Abstract
Psychosocial risk factors—in particular, maternal depression, substance abuse, and intimate partner violence—are prevalent among women enrolled in home visitation (HV) programs. Although HV programs have been shown to improve various maternal and child health outcomes, they have had more limited success in responding to clients’ psychosocial risk factors. This chapter has three objectives. First, this chapter provides recommendations for HV programs to identify psychosocial risks among their clients. To detect the presence of psychosocial risk factors, HV programs are encouraged to conduct systematic screening on an ongoing basis using well-validated instruments. Second, this chapter provides specific examples of approaches to enhance home visitors’ capacity to address psychosocial risks among their clients. HV programs should be explicit in defining when and how psychosocial risks are to be addressed by home visitors and ongoing support should be provided using approaches such as reflective supervision and coaching. Third, this chapter provides recommendations on ways to augment existing HV program models to address psychosocial risk factors. Multiple aspects of HV programs need to be focused upon (e.g., program models, training, and supervision protocols) to enact the recommendations put forth in this chapter. Also, critical to the successful implementation of these recommendations is the buy-in from HV program staff. Given the prevalence of psychosocial risks facing HV clients and the deleterious effects of these risk factors, it is imperative that HV programs strive to address these areas in a multifaceted and ongoing manner.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ammerman, R. T., Putnam, F. W., Altaya, M., Chen, L., Holleb, L., Stevens, J., Short, J., & Van Ginkel, J. B. (2009). Changes in depressive symptoms in first time mothers in home visitation. Child Abuse & Neglect, 33, 127–138.
Ammerman, R. T., Putnam, F. W., Stevens, J., Bosse, N. R., Short, J.A., Bodley, A. L., & Van Ginkel, J. B. (2011). An open trial of in-home CBT for depressed mothers in home visitation. Maternal and Child Health Journal, 15, 1333–1341.
Baisch, M. J., Carey, L. K., Conway, A. E., & Mounts, K. O. (2010). Perinatal depression: A health marketing campaign to improve screening. Nursing for Women’s Health, 14, 20–33.
Beck, C. T., & Gable, R. K. (2000). Postpartum depression screening scale: Development and psychometric testing. Nursing Research, 49, 272–282
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for beck depression inventory-II. San Antonio: Psychological Corporation.
Beeber, L. S., Holditch-Davis, D., Perreira, K., Schwartz, T., Lewis, V., Blanchard, H., Anuso, R., & Goldman, B. (2010). Short-term in-home intervention reduces depressive symptoms in early head start Latina mothers of infants and toddlers. Research in Nursing and Health, 33, 60–76.
Boyd, R. C., Le, H. N., & Somberg, R. (2005). Review of screening instruments for postpartum depression. Archives of Women’s Mental Health, 8, 141–155.
Bryans, A. (2004). Examining health visiting expertise: Combining simulation, interview and observation. Journal of Advanced Nursing, 47, 623–630.
Bryans, A., & McIntosh, J. (2007). An ecological, information-based approach to the study of expertise: Illustrative findings from a study of UK health-visiting practice. Learning in Health and Social Care, 6, 44–58.
Bullock, L., & Sharps, P. (2011). Domestic violence within the context of home visiting: Eight lessons learned from the DOVE intervention. Prevention and Health Practice. http://www.futureswithoutviolence.org/health/ejournal/2011/04/domestic-violence-within-the-context-of-home-visitingeight-lessons-from-the-dove-intervention/. Accessed 12 Nov 2012.
Burns, E., Gray, R., & Smith, L. (2010). Brief screening questionnaires to identify problem drinking during pregnancy: A systematic review. Addiction, 105, 610–614.
Chaffin, M., Hecht, D., Bard, D., Silovsky, J., & Beasley, W. (2012). A statewide trial of the SafeCare home-based services model with parents in Child Protective Services. Pediatrics, 129, 509–515.
Chasnoff, I. J., McGourty, R. F., Bailey, G. W., Hutchins, E., Lightfoot, S. O., Pawson, L. L., Fahey, C., May, B., Brodie, P., McCulley, L., & Campbell, J. (2005). The 4P’s plus screen for substance use in pregnancy: Clinical applications and outcomes. Journal of Perinatalogy, 25(6), 368–374.
Chaudron, L. H., Szilagyi, P. G., Kitzman, H. J., Wadkins, H. I., & Conwell, Y. (2004). Detection of postpartum depressive symptoms by screening at well-child visits. Pediatrics, 113, 551–558.
Chazen-Cohen, R., Ayoub, C., Pan, B. A., Roggman, L., Raikes, H., McKelvey, L., & Hart, A. (2007). It takes time: Impacts of early head start that lead to reductions in maternal depression two years later. Infant Mental Health Journal, 28, 151–170.
Chen, P. H., Rovi, S., Vega, M., Jacobs, A., & Johnson, M. S. (2005). Screening for domestic violence in a predominantly Hispanic clinical setting. Family Practice, 22, 617–623.
Cox, J., Holden, J., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786.
Duggan, A. K., Fuddy, L., Burrell, L., Higman, S. M., McFarlane, E., Windham, A., et al. (2004). Randomized trial of a statewide home visiting program to prevent child abuse: Impact in reducing parental risk factors. Child Abuse and Neglect, 28, 623–643.
Duggan, A. K., Caldera, D., Rodriguez, K., Burrell, L., Rohde, C., & Crowne, S. (2007). Impact of a statewide home visiting program to prevent child abuse. Child Abuse and Neglect, 31, 801–827.
Duggan, A. K., Berlin, L. J., Cassidy, J., Burrell, L., & Tandon, S. D. (2009). Examining maternal depression and attachment insecurity as moderators of the impacts of home visiting for at-risk mothers and infants. Journal of Consulting and Clinical Psychology, 77, 788–799.
Eckenrode, J., Ganzel, B., Henderson, C., Smith, E., Olds, D., Powers, J., Cole, R., Kitzman, H., & Sidora, K. (2000). Preventing child abuse and neglect with a program of nurse home visitation: The limiting effects of domestic violence. Journal of the American Medical Association, 284, 1385–1391.
Eddy, T., Kilburn, E., Chang, C., Bullock, L., & Sharps, P. (2008). Facilitators and barriers for implementing home visit interventions to address intimate partner violence: Town and gown partnerships. Nursing Clinics of North America, 43, 419–435.
Eggbeer, L., Mann, T. & Seibel, N. (2007). Reflective supervision: Past, present, and future. ZERO TO THREE, 28(2).Fergusson, D. M., Grant, H., Horwood, L. J., & Ridder, E. M. (2006). Randomized trial of the Early Start program of home visitation: Parent and family outcomes. Pediatrics, 117(3), 781–786. doi:10.1542/peds.2005-1517.
Fixsen, D., Naoom, S., Blase, K., Friedman, R., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network.
Garcia, L., Coker, A., Williams, C., Clear, E., Jennings, N., Hansen, W., McFarlane, J., & Ferguson, J. (2012). Lessons learned in implementing a psychosocial screener in a high-risk obstetrics clinic. Prevention and health practice. http://www.futureswithoutviolence.org/health/ejournal/2012/02/lessons-learned-in-implementing-a-psychosocial-screener-in-a-high-risk-obstetrics-clinic. Accessed 12 Nov 2002.
Goodman, J. H., & Tyer-Viola, L. (2010). Detection, treatment, and referral of perinatal depression and anxiety by obstetrical providers. Journal of Women’s Health, 19, 477–490.
Houry, D., Feldhaus, K., PeeryB., Abbott, J., Lowenstein, S. R., al-Bataa-de-Montero, S., et al. (2004). A positive domestic violence screen predicts future domestic violence. Journal of Interpersonal Violence, 19, 955–66.
Joyce, B., & Showers, B. (2002). Student achievement through staff development (3rd ed.). Alexandria: Association for Supervision and Curriculum Development.
Kelly, R., Zatzick, D., & Anders, T. (2001). The detection and treatment of psychiatric disorders and substance use among pregnant women cared for in obstetrics. American Journal of Psychiatry, 158, 213–219.
Kroenke, K., Spitzer, R., & Williams, J. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.
Kroenke, K., Spitzer, R., & Williams, J. (2003). The patient health quesitonnaire-2: Validity of a two-item depression screener. Medical Care, 41,1284–1292.
Lutzker, J. R., & Bigelow, K. M. (2002). Reducing child maltreatment: A guidebook for parent services. New York: Guilford Press.
Marcus, S. M., Flynn, H. A., Blow, F. C., & Barry, K. L., 2003. Depressive symptoms among pregnant women screened in obstetrics settings. Journal of Women’s Health, 12,373–380.
Miller, L., Shade, M., & Vasireddy, V. (2009). Beyond screening: Assessment of perinatal depression in a perinatal care setting. Archive of Women’s Mental Health, 12, 329–334.
Musik, J. S., & Stott, F. M. (1990). Paraprofessionals, parenting, and child development: Understanding the problems and seeking solutions. In S. J. Meisels & J. P. Shonkoff (Eds.), Handbook of early childhood intervention (pp. 651–667). Cambridge: Cambridge University Press.
Nelson, H., Bougatson, C., & Blazina, I. (2012). Screening women for intimate partner violence: A systematic review to update the U.S. preventive services task force recommendation. Annals of Internal Medicine, 156, 796–808.
Olson, A., Dietrich, A. J., Prazar, G., Hurley, J., Tuddenham, A., Hedberg, V., & Napinsky, D. A. (2005). Two approaches to maternal depression screening during well child visits. Journal of Developmental and Behavioral Pediatrics, 26, 169–176.
Parlakian, R. (2001). Look, listen, and learn: Reflective supervision and relationship-based work. Washington, DC: Zero To Three
Prochaska, J., & DiClemente, C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390–395.
Roter, D., & Larson, S. (2002). The roter interaction analysis system (RIAS): Utility and flexibility for analysis of medical interactions. Patient Education and Counseling, 46, 243–251.
Russell, M. (1994). New assessment tools for drinking in pregnancy: T-ACE, TWEAK, and others. Alcohol Health and Research World, 18(1), 55–61.
Segre, L. S., O’Hara, M. W., Arndt, S., & Beck, C. T. (2010). Nursing care for postpartum depression, part 1: Do nurses think they should offer both screening and counseling? American Journal of Maternal and Child Nursing, 35, 220–225.
Sokol, R. J., Martier, S. S., & Ager, J. W. (1989). The T-ACE question: Practical prenatal detection of risk-drinking. American Journal of Obstetrics and Gynecology, 160, 863–871.
Spouse, J. (2001). Bridging theory and practice in the supervisory relationship: A sociocultural perspective. Journal of Advanced Nursing, 33(4), 512–522.
Stokes, T., & Baer, D. (1977). An implicit technology of generalization. Journal of Applied Behavior Analysis, 10, 349–367.
Stoltenberg, C.D., & McNeill, B. W. (2010). Counseling and psychotherapy: Investigating practice from scientific, cultural, and historical perspectives. In C. D. Stoltenberg, B. W. McNeill, & U. Delworth (Eds.), IDM supervision: An integrative developmental model for supervising counselors and therapists (3rd ed.). New York: Routledge/Taylor & Francis Group.
Sweet, M., & Appelbaum, M. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75, 1435–1456.
Tandon, S. D., Parillo, K. M., Jenkins, C. J., & Duggan, A. K. (2005). Home visitors’ recognition of and response to malleable risk factors among low-income pregnant and parenting women. Maternal and Child Health Journal, 9, 273–283.
Tandon, S. D., Mendelson, T., Kemp, K., Leis, J., & Perry, D. (2011). Preventing perinatal depression in low-income home visiting clients: A randomized controlled trial. Journal of Consulting & Clinical Psychology, 79, 707–712.
Wasik, B. (1993). Staffing issues for home visiting programs. The Future of Children, 3, 140–157.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Tandon, S. (2016). Addressing Psychosocial Risk Factors Among Families Enrolled in Home Visitation: Issues and Opportunities. In: Roggman, L., Cardia, N. (eds) Home Visitation Programs. Springer, Cham. https://doi.org/10.1007/978-3-319-17984-1_8
Download citation
DOI: https://doi.org/10.1007/978-3-319-17984-1_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-17983-4
Online ISBN: 978-3-319-17984-1
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)