Table 3 Barriers and strategies to address barriers to participation of racial and ethnic minority groups in community perinatal mental health programs

Panel A: Barriers to participation of racial and ethnic minority groups

 Lack of language options for non-English speakers

 Stigma associated with mental health

 Lack of knowledge/awareness of program in community

 Lack of support from family

 Lack of diversity in area serviced by program

 Problems with internet issues

 Transportation

 Fear of disclosure or deportation due to disclosing mental health problems

 Time/Schedule conflict

 Childcare

 Services offered are not as culturally responsive as they could be

 Program cost

 Other¹

Panel B: Strategies to address barriers

 Adding language options

 Improving program outreach and advertisement

 Increasing diversity of facilitators

 Increasing options for moms in certain locations

 Conducting evaluation of services offered

 Providing transportation

 Providing childcare resources

 Adding other types of program formats

 Other (improve awareness of perinatal depression and reduce stigma; increasing provider education to improve quality of patient/client engagement)