Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr;45(3):396-412.
doi: 10.1002/jcop.21855. Epub 2017 Jan 31.

Substance Use and Depression in Home Visiting Clients: Home Visitor Perspectives on Addressing Clients' Needs

Sarah Dauber  1 , Frances Ferayorni  2 , Craig Henderson  3 , Aaron Hogue  1 , Jessica Nugent  4 , Jeannette Alcantara  4
Affiliations

Substance Use and Depression in Home Visiting Clients: Home Visitor Perspectives on Addressing Clients' Needs

Sarah Dauber et al. J Community Psychol. 2017 Apr.

Abstract

Substance use and depression are prevalent among mothers enrolled in home visiting programs and are significant risk factors for child maltreatment, yet most home visiting programs are staffed by workers who lack the training and clinical skills to address these risks. Emanating from one state network's interest in advancing its practice in this area, the current study surveyed 159 home visitors on their current practices, training, knowledge, and perceived self‐efficacy, and perceived system‐ and client‐level barriers regarding client substance use and depression. Home visitors reported managing maternal depression more extensively than substance use, though overall management of both risk areas was low. More training was associated with more extensive management of both risk domains, as was greater home visitor knowledge and self‐efficacy. Implications for the development of strategies to improve home visitor management of client behavioral health risks, including enhanced skills‐based training and supervision, are discussed.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Hypothesized factor structure underlying the home visitor survey. MD = Maternal Depression; SU = Substance Use.
See this image and copyright information in PMC

References

    1. Abrams LS, Dornig K, Curran L. Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qualitative Health Research. 2009;19:535–551. - PubMed
    1. Agerwala SM, McCance-Katz EF. Integrating Screening, Brief Intervention, and Referral to Treatment (SBIRT) into clinical practice settings: A brief review. Journal of Psychoactive Drugs. 2012;44(4):307–317. doi: 10.1080/02791072.2012.720169. - DOI - PMC - PubMed
    1. Ammerman RT, Putnam FG, Altaye M, Teeters AR, Stevens J, Van Ginkel JB. Treatment of depressed mothers in home visiting: Impact on psychological distress and social functioning. Child Abuse and Neglect. 2013;37:544–554. doi: 10.1016/j.chiabu.2013.03.003. - DOI - PMC - PubMed
    1. Ammerman RT, Putnam FW, Stevens J, Bosse NR, Short JA, Bodley AL, Van Ginkel JB. An open trial of in-home CBT for depressed mothers in home visitation. Maternal and Child Health Journal. 2011;15(8):1333–1341. doi:0.1007/s10995-010-0691-7. - PMC - PubMed
    1. Ammerman RT, Putnam FW, Teeters AR, van Ginkel JB. Moving Beyond Depression: A collaborative approach to treating depressed mothers in home visiting programs. Zero to Three. 2014;34(5):20–27.

Publication types

MeSH terms