It takes time: Impacts of Early Head Start that lead to reductions in maternal depression two years later

Rachel Chazan-Cohen, Catherine Ayoub, Barbara Alexander Pan, Lori Roggman, Helen Raikes, Lorraine McKelvey, Leanne Whiteside-Mansell, Andrea Hart

Research output: Contribution to journalArticle

65 Scopus citations


The Early Head Start Research and Evaluation Project, a random-assignment evaluation, found a broad pattern of positive impacts for children and families. However, there were no program impacts on depression or use of mental health services by the time children reached age 3, at the end of the Early Head Start (EHS) program. This paper presents recent findings from the follow-up study in the spring prior to the children entering kindergarten, when a positive program impact emerged for reducing maternal depression. Results show that earlier program impacts on children and parents (when children were 2 and 3 years of age) mediated, or led to, the delayed impact on maternal depression. The combination of the most promising child factors accounted for over 57% of the later impact on depression, while the most promising parent factors accounted for over 35% of the later impact on depression. Implications for EHS programs are discussed.

Original languageEnglish (US)
Pages (from-to)151-170
Number of pages20
JournalInfant Mental Health Journal
Issue number2
Publication statusPublished - Mar 1 2007


ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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