American University
The goal of this clinical trial is to learn if an intervention can improve mental health outcomes among pregnant and postpartum Latinas. The main questions it answers are: Is a collaborative, community health worker and social worker intervention is feasible within a community health setting? Is a collaborative, community health worker and social worker intervention is acceptable among Latina individuals in Central Texas? Do participants experience an improvement in perinatal mental health outcomes during or after the collaborative intervention? Participants will: * Receive 3 community health worker and social worker sessions during pregnancy. * Receive 3 community health worker and social worker sessions postpartum (up to 12 weeks). * Complete a survey at three timepoints (baseline, 2 weeks postpartum and 12 weeks postpartum).
Inclusion Criteria: * Pregnant * Identify as Hispanic or Latina * Receive social services from El Buen Samaritano and/or obstetric services from LoneStar Circle of Care * Between 20- and 32-weeks' gestation * 18 years or older * Screen positive for depression or anxiety (PHQ-4≥3 on either subscale) Exclusion Criteria: * Not pregnant * Do not identify as Hispanic or Latina * Do not receive services at El Buen Samaritano or LoneStar Circle of Care * Before 20 weeks pregnant or after 32 weeks pregnant * Under 18 * Do not screen positive for depression or anxiety
Patient navigation (PN) is an evidence-based intervention that removes barriers to healthcare services. PN typically supports patients by identifying healthcare services and addressing any access barriers such as location, cost, or transportation.
Problem solving therapy (PST) is an evidence-based, mental health intervention that consists of cognitive behavioral and problem-solving strategies aimed at improving mental health.
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