Study on The Impact of an Intervention to Promote Mental Health at Home Targeting Child Mental Health at 24 Months FRESH-PEF60114-en Antoine GUEDENEY Study on The Impact of an Intervention to Promote Mental Health at Home Targeting Child Mental Health at 24 Months CAPEDP FRESH-PEF60114-en 60114 FRESH-PEF60114 Antoine GUEDENEY Florence TUBACH ASSISTANCE PUBLIQUE HOPITAUX DE PARIS (AP-HP) Epidemiology France Portal (PEF) MINISTERE DU TRAVAIL, DE LA SANTE, DES SOLIDARITES ET DES FAMILLES SANTE PUBLIQUE FRANCE null Antoine;GUEDENEY Florence;TUBACH maternal child psychomotor development city Health episodes Paediatrics Psychiatry Behavioral determinants Behavioral determinants: Eating habits Socio-demographic and economic determinants General objective: To assess the impact of an intervention to promote mental health at home, targeting child mental health at 24 months (evaluated using Child Behaviour Checklist (CBCL)). Secondary objective: To assess the impact of an intervention to promote mental health at home on: - the onset of post-natal depression: diagnosis determined by an Edinburgh Post-Partum Depression Scale (EPDS) score higher than 11; - acquisition of parental competence: evaluation criteria based on the scale for Home Observation for The Measurement of the Environment (Home); - knowledge and use of healthcare, education and social system assessed by a medico-social services questionnaire (Services); - knowledge concerning child development: evaluation criteria based on the Knowledge of Infant Development Inventory (KIDI); - social network and support as perceived by mothers: Social Network and Support (QSS) questionnaire; - feeling of parental competence: evaluation criteria based on Parental Cognition and Behaviours (PACOTIS); - Child psychomotor development: - evaluation criteria based on Brunet-Lezine Revise (BL-R); - withdrawal and symptoms of psychological distress in 18-month old infants: evaluation criteria based on Baby Distress Alarm (ADBB) and ELDEQ (BEH) behavioural questionnaire; - parental stress: criteria based on Parental Stress Inventory (PSI); - symptoms of psychological disorder in the mother: symptom check-list (SCL-90); - mother's social insertion in terms of training and professional activity: evaluation criteria based on sociodemographic health questionnaire; - working alliance between mother home visitor (for intervention group): evaluation criteria based on Working Alliance Inventory (WAI) and adherence to programme; - mother's attachment: Vulnerable Attachment Style questionnaire (VASQ); - child attachment: Attachment Q-Sort (AQS). null France Ile-de-France Individuals General population Female Infant, Newborn (birth to 28 days) Child (6 to 12 years) Young Adult (19 to 24 years) Living in the intervention area; - sufficient knowledge of French in order to give valid consent and to benefit from intervention, as well as respond to evaluations; - young people under 26 years old - primiparous; - pregnant for less than 27 weeks at the time of first home visit; - affliated with a social security scheme or covered by universal health insurance (CMUB) and (CMUC); - level of education lower than Baccalaureate (or less than 12 years of study for individuals who were not educated in France). This education level does not include vocational training. And/or declared as socially isolated during maternity interview (defined by standardised questionnaire) and/or eligible for universal health insurance (CMUB) and (CMUC), or state medical aid (AME). Participant-reported health data Health event/morbidity Health event/mortality Other Through organizations (health services or institutions schools businesses etc.) < 500 individuals Self-administered questionnaire Interview with the participant (including clinical) Observational Study Observational Study Cohort study 440 Unknown Restricted access Data may be used by academic teams Access for professional training for preventative research purposes and action-research implementation for territorial policies. Data may not be used by industrial teams. Access on specific project only