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The HealthySteps program improved postpartum depression screening and community resource referrals for military families. This pilot study suggests benefits for military families facing unique challenges.

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Area of Science:

  • Pediatrics
  • Family Medicine
  • Public Health

Background:

  • Military families encounter unique stressors like frequent separations and demanding work hours.
  • The HealthySteps (HS) program aims to mitigate these challenges through specialized support for child development.
  • HS specialists offer enhanced well-child visits, inter-visit support, and community resource connections.

Purpose of the Study:

  • To evaluate the impact of the military HealthySteps pilot program on key pediatric health outcomes.
  • To assess the program's effect on the timeliness of well-child visits, immunizations, and screenings within the first 15 months of life.

Main Methods:

  • A retrospective chart review compared 26 HS-enrolled children with 26 age-matched controls.
  • Outcomes included well-child visits, developmental screening, immunizations, postpartum depression screening, and community resource referrals.
  • Statistical analyses included chi-square tests and independent t-tests.

Main Results:

  • The HS-enrolled group showed significantly higher rates of postpartum depression screening (96% vs. 73.1%).
  • HS-enrolled children received substantially more community resource referrals (mean 2.46 vs. 0.19).
  • No significant differences were found in well-child visit frequency, developmental screening, or immunization rates.

Conclusions:

  • The HealthySteps program positively impacts postpartum depression screening and community resource referrals for military families.
  • The program's focus on the family unit appears to enhance support and resource connection.
  • Larger prospective studies are recommended to confirm these findings and clarify the program's full impact within the military health system.