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Evaluating Michigan’s Infant Mental Health Home Visiting Model


Eighth National Summit on Quality in Home Visiting Programs

Session Detail

Infant Mental Health Home Visiting (IMH-HV) is an intensive psychotherapeutic home visiting model that is fully implemented across the state of Michigan as a Medicaid-reimbursed service through Community Mental Health Service Provider agencies. Michigan law requires all home visiting programs receiving state or federal funds are to utilize an evidence-based or promising-practice model. Prior evaluations did not encompass all key MIECHV outcome domains. To address this need, the Michigan Department of Health and Human Services engaged the University of Michigan, the Michigan Association for Infant Mental Health and the Alliance for the Advancement of Infant Mental Health to develop and implement a comprehensive evaluation of the model, including two community-based, quasi-experimental studies and a university-based randomized control trial (RCT).

This session will (a) provide an overview of the results of the first two evaluation studies and highlight the RCT plan, (b) describe findings regarding the value of reflective supervision and (c) review the development and implementation of a fidelity tool to support practice, and a corresponding standardized training curriculum for practitioners, including supervisors. Discussion will encourage participants to consider policy implications, how IMH-HV may fit into the array of home visiting services to meet diverse family needs and the critical need for evaluation to support best practices in light of federal benchmarks.

Ideal Audience: This session is designed for program administrators, evaluators and advocates interested in implementing the IMH model in their state and others who would like to understand the impact this model can have on infants, young children and their families.


Mary Ludtke   + See Bio

Consultant, Michigan Department of Health and Human Services, Mental Health Services to Children and Families

Mary Ludtke is a consultant with the Michigan Department of Health and Human Services (MDHHS), Mental Health Services to Children and Families. She is an active member of cross-system planning and implementation workgroups to ensure access to and behavioral health services for infants, toddlers, children and their families including MIECHV Workgroup, Great Start Operations Team, DHS-DCH Children’s Issues and Core Team and Suicide Prevention. Ludtke supports the development and implementation of programs and policies for children, especially young children and their families. She has partnered with the University of Michigan to evaluate the Infant Mental Health Home Visiting Model as an evidence-based model. She facilitates a learning community for coordinators of “Baby Courts” (infant/toddler maltreatment court) in Michigan. She also directs the Children’s Trauma Initiative, which provides training and technical assistance to community mental health services programs (CMHSPs) in trauma screening, assessment and evidence-based models. She has co-authored the MDHHS-Behavioral Health and Developmental Disabilities Administration’s Trauma Policy. She works across the state-level systems to facilitate building trauma-informed services at the state and local levels. Ludtke also directs the Fetal Alcohol Spectrum Disorder Initiative to increase the access to and availability of services to children with the disorder and their families in the CMHSP system. She is active in the development and the implementation of the integration of behavioral health in primary care models for children and youth.

Kate Rosenblum, Ph.D.   + See Bio

Professor, University of Michigan, Zero to Thrive Program

Kate Rosenblum is a clinical and developmental psychologist and holds appointments as a professor in the University of Michigan Department of Psychiatry and Department of Obstetrics and Gynecology. In the Department of Psychiatry, she co-directs the Zero to Thrive Program ( and the Infant and Early Childhood Clinic. Rosenblum is the psychologist consultant to the University School of Law’s Child Advocacy Clinic, a member of the Academy of Fellows with the national organization Zero to Three and a member of the board of directors of the international Alliance for the Advancement of Infant Mental Health. Her research, teaching and clinical work focus on parenting, infant and early childhood mental health. She has published extensively, and her research is supported by federal and foundation grants focused on preventive intervention and intervention for vulnerable families with infants and young children. Many of the families she works with have experienced significant disruptions, including separations, trauma and/or loss. In these contexts, her work focuses on strengthening protective factors to enhance family resilience.

Amy Zaagman   + See Bio

Executive Director of Quality and Compliance, Michigan Council for Maternal and Child Health

Amy Zaagman is the executive director of the Michigan Council for Maternal and Child Health. In that role, she is a member of Michigan’s Home Visiting Workgroup and an advocate for home visiting for young children and their families in Michigan. Prior to joining the council in 2009, she was associate director of the Michigan Association of Community Mental Health Boards. Before that she was chief of staff for state Sen. Beverly Hammerstrom. Zaagman received her bachelor’s and master’s from Western Michigan University.