Home visiting programs report that families are experiencing higher risk issues over time, with many participants experiencing multiple risk factors simultaneously.
Postpartum home visitation also includes screenings for postpartum depression, and Careaga said up to 20 percent of Los Angeles County mothers already enrolled in
a home visiting program report mental health concerns.
Learn more about their experiences in the Tribal
Home Visiting Program Report to Congress (PDF, 1.84 mb).
Not exact matches
Researchers should continue building the knowledge base about how to implement
home visiting programs effectively by
reporting information on implementation alongside results of rigorous effectiveness evaluations.
Research on the impact of depression on
home visiting outcomes is mixed with some studies
reporting negative results while others suggesting that depressed mothers may benefit from these
programs.
One 7 - year followup study showed that children enrolled in a high - quality
home visiting program were more likely to participate in a gifted
program and less likely to receive special education services or
report skipping school than were children in the control group.
Although some of the enthusiasm for
home visiting has waned in the past decades as
reports of some large randomized trials have failed to demonstrate
program effects, evidence from other
programs targeted for families at risk (eg, low - income families) has shown enough promise to build on
program development momentum.
Demonstrating Improvement in the Maternal, Infant, and Early Childhood
Home Visiting Program: A
Report to Congress
Demonstrating Improvement in the Maternal, Infant, and Early Childhood
Home Visiting Program: A
Report to Congress (PDF - 1 MB)
This
report provides county - by - county data on the availability of voluntary
home visiting programs in California, as well as several estimates of the need for these
programs.
All Collector's Circle Member benefits, plus: • Private collections» tours at the
homes of New York's top collectors • Artist Studio
visits led by the Executive Director • Conversations with Curators receptions, an opportunity to mingle with the Executive Director and curators and learn about upcoming exhibitions and projects • Private Tour of current Bronx Museum exhibitions with the Executive Director (up to twelve guests and by appointment) • One complimentary ticket to the Annual Fall Art Collection Tour • Recognition on the Bronx Museum's website and Annual
Report • Sponsorship recognition for an exhibition or
program • Two Individual - level gift memberships to share
Charted and recorded information in client files.Tracked client movement on and off the unit by documenting times and destinations of clients.Checked facility for open windows, locked doors, malfunctioning smoke detectors and other safety hazards.Quickly responded to crisis situations when severe mental health and behavioral issues arose.Efficiently gathered information from families and social services agencies to inform development of treatment plans.Documented all patient information including service plans, treatment
reports and progress notes.Collaborated closely with treatment team to appropriately coordinate client care services.Developed comprehensive treatment plans that focused on accurate diagnosis and behavioral treatment of problems.Consulted with psychiatrists about client medication changes, issues with medicine compliance and efficacy of medications.Organized treatment projects that focused on problem solving skills and creative thinking.Referred clients to other
programs and community agencies to enhance treatment processes.Created and reviewed master treatment and discharge plans for each client.Guided clients in understanding illnesses and treatment plans.Developed appropriate policies for the identification of medically - related social and emotional needs of clients.Assisted clients in scheduling
home visits and phone calls and monitored effectiveness of these activities.Evaluated patients for psychiatric services and psychotropic medications.Monitored patients prescribed psychotropic medications to assess the medications» effectiveness and side effects.Evaluated patients to determine potential need to transfer to specialized inpatient mental health facilities.Administered medication to patients presenting serious risk of danger to themselves and others.Conducted psychiatric evaluations and executed medication management for both inpatient and outpatient facilities.Led patients in individual, family, group and marital therapy sessions.Diagnosed mental health, emotional and substance abuse disorders.Recorded comprehensive patient histories and coordinated treatment plans with multi-disciplinary team members.Consulted with and developed appropriate treatment and rehabilitation plans for dually diagnosed patients.Referenced and used various therapy techniques, including psychodynamic, family systems, cognitive behavioral and lifespan integration psychotherapy.
Data Collection Manual: This manual provides detailed policy and procedures for MIECHV
Home Visiting programs to collect and
report data in order to measure improvement and provide the Illinois Governor's Office of Early Childhood Development (OECD) and the Illinois Department of Human Services (DHS) with the information required to
report to the Health Resources and Services Administration (HRSA).
Read about our
home visiting programs and how they are improving outcomes for at - risk children and families in the 2009 Parents Too Soon / Doula Annual
Report.
This
report provides a foundation for understanding the implementation and impacts of MIECHV - funded
home visiting programs.
This manual provides detailed policy and procedures for MIECHV
Home Visiting programs to collect and
report data in order to measure improvement and provide the Illinois Governor's Office of Early Childhood Development (OECD) and the Illinois Department of Human Services (DHS) with the information required to
report to the Health Resources and Services Administration (HRSA).
Pre-term birth to mothers enrolled during pregnancy is one of the new federal performance measures that will be
reported annually for MIECHV - funded
home visiting programs.
This
report presents the first findings from MIHOPE, the legislatively mandated national evaluation of the Maternal, Infant, and Early Childhood
Home Visiting program.
This
report presents the first findings from the Mother and Infant
Home Visiting Program Evaluation (MIHOPE), the legislatively mandated national evaluation of MIECHV.
The
report also notes, however, that «selecting an evidence - based model alone is not a guarantee of effectiveness» and points to implementation as a key determinant of whether or not children and families benefit from
home visiting programs:
More than three - quarters (78 %) of mothers
report gaining access to resources in their community as a reason for participating in a
home visiting program (43.6 % strongly agree and 34.4 % agree).
The Annie E. Casey Foundation
report cites several types of existing
programs that provide a platform for the two - generation approach, including
home visiting.
These
programs include the Nurse Family Partnership, 16,17 Healthy Families America, 18,19 Healthy Start, 20,21 Early Head Start, 22,23 the Comprehensive Child Development
Program, 24 — 26 and Early Start.27, 28 All of these
programs have been evaluated by using randomized control designs but findings from these trials have been mixed, with some
programs showing benefits and others failing to show benefits.29, 30 In a recent review, Howard and Brooks - Gunn30 found that
home -
visiting programs had
reported benefits for a number of outcomes, including child abuse, child health care, quality of
home environment, parenting, parental depression, and childhood cognitive skills.
Effects were more consistent on physical abuse, however, with mothers in the treatment group
reporting fewer instances of very serious physical abuse at one year and fewer instances of serious abuse at two years.54 In Alaska, the HFA
program was associated with less psychological aggression, but it had no effects for neglect or severe abusive behaviors.55 Similarly, in the San Diego evaluation of HFA,
home -
visited mothers
reported less use of psychological aggression at twenty - four and thirty - six months.56 Early Start also
reported small effects in terms of lowering rates of severe physical abuse.57
Most notably,
home -
visited families participating in Early Head Start
reported experiencing significantly less stress in their parenting roles than did control families.95 The same pattern occurred in Queensland: mothers who received
home -
visiting services
reported less stress in the parenting role than did mothers in the control group.96 Healthy Families
programs in Alaska, San Diego, and Hawaii also examined parenting stress in their evaluations.
Conclusions Although findings are at best mixed with respect to the effectiveness of
home -
visiting programs in preventing child neglect, evidence is mounting that these
programs can positively alter parenting practices and, to a lesser extent, children's cognitive development.121 Given the many measurement problems associated with accurately tracking substantiated cases of abuse and neglect, what is needed is not more evaluations of CPS
reports attempting to show reductions in child abuse and neglect, but rather the development of new measures by which researchers can make sensitive and accurate assessments of child maltreatment.
The Aos evaluation also assessed the costs and benefits as
reported in a meta - analysis of
home -
visiting programs and found an average of $ 2.24 saved for each dollar invested in
home -
visiting programs.
Robert G. St. Pierre and Jean I. Layzer, Using
Home Visits for Multiple Purposes: The Comprehensive Child Development
Program, Future of Children, 9 (1999) pp. 134 — 50; Robert G. St. Pierre and others, National Impact Evaluation of the Comprehensive Child Development
Program: Final
Report (Cambridge, Mass.: Abt Associates, 1997).
One evaluation conducted in Queensland, Australia,
reported moderate reductions in depressive symptoms for mothers in the intervention group at the six - week follow - up.89 A subsequent follow - up, however, suggested that these benefits were not long lasting, as the depression effects had diminished by one year.90 Similarly, Healthy Families San Diego identified reductions in depression symptoms among
program mothers during the first two years, but these effects, too, had diminished by year three.91 In Healthy Families New York, mothers at one site (that was supervised by a clinical psychologist) had lower rates of depression at one year (23 percent treatment vs. 38 percent controls).92 The Infant Health and Development
program also demonstrated decreases in depressive symptoms after one year of
home visiting, as well as at the conclusion of the
program at three years.93 Among Early Head Start families, maternal depressive symptoms remained stable for the
program group during the study and immediately after it ended, but decreased just before their children entered kindergarten.94 No
program effects were found for maternal depression in the Nurse - Family Partnership, Hawaii Healthy Start, Healthy Families Alaska, or Early Start
programs.
However, for both child abuse and parent stress, the average effect sizes were not different from zero, suggesting a lack of evidence for effects in these areas.108 Earlier meta - analytic reviews have also noted the lack of sizable effects in preventing child maltreatment — again citing the different intensity of surveillance of families in the treatment versus control groups as an explanation (though the authors did
report that
home visiting was associated with an approximately 25 percent reduction in the rate of childhood injuries).109 Another review focusing on the quality of the
home environment also found evidence for a significant overall effect of
home -
visiting programs.110 More recently, Harriet MacMillan and colleagues published a review of interventions to prevent child maltreatment, and identified the Nurse - Family Partnership and Early Start
programs as the most effective with regard to preventing maltreatment and childhood injuries.
The evidence for an impact of
home visiting programs on breastfeeding is driven almost entirely by the modest findings from an evaluation of NFP, in which nurse -
visited mothers were significantly more likely to have attempted breastfeeding (though, as the authors
report, there were no differences in duration of breastfeeding).7
For example, an evidence review of
home visiting program models targeted to American Indian and Alaska Native children and families found that of the three studies that demonstrated high levels of evidence of effectiveness, none
reported outcomes separately for these children.28
This boom has recently been followed by a crash in the oil market, which has created issues related to retention in the
home visiting programs — some families have moved outside of the community, and some
programs report that moms are returning to work and do not have time for
home visiting programs.
A new
report released yesterday by the Alliance for Early Success and Child Trends highlights
home visiting programs as an important evidence - based policy choice for supporting families with young children.
Research on the impact of depression on
home visiting outcomes is mixed with some studies
reporting negative results while others suggesting that depressed mothers may benefit from these
programs.
Although some of the enthusiasm for
home visiting has waned in the past decades as
reports of some large randomized trials have failed to demonstrate
program effects, evidence from other
programs targeted for families at risk (eg, low - income families) has shown enough promise to build on
program development momentum.
The need to focus on prevention, including continued investment in
programs that promote prenatal care, nutrition and parent education, as well as
home visiting, is underscored in the
report.
In addition to supporting
home visiting, the
report recommends investment in high quality early education
programs, such as Head Start, and strengthening school health
programs through improved nutrition standards and physical education
programs.
With the country's first local transmission of Zika
reported in Miami - Dade County,
home visiting programs are working to gather and distribute information and prevention resources to at - risk families.
Best Beginnings: A Randomized Controlled Trial of a Paraprofessional
Home Visiting Program: Technical
Report
This
report includes an overview of
home visiting, including scope and funding, and information on the impact of adverse childhood experiences on child health and development; identifies and describes seven evidence - based
home -
visiting programs; and it discusses the outcomes of
home -
visiting programs in Texas and the benefits of high - quality
home -
visiting programs to children, families, and society.
A new
report to Congress presents the first findings from the national evaluation of the Maternal, Infant, and Early Childhood
Home Visiting Program.
Final
Report: Evaluating the Effectiveness of
Home Visiting Services in Promoting Children's Adjustment in School (PDF - 689 KB) Kirkland & Mitchell - Herzfeld (2012) Examines the effects of a strengths - based home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to sch
Home Visiting Services in Promoting Children's Adjustment in School (PDF - 689 KB) Kirkland & Mitchell - Herzfeld (2012) Examines the effects of a strengths - based home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to
Visiting Services in Promoting Children's Adjustment in School (PDF - 689 KB) Kirkland & Mitchell - Herzfeld (2012) Examines the effects of a strengths - based
home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to sch
home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to
visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to school.
There is some concern that relying on substantiated
reports alone may be misleading because families in
home visiting programs are under greater surveillance, which may increase the incidence of
reporting apart from increases in behaviors.
The characteristics and experiences of teens served by FL MIECHV - funded
home visiting programs in 2013 - 16 are the focus of a new
report by state evaluators at the University of South Florida.
Final
Report: Yakima Valley Farm Workers Clinic, Enhanced Yakima County Nurse - Family Partnership (EYCNFP)
Program at Children's Village Yakima Valley Farm Workers Clinic (2013) View Abstract Describes the activities and outcomes of a federally funded demonstration project that provided nurse home visits to low - income pregnant women with additional Healthy Marriage / Responsible Father services for clients and Mental Health Consultant services for program
Program at Children's Village Yakima Valley Farm Workers Clinic (2013) View Abstract Describes the activities and outcomes of a federally funded demonstration project that provided nurse
home visits to low - income pregnant women with additional Healthy Marriage / Responsible Father services for clients and Mental Health Consultant services for
programprogram staff.
Permanency Outcomes for Toddlers in Child Welfare Two Years After a Randomized Trial of a Parenting Intervention Spieker, Oxford, & Fleming, (2014) Children and Youth Services Review, 44 View Abstract
Reports on child welfare outcomes of a community - based, randomized control trial of Promoting First Relationships, a 10 - week relationship - based
home visiting program, on stability of children's placements and permanency status 2 years after enrollment into the study; includes findings and a discussion.
Final
Report: Evaluating the Effectiveness of
Home Visiting Services in Promoting Children's Adjustment in School (PDF - 689 KB) Kirkland & Mitchell - Herzfeld (2012) New York State Office of Children and Family Services & Pew Charitable Trusts Examines the effects of a strengths - based home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to sch
Home Visiting Services in Promoting Children's Adjustment in School (PDF - 689 KB) Kirkland & Mitchell - Herzfeld (2012) New York State Office of Children and Family Services & Pew Charitable Trusts Examines the effects of a strengths - based home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to
Visiting Services in Promoting Children's Adjustment in School (PDF - 689 KB) Kirkland & Mitchell - Herzfeld (2012) New York State Office of Children and Family Services & Pew Charitable Trusts Examines the effects of a strengths - based
home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to sch
home visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to
visiting program, Healthy Families New York, which was based on Healthy Families America, on the academic adjustment of children following their transition to school.
The Maternal, Infant, and Early Childhood
Home Visiting Program Partnering with Parents to Help Children Succeed
reports that more than 115,000 parents and children benefited from the initiative in 2014.
Recognizing the opportunity to use the MIECHV
program to help improve new mothers» mental health, many states are building on promising approaches to address postpartum depression directly through
home visiting programs in effective, innovative ways.27 In 2014, 68 percent of state MIECHV - funded
programs increased screenings for maternal depressive symptoms and improved referral rates among pregnant women or women enrolled in
home visiting programs.28 Additionally, 70 percent of state
programs reported improvements to parents» emotional well - being by successfully lowering
reported parental stress and reducing rates of depressive symptoms among participating families.29 For example, Moving Beyond Depression is a
program that uses in -
home cognitive behavioral therapy to ameliorate, not just screen for, maternal depression.