Selected Articles on Home Visiting

Home visiting Matters

Pediatrics Journal Features Home Visiting Articles
The November 2013 issue of the journal Pediatrics has a special supplement on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. The articles can be downloaded in full for free at
The US Department of Health and Human Services’ Health Resources and Services Administration (HRSA) and the Administration for Children and Families (ACF) are the primary federal agencies responsible for implementing the MIECHV program. Through the Affordable Care Act, MIECHV provides an unprecedented opportunity to support states and communities in their efforts to implement evidence-based home visiting services for our most vulnerable children and families. The home visiting services being offered to at-risk families in the 56 participating states and territories, and 24 tribal communities, provide invaluable information, guidance, and referrals related to parenting, early child development, health, and school readiness.

Design Options for Home Visiting Evaluation (2012)
OVERVIEW OF AVAILABLE HOME VISIT OBSERVATION INSTRUMENTS: Formal observational assessments of home visits, for supervisory or evaluative purposes, can be a key component in achieving effective program implementation and improved participant outcomes for home visiting programs. Specifically, home visit observations can be used to evaluate the content and quality of activities that occur during the home visit, the quality of the provider-client relationship, and the level of family engagement in services. This focus on assessment and feedback on the quality of services can help inform home visiting practice, guide overall program improvement, and inform continuous quality improvement (CQI) efforts. The intent of this document is to support the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program as part of the provision of technical assistance (TA) to funded grantees. Specifically, this brief provides an overview of available home visit observation instruments for assessing home visit quality and content for use in reflective supervision practices, professional development, research evaluation, or CQI. These suggestions are intended to be a helpful tool; there is no federal requirement to observe home visits.

Reaching Families Where They Live – Supporting Parents and Child Development Through Home Visiting (2009) Elizabeth DiLauro, Advocacy Specialist, ZERO TO THREE Policy Network

Home Visiting Resource Brief, The Maternal and Child Health Library at Georgetown University

Embedding Home Visitation Services within a System of Early Childhood Services (2009) Deborah Daro, Ph.D.

Home Visitation – Assessing Progress, Managing Expectations, Deborah Daro, Published by Ounce of Prevention Fund and Chapin Hall Center for Children

Extending Home Visiting to Kinship Caregivers and Family, Friend, and Neighbor Caregivers. (2009) Elizabeth Hoffman and Tiffany Conway Perrin

Home Visitation: Looking Closely at What Works (2009) Lisa Guernsey

The Next Step in Systems-Building: Early Childhood Advisory Councils and Federal Efforts to Promote Policy Alignment in Early Childhood(2009) Christina Satkowski

Strategic Plan: Home Visitation Strategies (2009) First 5 LA

Home Visitation Programs Child Welfare Information Gateway – Protecting Children, Strengthening Families

The Home Visit Forum: Understanding and Improving the Role of Home Visitation (2004) Heather Weiss, director at the Harvard Family Research Project

Home Visiting and Outcomes of Preterm Infants: A Systematic Review Home visiting is one strategy to improve child health and parenting. Since implementation of home visiting trials 2 decades ago, US preterm births (<37 weeks) have risen by 20%. The objective of this study was to review evidence regarding home visiting and outcomes of preterm infants.

The Science of Neglect: Inbrief Summary From the Center on the Developing Child at Harvard University The Center on the Developing Child at Harvard University has published a new two-page summary, InBrief: The Science of Neglect, which explains why significant deprivation in the earliest years of life is so harmful and why effective interventions are likely to pay significant dividends by improving long-term outcomes in learning, health, and parenting of the next generation. The brief provides an overview of The Science of Neglect: The Persistent Absence of Responsive Care Disrupts the Developing Brain (2012), a Working Paper by the National Scientific Council on the Developing Child.


Home Visiting Programs: Reviewing Evidence of Effectiveness - OPRE Report #2014-13 (March 2014), provides a three-page summary describing the review process, review results, and the 14 program models that have been identified to date. The Home Visiting Evidence of Effectiveness (HomVEE) Project was created to identify home visiting models that meet the U.S. Department of Health and Human Services' criteria for an evidence-based early childhood home visiting service delivery model. It is meant to assist states participating in Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, which requires that 75 percent of grant funding be spent on program models that are proven to be effective.

Home Visiting: The Potential for Cost Savings from Home Visiting Due to Reductions in Child Maltreatment (2014), describes the evidence of effectiveness of several home-visiting program models in reducing child maltreatment and presents the estimated costs of implementing these models. The brief focuses on four program models - Healthy Families America (HFA), Nurse Family Partnership (NFP), Parents as Teachers (PAT), and SafeCare. Agencies implementing these models were part of a recent study of home-visiting costs conducted by Mathematica Policy Research and Chapin Hall at the University of Chicago, with support from the Doris Duke Charitable Foundation and in partnership with Casey Family Programs.