Depression Treatment by Non-Mental-Health Providers

Incremental Evidence for the Effectiveness of Listening Visits

Rebecca L Brock, Michael W. O'Hara, Lisa S. Segre

Research output: Contribution to journalArticle

Abstract

Maternal depression is a prevalent public health problem, particularly for low-income mothers of young children. Intervention development efforts, which often focus on surmounting instrumental barriers to care, have not successfully engaged and retained women in treatment. Task-sharing approaches like Listening Visits (LV) could overcome key instrumental and psychological barriers by leveraging the access of trusted, community caregivers to deliver treatment. A recent randomized controlled trial (RCT) demonstrated the efficacy of LV delivered by non-mental-health providers as compared to usual care. The present report presents results from a follow-up phase of that RCT during which participants who had completed LV were followed for an additional 8 weeks and completed measures of depression and quality of life. In addition, participants who were initially randomized to the wait-list control group received LV and were assessed. Treatment gains previously observed in participants completing LV were enhanced during the 8-week follow-up period. Participants receiving LV during the follow-up period experienced significant improvement in depressive symptoms. Results demonstrate the sustainability of LV delivered by non-mental-health providers, and provide preliminary evidence for the replicability of this approach in a sample of predominately low-income pregnant women and mothers of young children.

Original languageEnglish (US)
Pages (from-to)172-183
Number of pages12
JournalAmerican Journal of Community Psychology
Volume59
Issue number1-2
DOIs
StatePublished - Mar 1 2017

Fingerprint

mental health
Mothers
Depression
Health
Randomized Controlled Trials
evidence
low income
Caregivers
Pregnant Women
Therapeutics
Public Health
health
Quality of Life
Psychology
caregiver
Control Groups
quality of life
public health
sustainability
community

Keywords

  • Depression
  • Listening visits
  • Low income
  • Mothers of young children
  • Non-mental-health providers
  • Pregnant women
  • Sustainability

ASJC Scopus subject areas

  • Health(social science)
  • Applied Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Depression Treatment by Non-Mental-Health Providers : Incremental Evidence for the Effectiveness of Listening Visits. / Brock, Rebecca L; O'Hara, Michael W.; Segre, Lisa S.

In: American Journal of Community Psychology, Vol. 59, No. 1-2, 01.03.2017, p. 172-183.

Research output: Contribution to journalArticle

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