Inclusion Criteria  Only British mothers of African and Caribbean heritage:  experiencing emotional distress due to childbirth or parenting and scored 5 or above on the patient health questionnaire (PHQ-9) who have children age 0-3 years residents of designated communities and available for follow-up are 18 years and above able to give informed consent.  Exclusion Criteria  Are mothers:  with a medical condition that would prevent their participation such as active suicidal ideation, tuberculosis, or heart failure temporary residents are unlikely to be available for follow up who are less than 18 years unable to provide consent. with non-British African and Caribbean heritage.