Exploring the role of social work in perinatal mental health: a case study of postpartum depression intervention in Belize

Authors

  • Rowan Enriquez Faculty of Health Science and Social Work, University of Belize, Belmopan, Belize, Central America
  • Olusola Oladeji UNICEF Belize, Belize City, Belize, Central America
  • Angela Flowers Faculty of Health Science and Social Work, University of Belize, Belmopan, Belize, Central America

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20260322

Keywords:

Postpartum depression, Social worker, First time mother, Intervention, Psychoeducation

Abstract

Social workers play a vital role in addressing the mental health and social needs of perinatal women, often as key members of multidisciplinary teams. Postpartum depression (PPD) affects 10–20% of new mothers globally, posing risks to maternal well-being and infant development. Despite their importance, limited literature reviews the specific interventions social workers provide in PPD care. This study assesses the effectiveness of social work interventions for a first-time mother in Belize. This single-case intervention study employed a mixed-methods approach. MG, a 31-year-old first-time mother diagnosed with PPD, received eight biweekly online psychoeducational sessions (2–3 hours each) delivered by a licensed social worker between February and June 2025. Quantitative data were collected using the Edinburgh Postnatal Depression Scale (EPDS) and the Multidimensional Scale of Perceived Social Support (MSPSS) at baseline and post-intervention. Qualitative data were gathered through journaling and semi-structured interviews. Informed consent and confidentiality were maintained. MG’s EPDS score dropped from 15 to 2 post-intervention, an 87% reduction, moving from clinically significant to subclinical symptoms. MSPSS scores for family and significant others remained high (6), reflecting stable informal support. Qualitative findings showed improved emotional regulation, coping, and maternal confidence. Symptom reduction appears primarily linked to formal support via social work intervention. This study highlights the pivotal role of social workers in supporting women with PPD. Findings suggest that brief, low-cost, remotely delivered psychoeducational interventions can significantly improve maternal emotional health. Future research should explore scalability and integration into routine perinatal care in resource-limited settings.

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References

WHO. Guide for integration of perinatal mental health in maternal and child health services. Geneva: WHO. 2022.

Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2011;90(2):139-49. DOI: https://doi.org/10.2471/BLT.11.091850

McNab SE, Dryer SL, Fitzgerald L, Gomez P, Bhatti AM, Kenyi E, et al. The silent burden: A landscape analysis of common perinatal mental disorders in low- and middle-income countries. BMC Pregnancy Childbirth. 2022;22(1):342. DOI: https://doi.org/10.1186/s12884-022-04589-z

Keefe RH, Brownstein-Evans C, Rouland Polmanteer RS. Addressing access barriers to services for mothers at risk for perinatal mood disorders: A social work perspective. Soc Work Health Care. 2016;55(1):1-11. DOI: https://doi.org/10.1080/00981389.2015.1101045

Sampson M, Zayas L H, Seifert SB. Treatment engagement using motivational interviewing for low-income, ethnically diverse mothers with postpartum depression. Clin Soc Work J. 2013; 41(4):387-94. DOI: https://doi.org/10.1007/s10615-012-0422-1

Lasater ME, Beebe M, Gresh A, Blomberg K, Warren N. Addressing the unmet need for maternal mental health services in low- and middle-income countries: Integrating mental health into maternal health care. J Midwifery Womens Health. 2017;62(6):657–60. DOI: https://doi.org/10.1111/jmwh.12679

MOHW Belize. National Mental Health Policy 2023-2028. 2023.

Oladeji O, Lai J, Velazquez NR, Bammai MI, Kandel G, Spyridou A, et al. Barriers to and facilitators of access to mental health services among pregnant adolescents and young mothers in Belize. Rev Panam Salud Publica. 2025;49:e3. DOI: https://doi.org/10.26633/RPSP.2025.3

Petruzzi L, Haiman M, Sampson M, Miller E, Parra-Medina D, Valdez C, et al. Social Work Interventions Can Improve Perinatal Mental Health: A Systematized Review. Available at: https://sswr.confex.com/sswr/2025/webprogram/Paper56283.html. Accessed on 06 October 2025.

Rouland R, Keefe R, Brownstein-Evans C. Social Workers' Screening Practices for Postpartum Depression. Advances Social Work. 2016;17(2):273-84. DOI: https://doi.org/10.18060/21008

Cox J L, Holden J M, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782–6. DOI: https://doi.org/10.1192/bjp.150.6.782

Zimet G, Dahlem N, Zimet S, Farley G. The Multidimensional Scale of Perceived Social Support. J Pers Assess. 1988;52(1):30-41. DOI: https://doi.org/10.1207/s15327752jpa5201_2

Razurel C, Kaiser B, Sellenet C, Epiney M. Relation between perceived stress, social support and coping strategies and maternal well-being: A review of the literature. Women Health. 2013;53(1):74–99. DOI: https://doi.org/10.1080/03630242.2012.732681

Schobinger E, Vanetti M, Ramelet A, Horsch A. Social support needs of first-time parents in the early-postpartum period: A qualitative study. Front Psychiatry. 2022;13:1043990. DOI: https://doi.org/10.3389/fpsyt.2022.1043990

Leahy-Warren P, McCarthy G, Corcoran P. First-time mothers: social support, maternal parental self-efficacy and postnatal depression: first-time mothers. J Clin Nurs. 2012;21(4):388–97. DOI: https://doi.org/10.1111/j.1365-2702.2011.03701.x

Ayers S, Crawley R, Webb R, Button S, Thornton A, et al. What are women stressed about after birth?. Birth. 2019;46(4):678–85. DOI: https://doi.org/10.1111/birt.12455

Jamshaid S, Malik NI, Ullah I, Saboor S, Arain F, De Berardis D. Postpartum Depression and Health: Role of Perceived Social Support among Pakistani Women. Diseases. 2023;11(2):53. DOI: https://doi.org/10.3390/diseases11020053

Cho H, Lee K, Choi E, Cho HN, Park B, Suh M, et al. Association between social support and postpartum depression. Sci Rep. 2022;12(1):3128. DOI: https://doi.org/10.1038/s41598-022-07248-7

Leahy-Warren P, Newham J, Alderdice F. Perinatal social support: Panacea or a pitfall. J Reprod Infant Psychol. 2018;36(3):219–22. DOI: https://doi.org/10.1080/02646838.2018.1477242

Dennis C, Chung-Lee L. Postpartum depression help seeking barriers and maternal treatment preferences: A qualitative systematic review. Birth. 2006;33(4):323–31. DOI: https://doi.org/10.1111/j.1523-536X.2006.00130.x

Dennis CL. Postpartum depression peer support: Maternal perceptions from a randomized controlled trial. Int J Nurs Stud. 2010;47(5):560–8. DOI: https://doi.org/10.1016/j.ijnurstu.2009.10.015

Letourneau N, Duffett-Leger L, Stewart M, Hegadoren K, Dennis CL, Rinaldi CM, et al. Canadian mothers’ perceived support needs during postpartum depression. J Obstet Gynecol Neonatal Nurs. 2007;36(5):441–9. DOI: https://doi.org/10.1111/j.1552-6909.2007.00174.x

Sullivan A. Assessing Clinical Social Workers’ Self-Efficacy Regarding Perinatal Mental Health Disorders. Social Work Doctoral Dissertations. Available at: https://research.library.kutztown.edu/ socialworkdissertations/33. Accessed on 06 October 2025.

Keefe RH, Brownstein-Evans C, Lane SD, Carter DB, Polmanteer RS. Postpartum depression and the Affordable Care Act: Recommendations for social work educators. Advances in Social Work. 2015; (16)2:202-13. DOI: https://doi.org/10.18060/18502

MOHW Belize. National Mental Health Policy 2023-2028. Available at: https://www.health.gov.bz/wp-content/uploads/ 2023/11/NMH-Policy-Final-Signed.pdf. Accessed on 06 October 2025.

Zhao L, Chen J, Lan L, Deng N, Liao Y, Yue L, et al. Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis JMIR Mhealth Uhealth. 2021;9(10):e32544. DOI: https://doi.org/10.2196/32544

Sun Y, Li Y, Wang J, Chen Q, Bazzano AN, Cao F. Effectiveness of smartphone-based mindfulness training on maternal perinatal depression: randomized controlled trial. J Med Internet Res. 2021;23(1):e23410. DOI: https://doi.org/10.2196/23410

Liu C, Chen H, Zhou F, Long Q, Wu K, Ming Lo L, et al. Positive intervention effect of mobile health application based on mindfulness and social support theory on postpartum depression symptoms of puerperae. BMC Women's Health. 2022;22:413. DOI: https://doi.org/10.1186/s12905-022-01996-4

Biggs L, Shafiei T, Forster D, Small R, McLachlan HL. Exploring the views and experiences of callers to the PANDA Post and Antenatal Depression Association Australian National Perinatal Depression Helpline: A cross-sectional survey. BMC Pregnancy Childbirth. 2015;15(1):209. DOI: https://doi.org/10.1186/s12884-015-0594-0

Lim X, Ang MQ, Foo A, Chng KKY, Koh SSL. Effectiveness of expressive writing therapy for postpartum women with psychological distress: Meta-analysis and narrative review. Int J Gynaecol Obstet. 2025;169(2):485-7.

Brocklehurst SP, Morse AR, Cruwys T, Batterham PJ, Leach L, Robertson AM, et al. Investigating the Effectiveness of Technology-Based Distal Interventions for Postpartum Depression and Anxiety: Systematic Review and Meta-Analysis. J Med Internet Res. 2024;26:e53236. DOI: https://doi.org/10.2196/53236

Bon Bernard J, Moules N, Tough S, Tryphonopoulos P, Letourneau N. Listening to the Voices of Mothers Who Participated in a Video Feedback Intervention for Postpartum Depression. Glob Qual Nurs Res. 2024;11:23333936241245588. DOI: https://doi.org/10.1177/23333936241245588

Lim X, Ang MQ, Foo A, Chng KKY, Lin Koh SS. Effectiveness of expressive writing therapy for postpartum women with psychological distress: Meta‐analysis and narrative review. Int J Gynecol Obstet. 2025;169(2):485-97. DOI: https://doi.org/10.1002/ijgo.16019

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Published

2026-01-31

How to Cite

Enriquez, R., Oladeji, O., & Flowers, A. (2026). Exploring the role of social work in perinatal mental health: a case study of postpartum depression intervention in Belize. International Journal Of Community Medicine And Public Health, 13(2), 951–957. https://doi.org/10.18203/2394-6040.ijcmph20260322

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Case Reports