Substance use and depression in home visiting clients: Home visitor perspectives on addressing clients’ needs

Dauber, Sarah; Ferayorni, Frances; Henderson, Craig E.; Hogue, Aaron; Nugent, Jessica; Alcantara, Jeannette

doi:10.1002/jcop.21855

Cited by 22 publications

(22 citation statements)

References 57 publications

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“…Home visiting professionals have given motivational communication techniques increased attention (e.g., Dauber, John, Hogue, Nugent, & Hernandez, ; Olds et al., ; Silovsky et al., ). A randomized controlled trial showed that training nurses in motivational interviewing techniques and giving them latitude to adjust the frequency and content of visits led to greater retention and more completed home visits (Olds et al., ).…”

Section: Discussionmentioning

confidence: 99%

The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors

Schultz

Schacht

Shanty

et al. 2019

American J of Comm Psychol

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Highlights• We developed a state-wide training center for infant home visitors.• Training content was developed through an iterative process of community partner feedback.• Home visitors reported increases in self-confidence following training in most competency areas.• Participant evaluations of training are consistent with positive results from an RCT of training.Abstract This paper informs practice in communitybased home visiting workforce development by describing the development and evaluation of a university-based training certificate program for home visitors and supervisors. The Interactive Systems Framework for Dissemination and Implementation (ISF; Wandersman et al., 2008) guides our conceptualization and paper organization. The ISF describes the components involved in translating research findings into effective implementation of prevention programs. We describe implementation and lessons learned from seven development activities: (a) review of the literature, (b) survey of other training initiatives across the country, (c) focus groups with home visitors and supervisors, (d) consultation with individual home visitors, (e) creation of a state advisory board of home visiting providers and stakeholders, (f) evaluation of two pilot trainings, and (g) video development. We then present evaluation data from 49 home visitors and 23 supervisors who completed the training certificate program after the pilot trainings. Both home visitors and supervisors rated training satisfaction highly, reported significant increases in self-efficacy related to the training topics, and reported extensive use of motivational communication techniques, which are the foundational skills of the training content. These and other favorable results reflect the benefits of building on advances in theory and sciencebased practice and of involving providers and stakeholders repeatedly throughout the development process.

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Section: Discussionmentioning

confidence: 99%

The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors

Schultz

Schacht

Shanty

et al. 2019

American J of Comm Psychol

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“…Home-based family support programs are a key intervention to promote positive parenting and attachment, prevent child maltreatment, and facilitate linkage to community resources for high-risk families (Azzi-Lessing 2013 ). Home visiting models typically target pregnant and postpartum women with risk factors known to disrupt the parent–child relationship, such as history of trauma; intimate partner violence; mental health issues, including maternal depression; low academic achievement, often leading to low income; and a limited support network (Ammerman et al 2015 ; Dauber et al 2017a , b ). Maternal substance use is another known risk factor for child maltreatment and may be a comorbidity among at-risk populations (Connelly et al 2013 ; Dauber et al 2017a , b ; Michalopoulos et al 2015 ).…”

Section: Introductionmentioning

confidence: 99%

“…Few home visiting models, however, are equipped to address the complex needs of families affected by maternal substance use. Substance use among families receiving home visiting services has been associated with reduced program engagement and diminished outcomes (Azzi-Lessing 2013 ; Dauber et al 2017a , b ; Green et al 2018 ). Many home visiting programs do not conduct systematic data collection related to substance use indicators, and few focus on substance use-related outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Research findings indicate that even when maternal substance use is identified, home visitors report feeling ill-prepared to effectively respond to the needs of these mothers and their infants (S. Dauber et al 2017a , b ; Schreier et al 2018 ; Tandon et al 2008 ). Home visitors in these studies indicate a need for specialized training to address issues related to alcohol and other drug use (Schreier et al 2018 ; Tandon et al 2008 ).…”

Section: Introductionmentioning

confidence: 99%

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A Promising Approach in Home Visiting to Support Families Affected by Maternal Substance Use

O’Malley

Chiang

Siedlik

et al. 2020

Matern Child Health J

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Introduction Many factors influence women’s use of alcohol and other drugs while pregnant and postpartum. Substance use impacts the maternal-child relationship during the critical neonatal period. The first days and months of human development lay the foundation for health and well-being across the lifespan, making this period an important window of opportunity to interrupt the transmission of trauma and stress to the next generation. Pregnant and postpartum women with a history of substance use require specialized support services. Methods The Team for Infants Exposed to Substance abuse (TIES) Program provides a holistic, multi-disciplinary, community-based model to address the complex needs of families with young children affected by maternal substance use. Results A multi-year implementation study of the model yielded results that indicate the effectiveness of this home-based family support intervention. The model focuses on reducing maternal alcohol and other drug use, increasing positive parenting, promoting child and maternal health, and improving family income and family housing. A key component of the model is establishing a mutual, trusting relationship between the home visiting specialists and the family. Foundational to the TIES model is a family-centered, culturally competent, trauma-informed approach that includes formal interagency community partnerships Discussion This article describes elements of the model that lead to high retention and completion rates and family goal attainment for this unique population.

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“…In a national sample, 26% of HV clients reported prior binge drinking, 13% reported past illicit drug use, 34% reported clinically significant depression symptoms, and 17% reported past-year physical or psychological IPV (Michalopoulos et al, 2015). Despite the potential of HV to improve access to behavioral health treatment, studies have demonstrated low rates of identification of SU, MD, and IPV and referral to treatment within HV (Dauber et al, 2017; Duggan et al, 2004; Tandon, Parillo, Jenkins, & Duggan, 2005), and more difficult engagement and poorer outcomes for families with complex risk profiles (Azzi-Lessing, 2013; Damashek, Doughty, Ware, & Silovsky, 2011; Eckenrode et al, 2000). …”

Section: Introductionmentioning

confidence: 99%

Development and implementation of a screen-and-refer approach to addressing maternal depression, substance use, and intimate partner violence in home visiting clients

Dauber

John

Hogue

et al. 2017

Children and Youth Services Review

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Perinatal maternal depression (MD), substance use (SU), and intimate partner violence (IPV) are critical public health concerns with significant negative impacts on child development. Bolstering the capacity of home visiting (HV) programs to address these significant risk factors has potential to improve child and family outcomes. This study presents a description and mixed-methods feasibility evaluation of the “Home Visitation Enhancing Linkages Project (HELP),” a screen-and-refer approach to addressing MD, SU, and IPV within HV aimed at improving risk identification and linkage to treatment among HV clients. HELP was a three-phase intervention that included three evidence-based interventions: screening, motivational interviewing (MI), and case management (CM). This study presents quantitative fidelity data from 21 home visitors reporting on 116 clients in 4 HV programs, as well as qualitative data from structured interviews with 14 home visitors. Nearly all clients were screened and 22% screened positive on at least one risk domain. Rates of MI and CM implementation were lower than expected, however home visitors implemented general supportive interventions at high rates. Home visitor interviews revealed the following factors that may have impacted HELP implementation: client disclosure of risk, barriers to treatment access, systems integration, home visitor role perception, and integration of HELP into the broader HV curriculum. Implications of study findings for the design of future attempts to address maternal risk within HV are discussed.

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Substance use and depression in home visiting clients: Home visitor perspectives on addressing clients’ needs

Cited by 22 publications

References 57 publications

The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors

The Development and Evaluation of a Statewide Training Center for Home Visitors and Supervisors

A Promising Approach in Home Visiting to Support Families Affected by Maternal Substance Use

Development and implementation of a screen-and-refer approach to addressing maternal depression, substance use, and intimate partner violence in home visiting clients

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