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Emanating from one state network's interest in advancing its practice in this area, the current study surveyed 159 home visitors on their current practices, training, knowledge, and perceived self\u2010efficacy, and perceived system\u2010 and client\u2010level barriers regarding client substance use and depression. Home visitors reported managing maternal depression more extensively than substance use, though overall management of both risk areas was low. More training was associated with more extensive management of both risk domains, as was greater home visitor knowledge and self\u2010efficacy. Implications for the development of strategies to improve home visitor management of client behavioral health risks, including enhanced skills\u2010based training and supervision, are discussed.<\/jats:p>","DOI":"10.1002\/jcop.21855","type":"journal-article","created":{"date-parts":[[2017,1,31]],"date-time":"2017-01-31T16:15:58Z","timestamp":1485879358000},"page":"396-412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Substance use and depression in home visiting clients: Home visitor perspectives on addressing clients\u2019 needs"],"prefix":"10.1002","volume":"45","author":[{"given":"Sarah","family":"Dauber","sequence":"first","affiliation":[{"name":"The National Center on Addiction and Substance Abuse"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances","family":"Ferayorni","sequence":"additional","affiliation":[{"name":"Stony Brook University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Henderson","sequence":"additional","affiliation":[{"name":"Sam Houston State University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Hogue","sequence":"additional","affiliation":[{"name":"The National Center on Addiction and Substance Abuse"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Nugent","sequence":"additional","affiliation":[{"name":"Prevent Child Abuse New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeannette","family":"Alcantara","sequence":"additional","affiliation":[{"name":"Prevent Child Abuse New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,31]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732309332794"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.2012.720169"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2013.03.003"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-010-0691-7"},{"issue":"5","key":"e_1_2_6_6_1","first-page":"20","article-title":"Moving Beyond Depression: A collaborative approach to treating depressed mothers in home visiting programs","volume":"34","author":"Ammerman R. 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