Treatment of Maternal Depression With In-Home Cognitive Behavioral Therapy Augmented by a Parenting Enhancement: A Case Report




Erica Pearl Messer, Robert T. Ammerman, Angelique R. Teeters, Amy L. Bodley, Jessica Howard, Judith B. Van Ginkel, and Frank W. Putnam

Brief Type

Journal publication


  • Healthy Families America (HFA)


Depression is prevalent among mothers who participate in home visitation programs. This case study describes In-Home Cognitive Behavioral Therapy (IH-CBT), an empirically based treatment for depressed mothers that is strongly integrated with ongoing home visitation. The use of a Parenting Enhancement for Maternal Depression (PEMD) module was added to address parenting difficulties in a depressed mother. This case describes issues and challenges encountered in delivering treatment in the home with low-income, depressed mothers. Issues involving engagement, adaptation to the setting, responding to the unique needs of low-income mothers, and partnership with concurrent home visiting to optimize outcomes are considered. Long-term follow-up (18 months after the end of treatment) permits examination of sustainability of gains. Implications for treating this high-risk population are discussed. (author abstract)

Data Collection Methods

  • Home Visit Observations
  • Parent-child observations
  • Participant observations



For More Information

Messer, E. P., Ammerman, R. T., Teeters, A. R., Bodley, A. L., Howard, J., Van Ginkel, J. B., & Putnam, F. W. (2017). Treatment of maternal depression with in-home cognitive behavioral therapy augmented by a parenting enhancement: A case report. Cognitive and Behavioral Practice. Advance online publication. http://doi.org/10.1016/j.cbpra.2017.10.002
Author Contact Information:
Erica Pearl Messer


  • Participant Characteristics
  • Participant, Family, and Program Outcomes