Pitzen Jerrica, Rice Danielle, Durán Barbara, Jester Jennifer, Riggs Jessica, Julian Megan, Appold Brendan, Muzik Maria, Rosenblum Katherine
Michigan Medicine, University of Michigan, Ann Arbor, MI, United States.
School of Social Work, Wayne State University, Detroit, MI, United States.
Front Psychol. 2025 Apr 11;16:1549246. doi: 10.3389/fpsyg.2025.1549246. eCollection 2025.
This study examined the impact of a relationship-based intervention, the Michigan Model of Infant Mental Health Home Visiting (IMH-HV), on infant/child referrals and receipt of physical health services.
Using a randomized controlled trial (RCT) design, participants included community-recruited mother-infant/toddler dyads who were randomized to treatment (IMH-HV) or control. Participant-reported healthcare, related service referrals received, and number of medical visits attended at baseline, 6-, and 12-month were examined.
Families assigned to IMH-HV were more likely to receive (OR = 13.6, = 0.001) and follow up on referrals (OR = 7.1, = 0.00), and found them more helpful than the control group (OR = 3.9, = 0.03). Children in the treatment group received services in the emergency department (ED; 14.7%) less often compared to control group (34.4%). At 12 months, control group children were more likely to miss well-child visits compared to the IMH-HV group.
These results demonstrate that families who receive IMH-HV services increase their access to and utilization of resources to reduce the impact of some of the most harmful social determinants of poor health, developmental, and relational outcomes. Unique components of IMH-HV that might explain this include attending to concrete needs, referrals for medical care, and providing developmental guidance.
本研究探讨了一种基于关系的干预措施——密歇根婴幼儿心理健康家庭访视模式（IMH-HV）对婴幼儿转介及接受身体健康服务情况的影响。
采用随机对照试验（RCT）设计，参与者包括从社区招募的母婴/幼儿二元组，他们被随机分配到治疗组（IMH-HV）或对照组。研究考察了参与者报告的医疗保健、接受的相关服务转介情况，以及在基线、6个月和12个月时就诊的次数。
被分配到IMH-HV组的家庭更有可能接受转介（比值比[OR]=13.6，P=0.001）并对转介进行跟进（OR=7.1，P=0.00），且认为转介比对照组更有帮助（OR=3.9，P=0.03）。与对照组（34.4%）相比，治疗组儿童在急诊科（ED）接受服务的频率较低（14.7%）。在12个月时，与IMH-HV组相比，对照组儿童更有可能错过健康儿童检查。
这些结果表明，接受IMH-HV服务的家庭增加了获取和利用资源的机会，以减少一些对健康、发育和关系结局最有害的社会决定因素的影响。IMH-HV可能解释这一现象的独特组成部分包括关注具体需求、转介医疗护理以及提供发育指导。
