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08.08.2023

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

verfasst von: Linda S. Beeber, Mariarosa Gasbarro, Michael Knudtson, Alasia Ledford, Sharon Sprinkle, Jennifer Leeman, Georgette McMichael, Paula Zeanah, Allison Mosqueda

Erschienen in: Prevention Science | Ausgabe 1/2024

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Abstract

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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Titel: A Mental Health Innovation for Nurse Home Visiting Program Shows Effectiveness in Reducing Depressive Symptoms and Anxiety
verfasst von: Linda S. Beeber
Mariarosa Gasbarro
Michael Knudtson
Alasia Ledford
Sharon Sprinkle
Jennifer Leeman
Georgette McMichael
Paula Zeanah
Allison Mosqueda
Publikationsdatum: 08.08.2023
Verlag: Springer US
Erschienen in: Prevention Science / Ausgabe 1/2024
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-023-01574-6

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

Abstract

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Introduction to Special Issue on Advancing Health Equity Among Black Communities

Correction: “I Need to Get My Culture Back”: Youth and Provider Perspectives on Integrating Culturally Based Approaches into Sexual and Reproductive Health Programs for Native Hawaiian and Pacific Islander Youth Experiencing Homelessness

Correction: Addressing Evaluation Barriers with Early Innovation Development for Adolescent-Focused Sexual and Reproductive Health Interventions

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