ArticleFamilies, systems & health : the journal of collaborative family healthcare2026
Design and implementation of a stratified care model for refugee women's behavioral health in an obstetrical care setting.
Article in Families, systems & health : the journal of collaborative family healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionIn December 2022, hospital-based obstetrical providers identified significant behavioral health (BH) needs among recently arrived Haitian refugee patients. Demand for BH services exceeded capacity, and services were not culturally tailored for perinatal Haitian women. This necessitated a reimagining of the BH care model. This quality improvement article describes the process of designing and implementing an embedded BH care model into a refugee-serving obstetrical clinic.
methodAn intervention mapping (IM) approach guided this study. A needs assessment (IM Phase 1; January 2023) was conducted with interest holders (
resultsResults (IM Phase 6) indicated good fidelity in implementing BH screening (78%), significant group psychotherapy uptake (accounting for 49% of all BH visits during the study period), and the need for iterative care model adaptation to changing needs in the local context. DISCUSSION: The Refugee Women's Health Clinic behavioral health care model was feasible to implement in a low-resource setting. Process evaluation findings support model uptake and offer a potential blueprint for BH care model design in similar integrated care settings, in line with the goals of IM. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
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