INTRODUCTION: One in eight women experience symptoms of postpartum depression. At Sun River Health, efforts to improve postpartum depression screening rates led to an increase from 76% in January 2022 to 80% in January 2023. However, we continue to see a persistent racial disparity in postpartum depression screening: For Black/African American women, postpartum depression screening rates are 77.4%, whereas White women have screening rates of 88%. METHODS: A focus group of English-speaking Black/African American women (n=7) who were not screened for postpartum depression was conducted in May 2023. We administered a series of questions aimed at gathering insight into patients' understanding of and beliefs around postpartum depression, patients' experiences, and barriers to care. The responses were recorded and interpreted using qualitative data analysis. RESULTS: Eighty-three percent of group participants reported that they experienced postpartum depression. Fifty-seven percent reported not receiving depression screening, and 71% reported no discussion on mental health with their clinicians. Among the barriers to care the participants described, social stigma was a common influence and the majority described clinicians as dismissive of their symptoms. Only 14% of patients voiced comfort in discussing mental health with their clinician. CONCLUSION: Further work is needed to better educate clinicians on mental health conditions in pregnancy and postpartum and the importance of engaging patients in discussion on mental health issues. The organization should propagate the survey to obtain additional patients’ feedback and further our understanding of barriers to screening and treatment of depression in Black/African American pregnant women.