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Substance use and depression in home visiting clients: Home visitor perspectives on addressing clients’ needs
Author(s) -
Dauber Sarah,
Ferayorni Frances,
Henderson Craig,
Hogue Aaron,
Nugent Jessica,
Alcantara Jeannette
Publication year - 2017
Publication title -
journal of community psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.585
H-Index - 86
eISSN - 1520-6629
pISSN - 0090-4392
DOI - 10.1002/jcop.21855
Subject(s) - visitor pattern , depression (economics) , home management , medicine , psychology , substance use , nursing , psychiatry , labour economics , computer science , economics , macroeconomics , programming language
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.