Video-based Family Therapy for Peripartum Depression in Home Visited Mothers

Home Visitor Inclusion Criteria: 1. Willingness to participate in the study; 2. Intention to remain in current job for at least 12 months; and 3. Fluency in English: The training, treatment model, implementation meetings, and supervision sessions will be carried out in English. Family Inclusion Criteria: 1. Adolescent mothers, ages 13-25, in the first trimester of pregnancy through eighteen months postpartum; 2. Adolescent mothers with Edinburgh Postnatal Depression Scale scores of ≥8; 3. At least one of the adolescent mother's family members ("family member" is defined as a person she is biologically related to, or significant close others/partners with whom she is not biologically related) must be willing and available to participate in eight of the 10 video-based family therapy sessions; 4. Fluency in English: The treatment will be carried out in English; and 5. Consistent internet access (i.e., subscribe to an internet service provider and do not experience weekly disruptions in service) on a cell phone, tablet, or computer equipped with a camera and microphone. Family Exclusion Criteria: Adolescent mothers with 1. A current positive screen for problem alcohol use on the CAGE or TWEAK; 2. A current positive screen on the drug abuse items on the home visiting interview; 3. A current positive screen for domestic violence on the Relationship Assessment Tool; 4. Current hallucinations and/or delusions; 5. Current homicidal ideation; 6. Current suicidal ideation; 7. Current severe major depressive episode as measured by the SCID-V Depression Module for those over age 18, or NIMH DISC-Y \& DISC-P Mood Module for those under age 18; and/or 8. Current self-injurious behavior (e.g., cutting arms on a weekly basis). Families with 9. Current Child Protection Service involvement; 10. Current family therapy service involvement; and/or 11. Current or previous Dialectical Behavior Therapy (DBT) treatment.