Implementing Mothers’ Advocates in the Community (MOSAIC)

Model implementation summary last updated: 2013

The information in this implementation report reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.

Model overview

Theoretical approach

Mothers’ Advocates in the Community (MOSAIC) drew on research evidence about three social support strategies designed to reduce intimate partner violence (IPV) and enhance women’s mental and physical health: (1) randomized trials of home visiting by nurses, paraprofessionals, and nonprofessional peers for new mothers living in disadvantaged communities; (2) a randomized trial of domestic violence advocacy by trained paraprofessionals for women leaving shelters or refuge; and (3) a randomized trial of a mentor mother model in which nonprofessional, trained mothers support pregnant women through domestic violence advocacy activities via home visits and phone calls.

MOSAIC hypothesized that reducing isolation, providing links to community resources, and providing sustained help from mentor mothers would reduce IPV and depression and encourage women to take actions to increase their safety. Reduction of abuse would further reduce depression and enhance women’s general health and mother-child bonding.

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Implementation support

MOSAIC was implemented as a demonstration program from January 2006 to December 2008. The model developers, including researchers at La Trobe University and the University of Melbourne in Australia, oversaw and supported program implementation.

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Intended population

MOSAIC targeted women who were pregnant or had a child age 5 or younger, either reported IPV or exhibited symptoms of abuse, and spoke English or Vietnamese. Women were ineligible if they suffered from a serious mental illness for which they did not take medication.

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Targeted outcomes

Primary targeted outcomes included the reduction of IPV and/or depression, as well as the improvement of mothers’ health, well-being, and attachment to their child. Secondary targeted outcomes included enhancing primary care providers’ case management of mothers and other family members with IPV through collaboration with community-based family violence networks.

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Model services

Program participants received home visits and other regular contacts from trained and supported mentor mothers. Mentor mothers were supposed to (1) offer listening, friendship, and support without judgment; (2) use regular phone calls, home visits, and other outings to maintain contact and support; (3) help develop appropriate safety and self-care strategies; (4) foster trust and model hope; (5) offer parenting support and information; and (6) provide information regarding community resources and services (in particular, family violence services) and offer referral assistance. Mentor coordinators matched mothers to mentors based on the preferences mothers expressed during a telephone call with the coordinator (such as preferring a mentor who resides in the community), but both mentors and mothers had to agree to the match.

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Model intensity and length

MOSAIC provided 12 months of weekly home visiting and other regular contacts from mentor mothers. No information is available regarding the length of home visits.

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MOSAIC was implemented in the northwest suburbs of Melbourne, Australia.

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Adaptations and enhancements

No information is available.

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Implementation notes

The information contained on this page was last updated in July 2013. Recommended further reading lists the sources for this information.

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