Family Spirit Strengths: A home visiting program to help parents and caregivers facing distress and substance use
Official title: Family Spirit Strengths: A home visiting strategy to support parents and caregivers with mental distress and substance misuse
Funded at Johns Hopkins University · NIH-11379493 · Data updated 2026-11-12
A home-visiting program designed for caregivers in Tribal communities to reduce depression, anxiety, and substance use and improve family wellbeing.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Johns Hopkins University NIH-funded |
| Lab location | 1 site (Baltimore, United States) |
| Project start | August 15, 2023 |
| Project end | June 30, 2028 |
| Funding year | 2026 |
| Award (this year) | $571,061 |
| NIH project number | 5R01DA057913-04 |
| Project ID | NIH-11379493 on NIH RePORTER |
Who could benefit from this research
✓Could help
Caregivers of young children in Tribal communities who are at elevated risk for mental health or substance use disorders and who can participate in home-visiting sessions.
✕Less likely to help
Caregivers without elevated risk or those unable to participate in home visits may derive little direct benefit.
What this research studies
This project builds on a community-informed Family Spirit Strengths intervention delivered through home visits to mothers and primary caregivers at elevated risk for mental health and substance use issues. It uses a Hybrid Type I Design to test how well the program reduces depressive and anxiety symptoms and substance use, while also studying how it works in real-world Tribal settings. Participants are randomized to receive either the Family Spirit Strengths program or an active control nutrition support program, with outcomes assessed six months after enrollment. The research aims to understand who benefits most and why, by exploring factors that influence effectiveness and the mechanisms at play. If successful, the approach could offer a scalable, culturally resonant prevention option to disrupt intergenerational cycles of trauma in Indigenous communities.
Why it matters
Potential benefit: If successful, caregivers may experience fewer depression, anxiety, and substance-use symptoms and improved family well-being.
How similar studies have gone: Past work with Family Spirit and related family-based interventions have shown promise in improving caregiver wellbeing in similar populations.
Where this research is happening
-
Johns Hopkins University
Baltimore, United States Active
Researchers
- Principal investigator: Haroz, Emily — Johns Hopkins University
- Study coordinator: Haroz, Emily
Related research
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Family Spirit Strengths: Home visits for parents and caregivers facing mental distress and substance misuse
This program offers home visits to help parents and caregivers in Tribal communities who are experiencing mental health challenges or substance misuse.
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A home visiting program to support parents and caregivers facing mental health and substance use challenges
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.