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An intensive mental health home visiting model for two at-risk early childhood populations

Author

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  • Reuter, Katherine E.
  • Melchior, Lisa A.
  • Brink, Amber M.

Abstract

This study examined proximal outcomes of a mental health home visiting model for two populations at risk for child maltreatment: families with young children referred by child protective services (CPS) and at-risk pregnant women (Prenatal) referred by community agencies. Family- and caregiver-level outcomes were measured using the Family Assessment Form (FAF). Families (n=215) showed significant improvement in all eight family functioning factors over the course of their participation in mental health home visiting services. Initially, CPS-referred families (n=84) scored higher on the FAF measure of Interactions between Caregivers, indicating greater conflict between caregivers in the family. Prenatal referred families (n=131) were at greater risk initially on Housing. Prenatal-referred families demonstrated greater risk reduction on measures of Supports to Caregivers, Developmental Stimulation, Caregiver Personal Characteristics and Housing. In addition, all families demonstrated significant improvements in functioning on 11 of 12 items comprising the Caregiver Personal Characteristics factor. Overall, CPS-referred families scored at higher risk on items reflecting externalizing problems, while Prenatal-referred families showed greater improvement on items reflecting internalizing problems. This model was successful in reducing risk factors and promoting protective factors for CPS-referred and Prenatal at-risk families. Implications and future directions are discussed.

Suggested Citation

  • Reuter, Katherine E. & Melchior, Lisa A. & Brink, Amber M., 2016. "An intensive mental health home visiting model for two at-risk early childhood populations," Children and Youth Services Review, Elsevier, vol. 61(C), pages 22-30.
    • Handle: RePEc:eee:cysrev:v:61:y:2016:i:c:p:22-30
    DOI: 10.1016/j.childyouth.2015.11.027
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    References listed on IDEAS

    as
    1. Boyas, Javier F. & Wind, Leslie H. & Ruiz, Erika, 2013. "Organizational tenure among child welfare workers, burnout, stress, and intent to leave: Does employment-based social capital make a difference?," Children and Youth Services Review, Elsevier, vol. 35(10), pages 1657-1669.
    2. Emily Sama-Miller & Lauren Akers & Andrea Mraz-Esposito & Sarah Avellar & Diane Paulsell & Patricia Del Grosso, "undated". "Home Visiting Evidence of Effectiveness Review (Executive Summary)," Mathematica Policy Research Reports e7ca642d212341c19d252df0b, Mathematica Policy Research.
    3. Lee, Eunju & Esaki, Nina & Kim, Jeehoon & Greene, Rose & Kirkland, Kristen & Mitchell-Herzfeld, Susan, 2013. "Organizational climate and burnout among home visitors: Testing mediating effects of empowerment," Children and Youth Services Review, Elsevier, vol. 35(4), pages 594-602.
    4. repec:mpr:mprres:7934 is not listed on IDEAS
    5. L. Michele Issel & Sarah G. Forrestal & Jaime Slaughter & Anna Wiencrot & Arden Handler, "undated". "A Review of Prenatal Home-Visiting Effectiveness for Improving Birth Outcomes," Mathematica Policy Research Reports dadf48a4556844ec95c362b14, Mathematica Policy Research.
    6. Emily Sama-Miller & Lauren Akers & Andrea Mraz-Esposito & Marykate Zukiewicz & Sarah Avellar & Diane Paulsell & Patricia Del Grosso, "undated". "Home Visiting Evidence of Effectiveness Review: Executive Summary," Mathematica Policy Research Reports 87df04cf10f344939c4ffce2e, Mathematica Policy Research.
    7. Sarah A. Avellar & Lauren H. Supplee, 2013. "Effectiveness of Home Visiting in Improving Child Health and Reducing Child Maltreatment," Mathematica Policy Research Reports 2d00cdb4b2eb4fee8087572fc, Mathematica Policy Research.
    8. repec:mpr:mprres:6908 is not listed on IDEAS
    9. Emily Sama-Miller & Lauren Akers & Andrea Mraz-Esposito & Rebecca Coughlin & Marykate Zukiewicz, "undated". "Home Visiting Evidence of Effectiveness Review: Executive Summary," Mathematica Policy Research Reports ab92c1547bc142a6815d64f33, Mathematica Policy Research.
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    Cited by:

    1. Simon, James David & Brooks, Devon, 2019. "Targeting services to reduce need after a child abuse investigation: Examining complex needs, matched services, and meaningful change," Children and Youth Services Review, Elsevier, vol. 99(C), pages 386-394.

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