Enhancing support for postpartum psychosis through a socio-ecological lens: A qualitative analysis

Postpartum psychosis (PP) is a severe psychiatric disorder affecting 1 to 2 per 1000 births. While effective treatments are available, barriers to treatment and recovery persist. This analysis aims to deepen understanding of recovery support across sociocultural contexts. Participants were individuals enrolled in the Massachusetts General Hospital Postpartum Psychosis Project who completed an open-text follow-up survey on recovery experiences. Data included 131 responses to the question addressing how to best support those experiencing PP. A qualitative content analysis guided by the Socio-Ecological Model (SEM) was performed. Key themes, including the importance of self-acceptance, support systems, provider education, improved clinical practices, and reducing stigma, were mapped onto the levels of the SEM. Applying SEM to the analysis not only highlights individual experiences but also examines the systemic factors influencing PP recovery. Findings provide a framework for future multi-level, theory-driven approaches to facilitate recovery for individuals with PP.