Parents who participate in home
visiting programs demonstrate growth in knowledge of child development and more positive parenting behaviors.
In addition, 85 percent of federally supported home
visiting programs demonstrated improvements in family self - sufficiency last year.
Not exact matches
In spring 2010, the Health Resources and Services Administration and the Administration for Children announced the availability of funds for the Affordable Care Act Maternal, Infant, and Early Childhood Home
Visiting Program.39 The program emphasizes and supports successful implementation of high - quality home visiting programs that have demonstrated evidence of effectiveness as defined in the legi
Visiting Program.39 The program emphasizes and supports successful implementation of high - quality home visiting programs that have demonstrated evidence of effectiveness as defined in the legis
Program.39 The
program emphasizes and supports successful implementation of high - quality home visiting programs that have demonstrated evidence of effectiveness as defined in the legis
program emphasizes and supports successful implementation of high - quality home
visiting programs that have demonstrated evidence of effectiveness as defined in the legi
visiting programs that have
demonstrated evidence of effectiveness as defined in the legislation.
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.
In the US, the Obama administration has funded a range of initiatives that require the use of evidence - based strategies in areas such as teen pregnancy prevention, home
visiting, education and workforce innovation.2, 3 In the field of home
visiting, an increasing number of
programs have been rigorously evaluated and have
demonstrated evidence of effectiveness in outcome domains such as parenting, maternal and child health, child development and school readiness, reductions in child maltreatment, and family economic self - sufficiency.4, 5,6
As we learn more about the mechanisms for these impacts, both direct and indirect, research will
demonstrate the most effective approach to link home
visiting services and early childhood education and child care
programs to more fully realize positive outcomes.
Research has
demonstrated that a large proportion of mothers served in home
visiting suffer from mental health problems, with up to 50 percent experiencing clinically elevated levels of depression during the critical first years of their child's development.5 There is evidence that many depressed mothers fail to fully benefit from home
visiting.6 Identifying depressed mothers or those at risk for depression who are participating in home
visiting, and treating or preventing the condition and its deleterious consequences, can improve
program outcomes and foster healthy child development.
The legislation that established the Maternal, Infant, and Early Childhood Home
Visiting program requires that grantees
demonstrate measurable improvement in at least four of the following six benchmark domains:
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)
In the past few years, another way that Kirschstein
demonstrated her devotion to that future was by multiple
visits, as part of an NIH outreach
program for minority youngsters, to an elementary school in a low - income area of Washington, D.C., to talk about science with the students there.
I have
visited schools where the principal pointed proudly to the long list of
programs in the building, as if their sheer number were evidence of real reform activity, whether they bore any relation to one another or had any
demonstrated value.
Every time I go on a site
visit, I'm struck by its power to
demonstrate what a mature Linked Learning pathway looks like, and how the various components are designed to fit together and provide a coherent four - year
program of study for students.
Multiple research studies have
demonstrated the positive impact of early childhood development and educational support through home
visiting programs such as Parents as Teachers.
Given the high level of federal and state investment in evidence - based home
visiting programs, identifying the extent to which home
visiting programs provide value for families and children, even if the families do not complete the
program, is important for
demonstrating home
visiting as a sound investment.
An ambitious evaluation in 1999 of a statewide home
visiting program in Hawaii failed to
demonstrate any substantial improvements in either maternal or child development and health outcomes.18 Although these findings contradicted previous smaller studies and evaluations of earlier pilot
programs, the comprehensiveness of this evaluation led to further examination of the evidence base for home
visiting.
Nurse - based home -
visiting programs tend to have better staff retention compared with those that employ paraprofessionals, perhaps contributing to
program effectiveness.26, 27 Likewise,
programs in which paraprofessionals remained involved over a 2 - year time period were more likely to
demonstrate effectiveness than those with shorter durations of involvement.28
At the beginning of the 20th century, successful reductions in mortality from summer diarrhea in central New York City were
demonstrated after using student nurses in the home to instruct mothers about hygiene and breastfeeding.4 Denmark established home
visiting in 1937 after a pilot
program showed lower infant mortality rates associated with home
visiting.
Although a causative link has not been
demonstrated conclusively, countries with extensive home -
visiting programs generally have lower infant mortality rates than does the United States, despite per capita health spending in the United States that far exceeds expenditures in other industrialized countries.1
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.
To that end, the primary purpose of this brief is to guide expectations about the extent to which home
visiting programs can
demonstrate significant and meaningful change when implemented at the community level.
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
Importantly, states were required to spend at least three - quarters of the federal funds on home
visiting models that met federal standards of evidence - based effectiveness.1 As many policy scholars have noted, that a national initiative brought the importance of evidence - based practice to the forefront of public policy is a triumph for social science and
demonstrates the importance of rigorous
program evaluation.2 With that triumph, however, comes a responsibility to ensure that the public's expectations for success of these
programs are consistent with what researchers understand about the empirical evidence — will the same positive outcomes found in
programs» randomized controlled trials emerge when those
programs are taken to scale?
Research has
demonstrated that a large proportion of mothers served in home
visiting suffer from mental health problems, with up to 50 percent experiencing clinically elevated levels of depression during the critical first years of their child's development.5 There is evidence that many depressed mothers fail to fully benefit from home
visiting.6 Identifying depressed mothers or those at risk for depression who are participating in home
visiting, and treating or preventing the condition and its deleterious consequences, can improve
program outcomes and foster healthy child development.
In spring 2010, the Health Resources and Services Administration and the Administration for Children announced the availability of funds for the Affordable Care Act Maternal, Infant, and Early Childhood Home
Visiting Program.39 The program emphasizes and supports successful implementation of high - quality home visiting programs that have demonstrated evidence of effectiveness as defined in the legi
Visiting Program.39 The program emphasizes and supports successful implementation of high - quality home visiting programs that have demonstrated evidence of effectiveness as defined in the legis
Program.39 The
program emphasizes and supports successful implementation of high - quality home visiting programs that have demonstrated evidence of effectiveness as defined in the legis
program emphasizes and supports successful implementation of high - quality home
visiting programs that have demonstrated evidence of effectiveness as defined in the legi
visiting programs that have
demonstrated evidence of effectiveness as defined in the legislation.
However, existing performance measures do not measure all of the ways participation in home
visiting programs is related to positive outcomes for children and families.Given the high level of investment at the federal and state level into evidence - based home
visiting programs, identifying the extent to which home
visiting programs provide value for families and children even if they do not complete the
program is important for
demonstrating home
visiting as a sound investment.
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.
EIP showed favorable impacts on 8 outcomes, including fewer days and episodes of hospitalization, relative to those in the comparison group, covering a range of 6 weeks to 2 years postpartum.13, 23,24 EIP also showed a favorable effect on the percentage of children who were adequately immunized by 1 year, but the difference was no longer statistically significant by 2 years.13, 24 Early Start
demonstrated favorable effects on 3 outcomes, including percentage who received well - child
visits and dental service.25 — 27 HFA had favorable results for 4 health care outcomes, such as the number of well - child
visits and whether the child had health insurance.28 — 31 HFA had an unfavorable effect on the number of pediatric emergency department (ED)
visits.32 The research showed that Healthy Steps had a beneficial effect on 2 outcomes: 1 - month well - child
visits and diphtheria toxoid, tetanus toxoid, and pertussis vaccinations.33 Finally, NFP had favorable results on 3 outcomes measuring the number of ED
visits at different follow - ups but an unfavorable / ambiguous effect on number of days hospitalized between 25 and 50 months.34, 35 The research on 2
programs (Oklahoma's CBFRS and PAT) showed no effects on measures of health care use or coverage.36 — 40 The research on 5
programs (Child FIRST, EHS, Family Check - Up, HIPPY, and PALS for Infants) did not report health care coverage or usage outcomes.
While Rosa did not talk specifically in the Save the Children video about postpartum depression, research shows that stressful life events, including premature birth, are risk factors for maternal depression.24 Evaluation studies confirm that women who participated in home
visiting programs were less likely to demonstrate symptoms of depression and reported improved mental outlook when compared with control groups of women who did not participate in home visiting.25 For example, parents participating in the Child First model — one of the 20 evidence - based models eligible to receive funds from the Maternal, Infant, and Early Childhood Home Visiting program — experienced lower levels of stress and depression at the end of the program compared with parents who did not partic
visiting programs were less likely to
demonstrate symptoms of depression and reported improved mental outlook when compared with control groups of women who did not participate in home
visiting.25 For example, parents participating in the Child First model — one of the 20 evidence - based models eligible to receive funds from the Maternal, Infant, and Early Childhood Home Visiting program — experienced lower levels of stress and depression at the end of the program compared with parents who did not partic
visiting.25 For example, parents participating in the Child First model — one of the 20 evidence - based models eligible to receive funds from the Maternal, Infant, and Early Childhood Home
Visiting program — experienced lower levels of stress and depression at the end of the program compared with parents who did not partic
Visiting program — experienced lower levels of stress and depression at the end of the
program compared with parents who did not participate.26
With a new investment in research - based and promising practice home
visiting programs, Washington state is
demonstrating its commitment to advancing the field.
In New Mexico, only two of the home
visiting programs the Children, Youth and Families Department funds are so - called «evidence based,» relying on «rigorous» research that
demonstrates positive outcomes, the New Mexico Legislative Finance Committee found in 2013.
Here are five positive outcomes that
demonstrates the power of home
visiting programs.
Ideal for social workers, public health nurses, mental health care providers, and other home visitors, this essential tool will help professionals identify the needs of the families they serve, monitor their improvements, and vividly
demonstrate the effectiveness of home
visiting programs.
Michigan took steps recently to strengthen its $ 21 million investment in home
visiting as Gov. Rick Snyder (R) signed HB 4526 into law,
demonstrating policymakers» commitment to supporting
programs that are proven to work.
Results Quantitative results from two RCTs
demonstrated positive impacts of peer - led home
visiting parent support
programs including more positive parenting attitudes and beliefs, and more child preventative health care
visits.
New research published this month in Child Abuse & Neglect, The International Journal found that the Parents as Teachers ® evidence - based home
visiting model
demonstrates a significant decrease in cases of child maltreatment when home
visiting services are delivered through a scaled - up, statewide home
visiting program.
While the Tribal Maternal, Infant and Early Childhood Home
Visiting Grant Program emphasizes and supports successful implementation of high - quality, culturally - relevant home visiting programs that have demonstrated evidence of effectiveness in Tribal settings, it also supports promising app
Visiting Grant
Program emphasizes and supports successful implementation of high - quality, culturally - relevant home
visiting programs that have demonstrated evidence of effectiveness in Tribal settings, it also supports promising app
visiting programs that have
demonstrated evidence of effectiveness in Tribal settings, it also supports promising approaches.
Another way in which Indiana
demonstrates success in engaging difficult to reach families is through communicating a clear understanding of home
visiting programs to community partners.
While participation in home
visiting programs is voluntary, families must
demonstrate commitment to the
program's curriculum.
The second webinar
demonstrates how Facebook and Twitter are excellent platforms for garnering support for home
visiting programs and for early childhood education issues.
The Maternal, Infant, and Early Childhood Home
Visiting program (MIECHV) was established in 2010 to provide grants to states and Indian Tribes to support voluntary home visiting programs with demonstrated effectiveness that respond to communit
Visiting program (MIECHV) was established in 2010 to provide grants to states and Indian Tribes to support voluntary home
visiting programs with demonstrated effectiveness that respond to communit
visiting programs with
demonstrated effectiveness that respond to community needs.
This license will ensure that you can use
Visit Tracker as your chosen database to
demonstrate how your
program follows the essential requirements of the PAT model and the Quality Assurance process.
High - quality early childhood development
programs in the United States, such as home
visiting, Abecedarian and Perry Preschool, have
demonstrated positive economic and social effects.
HFA evaluation results from more than 20 states, including 12 randomized control trials,
demonstrate positive outcomes in all six domains required by the federal Maternal Infant Early Childhood Home
Visiting (MIECHV)
program.
Rigorous evaluations and research of home
visiting services
demonstrates that the
program ultimately improves health and saves money for taxpayers.
The
program's accomplishments include expanding home
visiting services to high - need families across diverse communities,
demonstrating improvement in key child and family outcomes, and building strong foundations for early childhood systems of care.
Prior research has
demonstrated that high - quality home
visiting programs are associated with better maternal and infant health, 1 enhanced school readiness for children, 2 reduced rates of abuse and neglect, 3 and higher levels of parent education and income.4 Home
visiting is also a good investment; one rigorous research study found that for every tax dollar spent on high - quality home
visiting programs, there is a return of more than five dollars due to reduced spending on health and welfare services.5
While research has consistently
demonstrated that home
visiting works, funding is insufficient to enroll all vulnerable families in home
visiting programs.
The results were conclusive: Rigorous trials were
demonstrating that
programs including preschool, voluntary home
visiting, and family - based therapy for juveniles could cut future crime by as much as 50 percent.