Evaluation of a Home Visiting Program for First Time Parents

Inclusion Criteria: * mother is a first-time parent (has been a primary caregiver of a child for less than 3 months total * resident of Durham, North Carolina * mother is being referred during pregnancy * has at least one of the following risk factors: 16 years old or younger; lack of social support; history of substance abuse in the past 12 months; ever received treatment for alcohol or drug problems; history of domestic violence; history of being abused or neglected as a child; history of mental health problems in past 12 months; past child protective services involvement as a parent Exclusion Criteria: * actively suicidal or homicidal * acutely psychotic * moderately to severely mentally retarded