Supporting families in challenging contexts: the CAPEDP project

Abstract

Abstract:Although France has one of the most generous health and social care systems for infant and maternal well-being in the Western world, professionals have been increasingly concerned by the rising number of children being referred for mental health problems. The present article describes the first homevisiting program in France to specifically target mental health questions in families living in vulnerable contexts. The CAPEDP project, involving 440 women and their families, took place in Paris and its inner suburbs from 2006 to 2011. To be eligible for inclusion, women had to be (i) under 26 years old, (ii) less that 27 weeks pregnant, (iii) sufficiently fluent in French to give truly informed consent to participate in the study and benefit from the intervention and (iv) presenting with one or more of the following social vulnerability factors: low income, low educational level, and/or intending to bring up the child without the child's father. The intervention consisted of 44 home visits from the third trimester of pregnancy through to the child's second birthday. The aim of the intervention was to promote infant mental health and reduce the incidence of infant mental health problems at the age of two years. The intervention paid particular attention to postnatal maternal depression and promoting parenting skills and attachment security, particularly through the use of video during home-visits.

A home-visiting intervention targeting determinants of infant mental health: the study protocol for the CAPEDP randomized controlled trial in France

“…Visits included showing mothers films on different aspects of parenting, from delivery through the different stages of child development. Further details of the content of the intervention can be found elsewhere [ 69 ]. Training also included a specific section on ethics and research procedures.…”

Assessing a change mechanism in a randomized home-visiting trial: Reducing disrupted maternal communication decreases infant disorganization

“…The CAPEDP intervention (Saïas et al, 2013; Tereno et al, 2013; Tubach et al, 2012) sought, where possible, to act upon the major modifiable determinants of infant mental health from the third trimester of pregnancy to the child's second birthday. Psychologists visited families an average of 6 times during the prenatal period (starting from the 27th week of pregnancy), eight times in the first 3 months of the child's life, 15 times when the child was between 4 and 12 months of age, and another 15 times during the child's second year, resulting in a total of 44 home visits during the entire intervention.…”

“…Each session was approximately 60 min in duration. Additional details regarding the content of the manualized CAPEDP intervention can be found elsewhere (Saïas et al, 2013).…”

La necesaria contribución de la ciencia a la prevención

“…Pierre Arwidson 1 y Carmen Kreft-Jaïs 1 Introducción alimentaria y acompañamiento pedagógico" en 26 centros de secundaria en Aquitania en los años 2007-2008 y 2008-2009. El objetivo era favorecer el consumo de fruta y de pan por parte de los adolescentes y limitar la disponibilidad de productos grasos y azucarados en las casas de los alumnos.…”