A Qualitative Exploration of Mothers’ Experiences Receiving Mental Health Services in a Supermarket Setting

  • Courtney L. McMickensEmail author
  • Ashley Clayton
  • Marjorie S. Rosenthal
  • Lori Wallace
  • Heather B. Howell
  • Gweniver Bell
  • Megan V. Smith


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.


Community mental health Cognitive behavioral therapy Mental health disparities 



This research was supported by Robert Wood Johnson Foundation Clinical Scholars Program Grant (M#71899).


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Courtney L. McMickens
    • 1
    Email author
  • Ashley Clayton
    • 2
    • 3
    • 7
  • Marjorie S. Rosenthal
    • 4
    • 5
  • Lori Wallace
    • 3
    • 7
  • Heather B. Howell
    • 3
    • 7
  • Gweniver Bell
    • 3
  • Megan V. Smith
    • 2
    • 3
    • 6
    • 7
  1. 1.Department of PsychiatryBoston University School of MedicineBostonUSA
  2. 2.School of Public HealthYale School of MedicineNew HavenUSA
  3. 3.MOMS Partnership, Department of PsychiatryYale School of MedicineNew HavenUSA
  4. 4.Department of PediatricsYale School of MedicineNew HavenUSA
  5. 5.RWJF Clinical Scholars ProgramYale School of MedicineNew HavenUSA
  6. 6.Yale Child Study CenterYale School of MedicineNew HavenUSA
  7. 7.Department of PsychiatryYale University School of MedicineNew HavenUSA

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