Improvements in Parental Emotional Well-Being During Home Visiting Support: What Works for Whom?

Abstract

Abstract Home visitors can support parents who have low levels of emotional well-being. While support may be effective for some families, the circumstances in which it is effective are less well understood. Longitudinal administrative data from Home-Start UK were analysed to identify how the nature of support was related to changes in parental emotional well-being, and whether these effects were the same for families with different risk factors. Sub-groups were identified of people experiencing problems with various aspects of emotional well-being: mental ill health (n = 1,289), social isolation (n = 1,413) and low self-esteem (n = 1,400). Multiple linear regression models were used to explore the relationships between the nature of support and the rate of improvement. These effects were considered in subgroups of families with domestic violence problems, disabled parents, a disabled child, large family sizes or multiple risks. More frequent visits and support being provided by paid workers, as opposed to volunteers were related to faster improvements. Paid worker support was particularly related to faster improvements in families with domestic abuse, disabled parents and multiple risks. However, volunteer support seemed just as effective for large families and those with disabled children. These findings have implications for those providing and commissioning home visiting services.