Evidence map›Paper›PMID 41486212›Full record

Observational studyArchives of women's mental health2026

Mental health service utilization in a novel insurance-based Ob/Gyn integrated model for women across the lifespan.

Andréane Lavallée, Vanessa Babineau, Kristina D'Antonio, Elizabeth Werner, Andrew T Drysdale, Madalyn Osbourne, Myrriam Grubb, Nathalie Moise, Inbal Reuveni, Zhijun Zhang and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Archives of women's mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Design and implementation of a stratified care model for refugee women's behavioral health in an obstetrical care setting.Families, systems & health : the journal of collaborative family healthcare · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Andréane LavalléeCenter for Early Relational Health, Columbia University Irving Medical Center, New York, USA.
Vanessa BabineauDepartments of Obstetrics & Gynecology and Psychiatry, Columbia University Irving Medical Center, New York, USA.
Kristina D'AntonioDepartment of Obstetrics & Gynecology, Columbia University Irving Medical Center, New York, USA.
Elizabeth WernerDepartments of Obstetrics & Gynecology and Psychiatry, Columbia University Irving Medical Center, New York, USA.
Andrew T DrysdaleDepartment of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, The Bronx, USA.
Madalyn OsbourneDepartment of Obstetrics & Gynecology, Columbia University Irving Medical Center, New York, USA.
Myrriam GrubbDepartment of Obstetrics & Gynecology, Columbia University Irving Medical Center, New York, USA.
Nathalie MoiseDepartment of Medicine, Columbia University Irving Medical Center, New York, USA.
Inbal ReuveniPsychiatry Division, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Zhijun ZhangDepartment of Biostatistics, New York State Psychiatric Institute, New York, USA.
Seonjoo LeeDepartments of Biostatistics and Psychiatry, Columbia University Irving Medical Center, New York, USA.
Dani DumitriuCenter for Early Relational Health, Columbia University Irving Medical Center, New York, USA.
Mary D'AltonDepartment of Obstetrics & Gynecology, Columbia University Irving Medical Center, New York, USA.
Catherine MonkDepartments of Obstetrics & Gynecology and Psychiatry, Columbia University Irving Medical Center, New York, USA. cem31@cumc.columbia.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWomen’s Mental Health @Obstetrics and Gynecology (WMH @Ob/Gyn) is a novel, insurance-based clinical model integrated in Ob/Gyn practices that offers approachable, acceptable, available, and affordable mental healthcare to women across the lifespan. Women seen by Ob/Gyn physicians for physical healthcare needs are referred to the WMH @Ob/Gyn service based on patient request, provider observation, and/or results on universal depression screening. WMH@Ob/Gyn’ services include mental health screening, psychotherapy, psychopharmacology and support groups, all embedded into Ob/Gyn. Here, we sought to evaluate utilization rates of mental health services as an outcome of increased access resulting from real-world implementation of WMH @Ob/Gyn.

methodsThis prospective observational cohort study followed all patients referred to WMH @Ob/Gyn from 02/2020 to 12/2022. Data were obtained from a clinical registry and patient electronic health records. Utilization was estimated on initiation (proportion of women who attended at least one mental health visit), and sustainment (proportion of women who attended three or more visits).

results2,661 women were referred to WMH @Ob/Gyn; 65% initiated, out of which 36% sustained treatment. Hispanic/Latina/Spanish women were less likely to initiate treatment. Of those who initiated, women whose insurance was non-participating in mental healthcare, women that were not pregnant, and younger women, had lower odds of sustaining treatment.

conclusionWMH @Ob/Gyn facilitates the initiation and sustainment of mental health treatment at rates considerably higher than those observed in comparable perinatal-integrated programs or the general population. However, persistent systemic barriers, including disparities in physical and mental health insurance coverage, continue to constrain equitable, sustained access to mental healthcare.

Indexed as

GynecologyInsurance, HealthMental Health ServicesObstetricsPatient Acceptance of Health CareAdultFemaleHealth Services AccessibilityHumansMental HealthMiddle AgedProspective StudiesWomen's HealthAccessIntegrated mental healthcareMental healthObstetrics and gynecologyService utilization

Identifiers

PMID41486212
PMCPMC12765718

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.