Embedding Mental Health Consultation Within Prenatal Home Visiting to Prevent Child Maltreatment and Violence Exposure
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Child Maltreatment
- Sponsor
- Bradley Hospital
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Maternal Report of Intimate Partner Violence
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
This study will examine the efficacy of Enhanced First Connections, which is a short-term perinatal home visiting program that includes infant and early childhood mental health consultation. Mothers with a history of adversity or trauma will be the focus of this research. Hypothesized outcomes of Enhanced First Connections include the prevention of child maltreatment (child abuse and neglect), prevention of child exposure to adult intimate partner violence, increases in family engagement in longer-term evidence based home visiting programs, increases in family engagement in specialized support services to address maternal adversity and trauma, reductions in maternal risk factors, and the promotion of positive parenting and the parent-child relationship.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Pregnant women
- •Recruited in the second or third trimester of pregnancy
- •At least one self-reported experience of adversity or trauma
- •English or Spanish speaking
Exclusion Criteria
- •Does not meet all inclusion criteria above
Outcomes
Primary Outcomes
Maternal Report of Intimate Partner Violence
Time Frame: 6-months postpartum
Maternal report: Conflict Tactics Scales
Child Maltreatment Status
Time Frame: 6-months postpartum
Child protection record review
Child Exposure to Intimate Partner Violence
Time Frame: 6-months postpartum
Child protection record review
Secondary Outcomes
- Maternal PTSD symptoms(6-months postpartum)
- Maternal sensitivity(6-months postpartum)
- Maternal hostility(6-months postpartum)
- Maternal depressive symptoms(6-months postpartum)
- Maternal non-responsiveness(6-months postpartum)
- Home environment(6-months postpartum)
- Mother-infant relationship(6-months postpartum)
- Family engagement in evidence based home visiting programs(6-months postpartum)
- Contextual stress exposure(6-months postpartum)
- Maternal anxiety symptoms(6-months postpartum)
- Maternal alcohol use(6-months postpartum)
- Maternal parenting stress(6-months postpartum)
- Maternal substance use(6-months postpartum)