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Implementing universal maternal depression screening in Head Start: A convergent mixed methods study.

Abigail Palmer Molina1, Lawrence Palinkas2, Yuliana Hernandez3

  • 1Crown Family School of Social Work, Policy, and Practice, University of Chicago, 969 E. 60 Street, Chicago, IL 60637, USA.

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Summary
This summary is machine-generated.

Universal maternal depression screening in Head Start programs reached 85% of mothers. However, barriers like stigma and lack of training hindered sustained implementation, requiring enhanced staff capacity for future success.

Keywords:
DepressionEthnic and racial minoritiesImplementation scienceMaternal healthMaternal-child health servicesMinority health

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Area of Science:

  • Implementation Science
  • Public Health
  • Maternal Mental Health

Background:

  • Maternal depression significantly impacts child development and family well-being.
  • Child-serving programs offer a critical venue for identifying and supporting mothers with depression.
  • Head Start programs serve low-income families, a population at higher risk for maternal depression.

Purpose of the Study:

  • To examine the implementation of universal maternal depression screening in community-based Head Start programs.
  • To assess the Reach, Adoption, Implementation, and Maintenance (RE-AIM) of maternal depression screening.
  • To identify barriers and facilitators to successful screening implementation.

Main Methods:

  • Convergent mixed-method design integrating quantitative and qualitative data.
  • Utilized stakeholder interviews and meeting minutes for qualitative insights.
  • Employed intervention outcomes and administrative data for quantitative analysis.

Main Results:

  • Screening reached 85% of eligible mothers; English-speaking mothers were more likely to refuse.
  • Barriers included stigma, privacy concerns, and lack of trust; adoption was mandated.
  • Implementation varied widely, with staff role concerns and lack of training cited as barriers.
  • Screening was not sustained due to organizational priorities and lack of staff buy-in.

Conclusions:

  • Universal maternal depression screening can effectively reach low-income Head Start mothers.
  • Enhanced staff capacity and training are crucial for engaging mothers in screening.
  • Addressing implementation barriers is essential for the long-term maintenance of screening programs.