The Affordable Care Act provides funding for home-visiting programs to reduce health care disparities, despite limited evidence that existing programs can overcome implementation and evaluation challenges with at-risk populations. The authors report 36-month outcomes of the paraprofessional-delivered Family Spirit home-visiting intervention for American Indian teen mothers and children.
Barlow A; Mullany B; Neault N; Goklish N; Billy T; Hastings R; Lorenzo S; Kee C; Lake K; Redmond C; Carter A; Walkup JT
The American Journal Of Psychiatry
2015
172
2
American Psychiatric Association
Journal Article
United States; Depression prevention & control; Education, Nonprofessional methods; House Calls statistics & numerical data; Maternal Behavior ethnology; Pregnancy in Adolescence prevention & control; Pregnancy in Adolescence psychology; Substance-Related Disorders prevention & control; Adolescent; Child; Child Development; Child, Preschool; Depression epidemiology; Female; Healthcare Disparities; Humans; Indians, North American psychology; Infant; Male; Mother-Child Relations ethnology; Parenting ethnology; Parenting psychology; Pregnancy; Program Evaluation; Social Validity, Research; Substance-Related Disorders epidemiology; Substance-Related Disorders psychology; United States epidemiology; Adolescent: 13-18 years; Child: 6-12 years; Child, Preschool: 2-5 years; Infant: 1-23 months; All Infant: birth-23 months; All Child: 0-18 years; All Child: 0-18 years; Female; Male
Setting
Tribal Adaptation
- Family/Parental
- Individual/Child
Secondary
- Child
- Family
- mental health problems
- parental substance abuse
- parental temperament