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Abstract
Objectives Innovative mental health care delivery models have been proposed as a method to address disparities in access and utilization. The aim of this study is to characterize patients’ perspectives and experiences of participating in one such innovative delivery model, group cognitive behavioral therapy within a supermarket setting. Methods In this qualitative study, 16 mothers were interviewed to explore their experiences and perspectives of receiving group-based cognitive behavioral therapy in a supermarket setting, as part of their participation in an academic-community research collaborative whose mission is to address mental health needs within low-resourced communities. Data from semi-structured interviews were analyzed using inductive coding. Results Five themes related to receiving mental health services in a supermarket setting emerged from the data: (1) Participants reported a convergence of life stressors and their introduction to supermarket-based services; (2) Participants perceived the supermarket setting as convenient; (3) Participants perceived the supermarket setting as less stigmatizing; (4) Participants perceived services in the supermarket as an acceptable form of mental health treatment; and (5) Participants described the program staff as an influential component of their treatment experience. Conclusions Understanding patient experiences of various service delivery models is critical to improving access to treatment and addressing disparities in mental health service utilization and outcomes. This study supports the use of innovative delivery models to increase access to mental health services in low-resourced communities.
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1 Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA
2 School of Public Health, Yale School of Medicine, New Haven, CT, USA; MOMS Partnership, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
3 Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA; RWJF Clinical Scholars Program, Yale School of Medicine, New Haven, CT, USA
4 MOMS Partnership, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
5 MOMS Partnership, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA
6 School of Public Health, Yale School of Medicine, New Haven, CT, USA; MOMS Partnership, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Yale Child Study Center, Yale School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA





