A Clinic-Based Prevention Program for Families of Depressed Mothers

Children of depressed mothers are at high risk for developing serious psychiatric disorders.
While genetics can account for about 34% of cases of childhood psychiatric disorders,
children of depressed parents are at an even greater risk of developing mental disorders.
The "Keeping Families Strong" program, or KFS, was built from evidence-based prevention
programs. Its goal is to provide educational, cognitive, and behavioral interventions. These
interventions are meant to enhance understanding about depression and its effects on
families, improve communication within families, enhance social support, increase positive
and consistent parenting, and improve child coping. This will likely improve the children's
mental health, as well as positively affect the short- and long-term outcomes of parents
recovering from a depressive episode. This study will evaluate the effectiveness of the KFS
program in avoiding or delaying the onset of psychiatric disorders among children with
depressed mothers.

This 10-week, open-label program will involve 12 meetings, lasting 2 hours each. The parents
and the children will attend separate meetings each week on the same nights. Children are
prone to take on their parents' responsibilities to prevent them from becoming depressed. In
order to avoid this, the children's meetings will focus on clarifying role responsibilities.
There will be two additional follow-up meetings in the 3 months following completion of the
program. All caregivers are encouraged to participate, including depressed fathers.

Inclusion Criteria:

- Parent in treatment for depression

- Parent in maintenance phase of treatment

Exclusion Criteria:

- Active substance abuse

- Substantial cognitive impairment

- Psychosis