Name
Primary Care Behavioral Health Beyond the Clinic: Adapting an ACT-Based Maternal Behavioral Health Intervention for Delivery by Community Health Workers
Description

This presentation describes the development and cultural adaptation of The Mindful Mother’s Journey, a community-based bilingual maternal behavioral health intervention designed to support pregnant and postpartum mothers in the Rio Grande Valley, Texas. Grounded in Acceptance and Commitment Therapy (ACT), the intervention promotes psychological flexibility and is delivered by Community Health Workers (CHWs), or promotoras, to expand access to culturally responsive behavioral health support. The session will describe the multi-phase process used to develop, adapt, and translate the intervention materials into Spanish, as well as the bilingual training model used to prepare CHWs to deliver the intervention. Preliminary findings from the CHW training will highlight pre–post outcomes and lessons for workforce development and implementation of community-delivered maternal behavioral health interventions.

Co-Authors
Mayrin Tovias, BS
Content Level
All Audience
Tags
Cultural Safety and Humility, Primary Care Behavioral Health Model, Underserved populations such as LGBTQ+
Session Type
Concurrent
Objective 1
Describe the development and cultural adaptation of The Mindful Mother’s Journey, an ACT-informed maternal behavioral health intervention designed to support pregnant and postpartum mothers in the Rio Grande Valley.
Objective 2
Examine the role of Community Health Workers (CHWs)/promotoras in delivering culturally and linguistically responsive behavioral health interventions to expand access to maternal behavioral health care.
Objective 3
Identify key findings from the bilingual CHW training evaluation, including pre–post outcomes and lessons for workforce development and implementation of community-delivered ACT-based maternal behavioral health interventions.
Content Reference 1

Scroggins, J. K., Harkins, S. E., Brown, S., St Clair, V., LeBron, G. K., & Barcelona, V. (2024). A systematic review of community-based interventions to address perinatal mental health. Seminars in perinatology, 48(6), 151945. https://doi.org/10.1016/j.semperi.2024.151945

Content Reference 2

Waters, C. S., Annear, B., Flockhart, G., Jones, I., Simmonds, J. R., Smith, S., Traylor, C., & Williams, J. F. (2020). Acceptance and Commitment Therapy for perinatal mood and anxiety disorders: A feasibility and proof of concept study. The British journal of clinical psychology, 59(4), 461–479. https://doi.org/10.1111/bjc.12261

Content Reference 3

Vazquez, M. G., Joo, J. H., Grieb, S. M. D., Maksym, M., Phillips, K., Platt, R., Singh, R., Suarez, C., Torres, V., Yeom, S., & Polk, S. (2024). Community Health Workers Deliver Mental Health Intervention to Uninsured Latinx in Baltimore: Evaluation and Lessons Learned in a Pilot Program. Progress in community health partnerships : research, education, and action, 18(1), 103–112.

Content Reference 4

Cupertino, A. P., Suarez, N., Cox, L. S., Fernández, C., Jaramillo, M. L., Morgan, A., Garrett, S., Mendoza, I., & Ellerbeck, E. F. (2013). Empowering Promotores de Salud to engage in Community-Based Participatory Research. Journal of immigrant & refugee studies, 11(1), 24–43. https://doi.org/10.1080/15562948.2013.759034

Content Reference 5

Moreira, H., Dias, T., & Trindade, I. A. (2025). The Role of Psychological Flexibility in Mindful Parenting During the Postpartum Period: A Longitudinal Study on the Mediating Effect of Maternal Psychopathology. Journal of Contextual Behavioral Science, 38, 100950. https://doi.org/10.1016/j.jcbs.2025.100950