‘Some people shouldn’t have jobs like that’: A qualitative study of teen mothers’ experiences accessing mental health services
Background: Teen mothers are at increased risk of developing mental health issues when compared to older mothers and their non-pregnant peers. If not addressed, mental health challenges, such as anxiety and depression, can have serious and enduring impacts on maternal well-being and child development. Experiences of stigma and perceptions of being judged for seeking help aggravate these issues, compounding barriers to accessing mental health services. Although teen mothers are disproportionately impacted by inequities in the social determinants of health, their perspectives are rarely solicited in discussions of research and practice. Understanding the needs and lived experiences of this population is crucial for planning mental health services that reflect their preferences and values and can, in turn, improve patient outcomes. Methods: This research is being conducted in partnership with the Terra Centre, a non-profit organization supporting pregnant and parenting teens in Edmonton, Alberta. Using a community-based approach and qualitative descriptive design, this study aims to: (1) explore teen mothers' experiences with accessing and receiving mental health services; and (2) determine how mental health service providers can best meet their unique needs. Teen mothers and service providers--including counsellors, a psychiatrist, and Terra staff--were interviewed. A thematic analysis was conducted on interview transcripts. Results: Although the study is still underway, preliminary findings highlight the importance of relationship-building with mental health service providers, where trust and mutual respect are essential for continued engagement. Participants identified barriers to access including cost, lack of transportation, and unresponsive providers. Mothers also emphasized the need for both formal and informal mental health support, while providers touched on their experiences working with this population. Conclusion: This study provides insight into the mental health needs of teen mothers, an issue that has been significantly under-researched in the Canadian context. A mental health service delivery model will be developed based on the findings of this research and shared with service providers to inform practice. Funding: This research has been funded by the Stollery Children's Hospital Foundation and the Alberta Women's Health Foundation through the Women and Children's Health Research Institute, as well as the Social Sciences and Humanities Research Council of Canada.