Dauber Sarah, Ferayorni Frances, Henderson Craig, Hogue Aaron, Nugent Jessica, Alcantara Jeannette
The National Center on Addiction and Substance Abuse.
Stony Brook University.
J Community Psychol. 2017 Apr;45(3):396-412. doi: 10.1002/jcop.21855. Epub 2017 Jan 31.
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.
物质使用和抑郁症在参与家访项目的母亲中很普遍，并且是儿童虐待的重要风险因素，但大多数家访项目的工作人员缺乏应对这些风险的培训和临床技能。出于一个州网络对推进该领域实践的兴趣，当前研究对159名家访人员进行了调查，了解他们目前的做法、培训、知识、自我效能感，以及在服务对象物质使用和抑郁症方面所感知到的系统层面和服务对象层面的障碍。家访人员报告称，他们对产妇抑郁症的管理比物质使用更为广泛，不过两个风险领域的总体管理水平都很低。更多的培训与对两个风险领域更广泛的管理相关，家访人员的知识和自我效能感增强也与之相关。文中讨论了改进家访人员对服务对象行为健康风险管理策略的发展方向，包括加强基于技能的培训和监督。
