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Strengthening family retention and relationships in home visiting programs through early screening and assessment practices

Author

Listed:
  • Barton, Jared
  • Naemi Jimenez, Pegah
  • Biggs, Jacklyn
  • Garstka, Teri A.
  • Ball, Thomas C.

Abstract

Evidence-based home visiting (EBHV) programs for pregnant women and families of young children prevent child maltreatment and improve maternal and child health outcomes. However, home visiting programs often struggle to retain families long enough to achieve positive outcomes. The current study (N = 1,032) sought to understand how home visitor relationship building skills and screening practices predict families’ duration in EBHV. Multilevel modeling revealed that screening practice helped retain families in EBHV programs longer. Interactions between screening practices and home visitors’ relationship building skills further showed screening practices were associated with longer duration in services when home visitor relationship building skills with families were weak. However, when home visitor relationship building skills were strong, screening practices were less influential on duration. Results suggest that screening practices may help build relationships with families which then enhances retention in services and increases the likelihood of achieving positive maternal and child outcomes.

Suggested Citation

  • Barton, Jared & Naemi Jimenez, Pegah & Biggs, Jacklyn & Garstka, Teri A. & Ball, Thomas C., 2020. "Strengthening family retention and relationships in home visiting programs through early screening and assessment practices," Children and Youth Services Review, Elsevier, vol. 118(C).
    • Handle: RePEc:eee:cysrev:v:118:y:2020:i:c:s0190740920302917
    DOI: 10.1016/j.childyouth.2020.105495
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    References listed on IDEAS

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    1. Bates, Douglas & Mächler, Martin & Bolker, Ben & Walker, Steve, 2015. "Fitting Linear Mixed-Effects Models Using lme4," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 67(i01).
    2. repec:mpr:mprres:7934 is not listed on IDEAS
    3. Dauber, Sarah & John, Tiffany & Hogue, Aaron & Nugent, Jessica & Hernandez, Gina, 2017. "Development and implementation of a screen-and-refer approach to addressing maternal depression, substance use, and intimate partner violence in home visiting clients," Children and Youth Services Review, Elsevier, vol. 81(C), pages 157-167.
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