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Clinical Model

Mother and newborn

Based on an applied research model grounded in attachment theory, Minding the Baby® Home Visiting (MTB-HV) involves an integrated model of care that bridges primary care and mental health approaches to enhancing the parent-infant relationship. All clinicians are trained in supporting and enhancing parental reflective capacities, or Reflective Functioning (RF).

Intended for families facing economic and social adversity, often including histories of adverse childhood experiences and developmental trauma, MTB-HV is focused on:

  • Enhancement of health, mental health, parent-child relationship/attachment, and life course outcomes within young families
  • Prevention at a very early stage of the family’s development
  • Home visiting as the primary intervention modality, beginning in pregnancy through the child’s second birthday

While based on seven key principles covered in depth during initial training, the core of the model surrounds three key elements:

  • Promoting secure attachment, parental reflectiveness, health & mental health, self efficacy
  • Supporting reflectiveness through relationships
  • Using an interdisciplinary approach
Together, the mental health and nurse home visitors promote a secure attachment and facilitate reflective parenting by providing strategies to:
  • Give voice to the baby’s experience (both physical and emotional)
  • Give voice to parental experiences of themselves as parents
  • Bring alive parents' positive feelings for their children
  • Develop parents' capacities to reflect and contemplate, especially in the face of difficult emotions
Additional information, including a detailed description of key principles and the theoretical background behind the model, is provided in the MTB-HV Treatment Manual, which is provided to implementing agencies along with an Operations Manual and Clinician Quick Reference Guide. For more information about MTB-HV implementation or to request the MTB-HV Replication Planning Guide, please contact us.