The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for children

ObjectiveThis 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.MethodUsing a randomized controlled trial (RCT) design, participants included community-r...

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Main Authors: Jerrica Pitzen, Danielle Rice, Barbara Durán, Jennifer Jester, Jessica Riggs, Megan Julian, Brendan Appold, Maria Muzik, Katherine Rosenblum, Michigan Collaborative for Infant Mental Health, Emily Alfafara, Carla Barron, Holly E. Brophy-Herb, Nora L. Erickson, Hiram E. Fitzgerald, Alissa C. Huth-Bocks, Meriam Issa, Jennifer M. Jester, Megan M. Julian, Jamie M. Lawler, Rena Menke, Alyssa S. Meuwissen, Alison L. Miller, Larissa N. Niec, Julie Ribaudo, Katherine L. Rosenblum, Sarah E. Shea, Paul Spicer, Ann M. Stacks, Chioma Torres, Laurie Van Egeren, Rachel Waddell, Christopher L. Watson, Deborah J. Weatherston, Kristyn VanDahm
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1549246/full
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Summary:ObjectiveThis 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.MethodUsing 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.ResultsFamilies assigned to IMH-HV were more likely to receive (OR = 13.6, p = 0.001) and follow up on referrals (OR = 7.1, p = 0.00), and found them more helpful than the control group (OR = 3.9, p = 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.ConclusionThese 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.
ISSN:1664-1078