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Doulas' Experiences Addressing Maternal Mental Health and Substance Use Challenges in the Rural Deep South: A Qualitative Study.

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Title: Doulas' Experiences Addressing Maternal Mental Health and Substance Use Challenges in the Rural Deep South: A Qualitative Study.
Authors: Haiman, Madison D.1 (AUTHOR), Johnson, Karen A.2 (AUTHOR), Horan, Holly3 (AUTHOR), Bradely, Lilanta Joy4 (AUTHOR), Albright, David L.5 (AUTHOR) dlalbright@ua.edu
Source: Journal of Perinatal Education. 2025, Vol. 34 Issue 3/4, p133-144. 12p.
Subject Terms: *Self-evaluation, *Health services accessibility, *Occupational roles, *Qualitative research, *Research methodology, *Inter-observer reliability, Doulas, Substance abuse, Mental health, Research funding, Statistical sampling, Interviewing, Descriptive statistics, Thematic analysis, Rural health services, Rural conditions, Psychology of mothers, Medicaid, Sociodemographic factors, Psychosocial factors
Geographic Terms: Alabama
Abstract: Maternal mental health and substance use contribute significantly to the U.S. growing maternal health crisis (Trost et al., 2022; Policy Center for Maternal Health, 2023). This crisis is even greater in rural areas, where women residing in this region of the United States have a greater likelihood of experiencing maternal mental health and substance use-related challenges (Nidey et al., 2019). Doulas, perinatal support professionals, serve as an avenue to reduce the maternal mental health and substance use challenges that rural women experience. Using a qualitative research approach, the current study examined the experiences of nine actively practicing doulas in Alabama. Semistructured interviews were conducted, transcribed, and coded using established qualitative coding protocols through both deductive and inductive approaches. Through the analyses, three major themes were identified and expanded on the following: (a) doulas are currently helping their clients with mental health and/or substance use challenges, (b) the conceptual framework established by Kozhimannil et al. (2016) can be expanded to explain how doulas help clients with mental health or substance use challenges, and (c) rural residency adds substantial barriers to maternal physical health, mental health, and substance use care. This study establishes doulas as a strong resource for rural birthing persons in Alabama and shows that doulas can help combat the maternal mental health and substance use crisis, specifically in the rural United States. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Perinatal Education is the property of Springer Publishing Company, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
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  Data: Doulas' Experiences Addressing Maternal Mental Health and Substance Use Challenges in the Rural Deep South: A Qualitative Study.
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  Data: <searchLink fieldCode="AR" term="%22Haiman%2C+Madison+D%2E%22">Haiman, Madison D.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Johnson%2C+Karen+A%2E%22">Johnson, Karen A.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Horan%2C+Holly%22">Horan, Holly</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bradely%2C+Lilanta+Joy%22">Bradely, Lilanta Joy</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Albright%2C+David+L%2E%22">Albright, David L.</searchLink><relatesTo>5</relatesTo> (AUTHOR)<i> dlalbright@ua.edu</i>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Perinatal+Education%22">Journal of Perinatal Education</searchLink>. 2025, Vol. 34 Issue 3/4, p133-144. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Alabama%22">Alabama</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Maternal mental health and substance use contribute significantly to the U.S. growing maternal health crisis (Trost et al., 2022; Policy Center for Maternal Health, 2023). This crisis is even greater in rural areas, where women residing in this region of the United States have a greater likelihood of experiencing maternal mental health and substance use-related challenges (Nidey et al., 2019). Doulas, perinatal support professionals, serve as an avenue to reduce the maternal mental health and substance use challenges that rural women experience. Using a qualitative research approach, the current study examined the experiences of nine actively practicing doulas in Alabama. Semistructured interviews were conducted, transcribed, and coded using established qualitative coding protocols through both deductive and inductive approaches. Through the analyses, three major themes were identified and expanded on the following: (a) doulas are currently helping their clients with mental health and/or substance use challenges, (b) the conceptual framework established by Kozhimannil et al. (2016) can be expanded to explain how doulas help clients with mental health or substance use challenges, and (c) rural residency adds substantial barriers to maternal physical health, mental health, and substance use care. This study establishes doulas as a strong resource for rural birthing persons in Alabama and shows that doulas can help combat the maternal mental health and substance use crisis, specifically in the rural United States. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Perinatal Education is the property of Springer Publishing Company, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=189134030
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1891/JPE-2023-0045
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 133
    Subjects:
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Inter-observer reliability
        Type: general
      – SubjectFull: Doulas
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Rural health services
        Type: general
      – SubjectFull: Rural conditions
        Type: general
      – SubjectFull: Psychology of mothers
        Type: general
      – SubjectFull: Medicaid
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Alabama
        Type: general
    Titles:
      – TitleFull: Doulas' Experiences Addressing Maternal Mental Health and Substance Use Challenges in the Rural Deep South: A Qualitative Study.
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            NameFull: Johnson, Karen A.
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            NameFull: Horan, Holly
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            NameFull: Bradely, Lilanta Joy
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            – D: 01
              M: 07
              Text: 2025
              Type: published
              Y: 2025
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              Value: 34
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