MTB clinicians have served over 150 families in New Haven since 2002, while over 250 families have been enrolled in MTB research projects. The intervention has been tested in two federally supported randomized controlled trials (RCTs). Broadly speaking, the health, mental health, public health and life course outcomes from the first stages of analyses have been very encouraging.
Outcomes from the first study include significantly higher rates of on-time pediatric immunization, lower rates of rapid subsequent childbearing, and lower rates of child protection referrals in intervention families. Socioemotional outcomes include significantly lower rates of disrupted, atypical mother-infant interactions at 4 months, higher rates of secure attachment, and lower rates of disorganized attachment in intervention children compared to the control group. The most vulnerable mothers were also significantly more likely to parent in a reflective rather than reactive way.
MTB toddlers were found to have significantly lower rates of child obesity and were significantly more likely to be of normal weight than controls. MTB preschoolers were found to have significantly lower rates of maternally reported externalizing disorders (acting out behaviors) at 1-3 years post-graduation. Positive mother-child interactions, maternal reflectiveness, secure infant attachment, and lower rates of child behavior disorders all contribute to non-cognitive, socio-emotional development, a key ingredient in school success as well as future wellness.
Data analyses from a small follow-up study including 50 of the initial families who were in the project and whose children were between the ages of 3 and 5 years indicate that mothers from the MTB intervention are significantly less likely to describe their children as having behavioral problems than do the parents in the control group.