A Mental Health Innovation for Nurse Home Visiting Program Shows Effectiveness in Reducing Depressive Symptoms and Anxiety

被引:0
作者
Linda S. Beeber
Mariarosa Gasbarro
Michael Knudtson
Alasia Ledford
Sharon Sprinkle
Jennifer Leeman
Georgette McMichael
Paula Zeanah
Allison Mosqueda
机构
[1] University of North Carolina at Chapel Hill School of Nursing,Prevention Research Center
[2] University of Colorado Anschutz Medical Campus,College of Nursing and Allied Health Professions and Picard Center for Child Development and Lifelong Learning
[3] Nurse-Family Partnership National Service Office,undefined
[4] University of Louisiana at Lafayette,undefined
[5] Nurse-Family Partnership,undefined
[6] Invest in Kids,undefined
来源
Prevention Science | 2024年 / 25卷
关键词
Maternal and child health; Perinatal; Postpartum; Mental health;
D O I
暂无
中图分类号
学科分类号
摘要
The objective of this paper is to report on the effectiveness of a mental health addition to a national nurse-delivered home visiting program. The methods are as follows: analysis of pre/post-launch of the standard Mental Health Intervention and comparison of 356 teams randomized to standard versus enhanced implementation. Stepwise regression controlled for significant client characteristics that were related to relevant outcomes. These characteristics were used in generalized mixed effect models comparing pre/post implementation and intervention and control groups. Pre/post analysis showed that only clients with no elevated mental health screening scores or mental health diagnoses at enrollment showed a significant decrease in depressive symptoms. Clients enrolled with and without mental health needs at enrollment significantly decreased on anxiety scores while referrals to mental health care increased. Teams receiving enhanced implementation enrolled more clients with mental health needs and clients completed more well-child visits and use of safe sleep practices. By integrating mental health care into maternal, infant, and early childhood home visiting programs, a new equitable model of primary mental health care can reach populations in need. This example provides a new paradigm of accessible and equitable mental health care for the future that can be implemented in a variety of home visiting programs.
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页码:126 / 136
页数:10
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