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DSW Showcase Student Presentation

Natalie Spalding

MSSW, LCSW, DSW Candidate

Examining Disproportionate Maternal Mortality Rates Among Black Military Members and Veterans in Healthcare: Addressing Systemic Racial Inequities and Pathways to Cultural Competency.

Concentration -

  • Monday, April 28, 2025 -
  • 4:00 pm
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Abstract

This presentation explores the disparities in maternal mortality rates between Black and White women in the United States, focusing on the military healthcare system. Black women in the military continue to experience significantly higher maternal mortality rates despite advances in medical technologies and universal access to healthcare granted by Military Tricare. Using a systemic approach, the presentation will examine systemic inequities rooted in structural racism, implicit bias in healthcare, and social determinants of health that uniquely impact Black women who have served in the military. Additionally, it highlights the intersection of military culture, healthcare disparities, and mental health challenges contributing to the increased risk of this population. Grounded in evidence-based research, this presentation will examine gaps in healthcare delivery and provide recommendations for implementing changes that will positively affect maternal outcomes. The goal is to advocate for culturally competent training of healthcare providers and implement policy reforms that address systemic racism in military healthcare. The audience will gain a deeper understanding of the healthcare needs of Black servicewomen and veterans, including suggested interventions, policy changes, community-based health initiatives, and the integration of mental health support within maternal healthcare. This discussion will empower social work professionals to promote meaningful change and advance equity within the military and healthcare systems.

Biography

Natalie N. Spalding is a Licensed Clinical Social Worker (LCSW) in several states and a candidate for a Doctor of Social Work (DSW) degree at the University of Kentucky with over 18 years of experience in social work and human services. She is a two-time graduate of the University of Louisville, obtaining a Bachelor of Science (BS) degree in Justice Administration and a Master of Science in Social Work (MSSW) from the University of Louisville Kent School of Social Work. Her research focuses on addressing the disparities in the disproportionate rates of maternal mortality among Black servicewomen and the impact on the military and civilian healthcare systems.
As a Clinical Supervisor for a telehealth agency, Natalie supervises 20 independently licensed therapists nationwide, ensuring evidence-based treatment delivery to adults in the United States. Her career has spanned from direct practice to clients in psychiatric residential treatment facilities, community outpatient, and telehealth to various leadership roles. She specializes in trauma-informed care utilizing treatment modalities, including Cognitive Behavioral Therapy, Motivational Interviewing, Solution-focused Therapy, and Dialectical Behavioral Therapy.
Natalie brings a deeply personal connection to her work as a caregiver to her disabled veteran spouse. She emphasizes the importance of reducing barriers to mental health treatment and addressing stigma, particularly among military families. Her commitment lies in reducing barriers to mental health care and empowering the military population through advocacy and policy. Natalie’s dedication to service is guided by her membership in Alpha Kappa Alpha Sorority, Incorporated, whose motto is “By Culture, By Merit.”