“…In the limited literature that exists, findings indicate that paraprofessionals can effectively deliver prevention programmes (for example, Kovach, Becker & Worley, 2004), although there are some exceptions (for example, MacMillan et al, 2008), and the use of professionals (for example, nurses) may amplify programme effectiveness in some instances . The most important features of a home visitation programme for at-risk mothers, delivered by paraprofessionals, included teaching communication skills, helping families recognise their strengths, providing child-centred information, offering emotional support, building confidence and trust, providing respite and child care, and accessing intersectoral resources (Mykota, 2008). The family also benefitted from paraprofessionals connecting with community-based services, such as public health nurses, community health nurses, physicians, speech and language pathologists, educational services, psychological services, counsellors, addiction services and mental health professionals (Mykota, 2008).…”