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3-096 - Stress and Trauma in Home Visiting: Predictors of Family Engagement and Maternal-Child Health Outcomes

Sat, March 23, 9:45 to 11:15am, Hilton Baltimore, Floor: Level 2, Key 10

Session Type: Paper Symposium

Integrative Statement

Evidence based home visiting programs aim to promote maternal-child health, positive parenting, and child school readiness among families at risk. Stress and trauma are highly prevalent among families enrolled in home visiting interventions, yet the impact of trauma on family engagement and program efficacy of home visiting interventions is not well understood. The papers presented in this symposium utilize diverse research methods (state and medical record review, qualitative interviews, epigenetic analysis) to examine family engagement in home visiting, as well as the efficacy of home visiting interventions to enhance parenting and child health outcomes. Paper 1 draws upon state home visiting records to examine maternal adverse childhood experiences (ACES) as a predictor of family engagement in home visiting, as well as home visiting as a moderator of the effect of maternal ACES on maternal depressive symptoms and child behavior problems. Paper 2 extends results of the first, and considers family engagement in home visiting as a moderator of the effects of maternal ACES and depressive symptoms on epigenetic outcomes in children. Paper 3 utilizes medical claims records, and qualitative interviews with families and providers, to examine associations of domestic violence, child abuse related injury, and family engagement in home visiting. Paper 4 considers provider and family engagement factors as predictors of parenting outcomes in a trauma-informed home visiting intervention for families with early adversity. Collectively, these methodologically rigorous papers underscore the role of stress and trauma in home visiting interventions. Implications for the implementation of home visiting will be discussed.

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