Under-resourced pregnant women who are Black or of African descent and who are older than 18 years with a pregnancy of 32 weeks gestation or less. Study participants must speak English and receive prenatal care at the George Washington University or Unity Health Care. We also accept self-referrals, provided the women plan to give birth in Washington, D.C.

Pregnant women:

• Who are younger than 18 or older than 45
• Who are under the influence of a substance/experiencing active psychosis
• Who are not Black or of African descent

• You will complete a number of questionnaires to assess your mood and overall health of you and your baby. This will occur during pregnancy and until your baby is 12 months old.
• You will be randomly assigned to participate in the intervention. This means connecting with a maternity care specialist, receiving individual or group therapy, and participating in an optional virtual peer support group during and after your pregnancy. We anticipate these interventions will reduce depression, anxiety and stress that you may experience during and after pregnancy.
• After your baby is born, we will meet with you and your newborn to ask about your infant’s health and development. We also will measure how you and your newborn are bonding. Our team will continue to monitor your baby’s development up to his or her first birthday.

• Study participants will receive up to $270 to $450 in total compensation, if you complete all questionnaires and attend all therapy sessions. This includes $10 per session toward transportation expenses for any in-person interventions.

• The George Washington University Hospital
  Jennifer Keller, M.D., recruiting site P.I.
• Unity Health Care
  Siobhan Burke, M.D., recruiting site P.I.
  Maariya Bassa, CNM, recruiting site program coordinator