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How Moving Beyond Depression Strengthens the Workforce

A new qualitative study from Start Early highlights how the Moving Beyond Depression program strengthens home visiting teams by improving staff support, reducing burnout and enhancing collaboration.

May 1, 2026

Home visiting programs play a vital role in supporting families during pregnancy and the earliest years of a child’s life, helping parents strengthen relationships with their children, connect to resources and navigate the many challenges that can arise during the transition to parenthood.

In addition, many home visitors regularly support families facing complex challenges, including maternal depression, while navigating limited mental health resources within the broader system.

To address this gap, Start Early partners with home visiting programs across Illinois to implement Moving Beyond Depression, a program originally developed by researchers at Every Child Succeeds® and Cincinnati Children’s Hospital Medical Center that embeds licensed mental health therapists directly within home visiting teams. Learn more.

While the program has demonstrated positive outcomes for families, Start Early’s Research & Evaluation team recently explored another key question: How does the Moving Beyond Depression approach affect the home visiting workforce itself?

The qualitative study examined how the program influences three key areas of the home visiting workforce:

  • Staff Efficacy & Confidence
  • Workload & Emotional Demands
  • Staff Retention & Longevity in the Field

Researchers conducted interviews with home visitors, doulas, therapists and program supervisors across several sites in Illinois, representing both urban and rural communities. These conversations provided valuable insights into how Moving Beyond Depression affects day-to-day work for home visiting staff.

Key Findings:

Embedded therapists increase staff confidence

Staff consistently described the embedded therapist as a trusted mental health expert within the team. Home visitors noted that having a clinician available for consultation helped them better understand the challenges families were facing and provided guidance when navigating complex situations.

This increased collaboration helped staff feel more confident and effective in their work with families.

The program reduces emotional strain and better distributes workload

Supporting families experiencing significant stress can be emotionally heavy work. Before implementing the Moving Beyond Depression approach home visitors often felt responsible for addressing mental health concerns outside their training. With therapists embedded within the team, staff reported that the emotional burden of visits became more manageable.

Having a clinician focused on mental health allows home visitors to focus on strengthening parent-child relationships and connecting families to resources.

Staff also reported a clearer division of labor and shared workload that together offer a sense of relief and support to staff.

Collaboration Improves Team Culture

The presence of a mental health professional also changed the culture within home visiting programs. Teams reported:

  • Increased collaboration between staff roles
  • More open discussions about mental health
  • Stronger partnerships with community organizations

Moving Beyond Depression helped normalize conversations about mental health, both for families and among staff members themselves.

Why This Matters & Looking Ahead

Across the early childhood sector, workforce burnout and turnover remain significant challenges. Findings from this study suggest that Moving Beyond Depression implementation not only supports caregivers experiencing postpartum depression but also strengthens the teams delivering home visiting services.

By sharing responsibilities across professionals with different expertise, programs can:

  • Reduce stress for home visiting staff
  • Improve job satisfaction
  • Support long-term workforce retention

As communities continue to expand access to home visiting and family support services, Moving Beyond Depression offers an example of how thoughtful program design can strengthen both families and the workforce serving them.

By integrating mental health care into trusted family support programs, we can help ensure parents receive the care they need – and that the professionals supporting them have the resources to do their work sustainably.

Publications & Resources

Moving Beyond Depression

Link

Learn more about how Start Early partners with local programs to implement Moving Beyond Depression.

Download Moving Beyond Depression

Qualitative Study Brief

Link

See how the Moving Beyond Depression approach strengthens home visiting teams by improving staff support, reducing burnout and enhancing collaboration.

Download Qualitative Study Brief

Home Visiting & Doula Network

Link

Start Early supports and partners with community agencies across Illinois to deliver home visiting and doula services to children and their families.

Download Home Visiting & Doula Network

Research Team & Collaborators

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