Addressing maternal depression in home visiting: Findings from the home visiting collaborative improvement and innovation network

Abstract

Background Maternal depression is common among low-income women enrolled in home visiting programs, yet there is considerable variability in the extent to which it is identified and addressed. This study examines outcomes related to postpartum depression screening, receipt of evidence-based services, and reductions in depressive symptoms among clients of home visiting programs in the Health Resources and Services Administration's Maternal, Infant, and Early Childhood Home Visiting Program Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN), the first U.S. national application of the Institute for Healthcare Improvement's Breakthrough Series (BTS) Model in home visiting programs.

The Effect of Assistance for Pregnant Women on Attitudes and Behavior Changes in Stunting Prevention

“…5 The mentoring function of health workers seems to be further improved, especially in rural areas, in Aceh Besar, Hawaii and elsewhere. [23][24][25][26] A significant change in attitude seems to provide a stimulus for behavior change, based on the indicators tested. However, the continuous mentoring function can be fostered so that self-desire can arise from mothers, and will gradually help mothers around them in terms of stunting prevention.…”

The Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health

“…794 Many established programs have known benefits in preventing the incidence and intergenerational transmission of ACEs. 87,[1297][1298][1299][1300][1301][1302][1303] Projections of the Nurse-Family Partnership (NFP) on a national level anticipate that by 2031, services it provided from 1996 to 2013 will prevent 500 infant deaths, 42,000 child maltreatment incidents, 36,000 intimate partner violence incidents, 90,000 violent crimes by youth, 41,000 person-years of youth substance abuse, and 594,000 property and public-order crimes by youth. 1303 NFP has shown an overall 48% reduction in child abuse and neglect, improved parenting practices, lower rates of substance use in mothers and children, and reduced exposure to intimate partner violence, which are all ACEs.…”

“…One study found that depressed mothers experienced improved symptoms by 8.8%, were 12.7% more likely to be screened for depression, and had 23.9% higher usage of evidence-based services following a positive screen. 1297 Home visitation programs are inherently multi-generational and seek to address parental stress and readiness, identify needs and care directly for young children (typically up to two to five years old), and facilitate social support networks. In alignment with the Centers for Disease Control and Prevention's (CDC) Social-Ecological Model for violence prevention, home visiting professionals strengthen the parent-child relationship with specific tools and resources to secure a strong start in life.…”

Reflective parenting home visiting program: A longitudinal study on the effects upon depression, anxiety and parenting stress in first-time mothers

“…Moreover, several studies have shown that the adverse outcomes may be linked with early to late pregnancy experiences ( Hartman et al., 2020 ; Korja et al., 2017 ); for such reason, it is important to identify precociously psychological distress, since pregnancy. Indeed, perinatality seems to be a particularly advantageous time to provide preventive and parenting interventions ( Glover et al., 2008 ; Damashek et al., 2020 ; Tandon et al., 2020 ).…”