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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Frontiers Media S.A.
2025-04-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1549246/full |
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| author | 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 Maria Muzik Larissa N. Niec Jerrica Pitzen Julie Ribaudo Jessica Riggs 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 |
| author_facet | 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 Maria Muzik Larissa N. Niec Jerrica Pitzen Julie Ribaudo Jessica Riggs 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 |
| author_sort | Jerrica Pitzen |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b620c340cce6460aa25ff61d9ede6cb8 |
| institution | OA Journals |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj-art-b620c340cce6460aa25ff61d9ede6cb82025-08-20T02:09:35ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-04-011610.3389/fpsyg.2025.15492461549246The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for childrenJerrica Pitzen0Danielle Rice1Barbara Durán2Jennifer Jester3Jessica Riggs4Megan Julian5Brendan Appold6Maria Muzik7Katherine Rosenblum8Michigan Collaborative for Infant Mental HealthEmily AlfafaraCarla BarronHolly E. Brophy-HerbNora L. EricksonHiram E. FitzgeraldAlissa C. Huth-BocksMeriam IssaJennifer M. JesterMegan M. JulianJamie M. LawlerRena MenkeAlyssa S. MeuwissenAlison L. MillerMaria MuzikLarissa N. NiecJerrica PitzenJulie RibaudoJessica RiggsKatherine L. RosenblumSarah E. SheaPaul SpicerAnn M. StacksChioma TorresLaurie Van EgerenRachel WaddellChristopher L. WatsonDeborah J. WeatherstonKristyn VanDahmMichigan Medicine, University of Michigan, Ann Arbor, MI, United StatesSchool of Social Work, Wayne State University, Detroit, MI, United StatesMichigan Medicine, University of Michigan, Ann Arbor, MI, United StatesSchool of Social Work, University of Michigan, Ann Arbor, MI, United StatesMichigan Medicine, University of Michigan, Ann Arbor, MI, United StatesMichigan Medicine, University of Michigan, Ann Arbor, MI, United StatesDepartment of Psychiatry, University of Vermont, Burlington, VT, United StatesMichigan Medicine, University of Michigan, Ann Arbor, MI, United StatesMichigan Medicine, University of Michigan, Ann Arbor, MI, United StatesObjectiveThis 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.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1549246/fullhealthcare utilizationreferral ratesInfant Mental Healthwell child visitsearly intervention |
| spellingShingle | 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 Maria Muzik Larissa N. Niec Jerrica Pitzen Julie Ribaudo Jessica Riggs 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 The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for children Frontiers in Psychology healthcare utilization referral rates Infant Mental Health well child visits early intervention |
| title | The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for children |
| title_full | The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for children |
| title_fullStr | The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for children |
| title_full_unstemmed | The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for children |
| title_short | The Michigan Model of Infant Mental Health Home Visiting increases preventative services while decreasing emergency services for children |
| title_sort | michigan model of infant mental health home visiting increases preventative services while decreasing emergency services for children |
| topic | healthcare utilization referral rates Infant Mental Health well child visits early intervention |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1549246/full |
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