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The Parent Support Team Programme: A Mixed-Methods Evaluation of an Early Intervention-Focused Child and Family

Jennifer Parker1, Adam Johns1,2, Kristy Kepu1

  • 1Child and Family Health Nursing, Child Youth and Family Services, Population and Community Health, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia.

Journal of Advanced Nursing
|June 6, 2026
PubMed

Insights

The Parent Support Team (PST) program effectively engages vulnerable families, reducing maternal depressive symptoms and improving parenting skills through intensive home visiting. This early intervention shows promise for families with complex needs.

Area of Science:

  • Maternal and Child Health
  • Early Intervention Programs
  • Psychosocial Support

Background:

  • Parent Support Team (PST) offers intensive home visiting for vulnerable infants (0-6 months) and families.
  • Mainstream services provide universal, clinic-based care.
  • Vulnerable families often face psychosocial and health challenges impacting infant development.

Purpose of the Study:

  • Compare demographic, psychosocial, and service use characteristics of PST and mainstream clients.
  • Evaluate the impact of PST on maternal depressive symptoms.
  • Explore client experiences, perceived outcomes, and service facilitators/barriers.

Main Methods:

  • Convergent parallel mixed-methods study design.
  • Retrospective analysis of electronic medical records for 909 PST mothers and 17,707 mainstream mothers.
  • Analysis of PST client experience surveys from 166 mothers using descriptive and thematic analysis.

Main Results:

  • PST clients exhibited higher psychosocial complexity and maternal depressive symptoms at intake.
  • PST participation led to a decrease in clinically significant maternal depressive symptoms.
  • Clients reported improved parenting confidence and skills, attributing success to nurse qualities and a holistic approach.

Conclusions:

  • The PST program successfully engages vulnerable families and supports maternal mental health.
  • Intensive early intervention home visiting programs can improve outcomes for families with complex needs.
  • PST fosters sustained engagement with child and family health services.
Abstract

Keywords:
early interventionhome visitingmaternal mental healthnursingvulnerable families

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