Enhanced Engagement: An Intervention Pilot for Mental Health Promotion Among Low-Income Women in a Community Home Visiting Program




Sarah Kye Price, Lisa A. Gray, and Leroy R. Thacker

Brief Type

Journal Publication


  • Other Models


Background: Enhanced engagement is a brief, evidence-informed emerging practice model integrating mental health promotion and community service enhancements into maternal and child health home visiting. Methods: This mixed-methods, quasi-experimental pilot study (N = 25) was implemented in routine practice by existing community providers trained by study staff.
Results: Quantitative data suggest significant decreases, relative to usual community care, in depressive symptoms [Patient Health Questionnaire (PHQ-9); t = –3.24, p = 0.0036], as well as an increase in perceived social support [Sarason's Social Support Questionnaire-Revised (SSQ-R); t = 3.35, p = 0.0027] associated with enhanced engagement. Narrative responses reveal solid recall of intervention content in the intervention group, as well as perceived individual benefit and satisfaction with the intervention. Implications: Quantitative, qualitative, and cost-benefit outcomes from this pilot study offer a promising foundation for future research and replication of enhanced engagement, particularly in communities where service utilization barriers preclude or delay traditional mental health treatment. (author abstract)

Data Collection Methods

  • Interviews
  • Program administrative record reviews
  • Standardized assessment tools



For More Information

Price, S. K., Gray, L. A., & Thacker, L. R. (2015). Enhanced engagement: An intervention pilot for mental health promotion among low-income women in a community home visiting program. Best Practices in Mental Health11(1), 69-82.
Author Contact Information:
Sarah K. Price


  • Program Enhancements, Innovations, and Promising Approaches
  • Participant Recruitment, Retention, Engagement, and Dosage