Before the NHVRC launched in 2017, there was no single data source about the recipients of evidence-based early childhood home visiting services. For the yearbook, the NHVRC reaches out to home visiting models considered evidence based and to state, territory, the District of Columbia, and Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees.
Their collective response moves us closer to depicting the hundreds of thousands of families working with evidence-based home visiting programs to pursue better lives. We recognize the information presented in the 2025 Home Visiting Yearbook likely undercounts the reach of home visiting services in 2024; still, we believe it presents the best nationwide look at home visiting services.
Seventeen evidence-based models operating across the United States in 2024 provided data on the number of families and/or children served.
According to the data received—
Of the more than 3 million home visits provided, at least—
Learn More About the National Landscape
Although the number of families served by evidence-based models is substantial, it represents only 1.7 percent of the more than 16.9 million pregnant caregivers and parenting families who could benefit from home visiting.
The percentage of families served rises to 3.6 percent if one restricts the pool of potential beneficiaries to our estimate of high-priority families. (Source: The 3.6 percent estimate makes the simplifying assumption that the 284,747 families served are high-priority families.)Go to footnote #>1
Source: Calculations based on data collected from 17 evidence-based models operating in the United States in 2024, and tabulations of the [American Community Survey](https://www.census.gov/programs-surveys/acs/) (2019–2023).
What Do We Know About Other Home Visiting Models?
The Home Visiting Yearbook primarily shares data on home visiting provided by models designated as evidence based by the Home Visiting Evidence of Effectiveness (HomVEE) project. Since 2018, we have explored information about emerging home visiting models that demonstrate some evidence of effectiveness but have not been designated by HomVEE as evidence based.
Many emerging models are well established, and several meet some criteria of rigorous evidence. All play an important role in the home visiting landscape, often serving many families or being implemented across several locations.(Source: See previous yearbooks for more information about the continuum of evidence for home visiting models.)Go to footnote #>2
