Peripartum depression (PPD) is considered a major public health concern due to its profound impact on families, including infants. In this paper, we report on a pilot initiative designed to reduce barriers and stigma related to the use of traditional infant mental health services for immigrant parents deemed at high risk of PPD. The Crying Clinic (CC) is an innovative walk‐in service offered in a culturally diverse Canadian community to support maternal well‐being and healthy parent–infant relationships. The CC was designed to be a gateway to existing infant mental health services, through its emphasis on accessibility and cultural sensitivity. Support for concrete concerns, such as anxiety about normative infant behaviors like crying, is underscored in this approach to attract vulnerable families who would otherwise not access mental health support. A review of 44 users, utilization, plans for the use of additional services, and client evaluations suggests that the CC accomplished most of its goals. We conclude that gateway service models such as the CC have the potential to enhance traditional infant mental health programs by creatively addressing the challenge of engaging highly vulnerable parents from culturally diverse backgrounds.

中文翻译：

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The Crying Clinic：增加有围产期抑郁风险的移民父母获得婴儿心理健康服务的机会

围产期抑郁症 (PPD) 因其对包括婴儿在内的家庭的深远影响而被认为是一个主要的公共卫生问题。在本文中，我们报告了一项试点计划，旨在减少与被认为有 PPD 高风险的移民父母使用传统婴儿心理健康服务相关的障碍和污名。The Crying Clinic ( CC ) 是一项创新的步入式服务，在多元文化的加拿大社区中提供，以支持孕产妇福祉和健康的亲子关系。该CC通过强调可访问性和文化敏感性，旨在成为现有婴儿心理健康服务的门户。这种方法强调了对具体问题的支持，例如对婴儿规范行为（如哭泣）的焦虑，以吸引原本无法获得心理健康支持的弱势家庭。对 44 个用户、使用情况、使用附加服务的计划和客户评估的审查表明，CC实现了大部分目标。我们得出的结论是，像CC这样的门户服务模式有可能通过创造性地解决让来自不同文化背景的高度脆弱的父母参与进来的挑战来增强传统的婴儿心理健康计划。