):246-254. DOI: 10.1177/0308022619888468
  31. Lotfy M, Zhu X, Djukic M. Implementation of a nursing professional model of care delivery: a qualitative descriptive study. J Nurs Manag. 2022;30(1):108-116. doi: 10.1111/jonm.13454.
  32. Kozlov E, Phongtankuel V, Prigerson HG, Adelman RD, Shalev A, Czaja SJ, et al. Prevalence, severity, and correlates of symptoms of anxiety and depression at the very end of life. J Pain Symptom Manage. 2021;61(2):282-289.e2. doi: 10.1016/j.jpainsymman.2020.08.033.
  33. Brattmyr M, Mårtensson L, Åhlfeldt H, Dahlin-Ivanoff S. Implementing person-centred care in residential care facilities: a multiple case study of the Gothenburg person-centred care intervention. BMC Geriatr. 2023;23(1):121. doi: 10.1186/s12877-023-03805-5.
  34. Griffiths AW, Surr CA, Creese B, Garrod L, Chenoweth L. The development and use of the assessment of dementia awareness and person-centered care training tool in long-term care. Dementia (London). 2019;18(7-8):3059-3070. doi: 10.1177/1471301218768165.
  35. Kendrick T, Geraghty AWA, Bowers H, Stuart B, Leydon G, May C, et al. REDUCE (Reviewing long-term antidepressant use by careful monitoring in everyday practice) internet and telephone support to people coming off long-term antidepressants: protocol for a randomised controlled trial. Trials. 2020;21(1):419. doi: 10.1186/s13063-020-04338-7.
  36. Driessens K, McLaughlin H, van Doorn L. The meaningful involvement of service users in social work education: examples from Belgium and The Netherlands. Soc Work Educ. 2016;35(7):739-751. doi: 10.1080/02615479.2016.1162289.
  37. Dowrick C, Bower P, Chew-Graham C, Lovell K, Edwards S, Lamb J, et al. Evaluating a complex intervention for altering the management of depression in primary care: a process evaluation. BMC Med. 2016;14(1):134. doi: 10.1186/s12916-016-0692-5.


How to Cite

1.
Junior G. Community mental health doulas (CMHD): a novel approach to addressing mental health challenges in America. jidhealth [Internet]. 2024 Oct. 31 [cited 2024 Dec. 8];7(5):1143-7. Available from: https://www.jidhealth.com/index.php/jidhealth/article/view/367