Publications by authors named "Kristen Kirkland"

Prevention of maltreatment and harsh parenting are the primary goals of evidence-based home visiting programs, but rigorous studies demonstrating long-term outcomes are limited despite widespread implementation. The current study examines data from a 7-year follow-up study of a randomized controlled trial of Healthy Family New York (HFNY). Specifically, the study examines whether HFNY participation predicts lower rates of harsh and abusive parenting 7 years after enrollment.

View Article and Find Full Text PDF

Maltreatment of children is a key predictor of a range of problematic health and developmental outcomes. Not only are affected children at high risk for recurrence of maltreatment, but effective interventions with known long term impact are few and limited. While home visiting is one of the most tested secondary prevention models for improving parenting, its primary focus on young primiparous mothers underemphasizes one of the most important risk groups: child welfare involved multiparous mothers.

View Article and Find Full Text PDF

Purpose: To examine the potential impact of paraprofessional home visitors in promoting breastfeeding initiation and continuation among a high-risk population.

Design: A secondary analysis of program data from a statewide home visitation program.

Setting: Thirty-six Healthy Families New York sites across New York State.

View Article and Find Full Text PDF

Objective: To evaluate the Advanced Illness Coordinated Care Program (hereafter AICCP) for effects on health delivery among patients and caregivers, quality of life, advance planning, and health service utilization.

Study Design: Prospective trial involving 532 patients and 185 caregivers. AICCP consisted of care coordination, health counseling, and education delivered in cooperation with physicians.

View Article and Find Full Text PDF

Little is known about how health care professionals perceive and understand the psychosocial problems of individuals receiving services in neighborhood health centers (NHCs). We conducted interviews with health care professionals in NHCs in New York City. The respondents identified seven problems, including a lack of financial resources, unsafe housing, and emotional distress/depression as affecting large portions of their patient populations.

View Article and Find Full Text PDF