Improving Preschool Outcomes by Addressing Maternal Depression in Head Start
Brown University
388 participants
Aug 16, 2023
INTERVENTIONAL
Conditions
Summary
Within a research network of Head Start centers in Massachusetts, an efficacy trial of a stepped-care intervention (SCI) to address maternal depression, using intervention components that both prevent depression and help those in major depressive episode (MDE) engage with care, will be conducted. Both the prevention and engagement components of the model have strong, supportive randomized trial evidence for both their efficacy and safety; but they have yet to be synthesized and tested within a coordinated intervention, applicable to a broad population base. Stepped-care interventions are commonly used in mental health service projects, in which the intensity or type of service is calibrated to the severity of illness.
Eligibility
Inclusion Criteria2
- Mother of a 0 to 5-year-old Head Start child
- Mother speaks English or Spanish
Exclusion Criteria2
- Mother with suicidal ideation
- Mother with cognitive limitation
Interventions
PSE will be offered to mothers with low baseline depressive symptoms (the first, preventive step of the SCI). PSE participants will have their symptoms assessed at each session and will convert to Engagement Sessions if they meet pre-specified 'step up' criteria.
Engagement sessions will be offered to mothers with greater depressive symptoms to link them to formal mental health services (the second, referral step of the SCI)
Normal services provided children and their mothers in Head Start
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT04092010