First Born and More
First Born and More is a multigenerational, relationship-based, culturally sensitive, and family-centered home visiting model designed to support families during pregnancy and in the early years of their child’s life. The model helps families create a nurturing, safe, and stimulating environment to promote the immediate well-being of children and caregivers, as well as the long-term health, wellness, development, safety, and overall stability of families and communities.
What is the model’s approach to providing home visiting services?
Home visits occur twice a month or more often, if needed. Home visits are at least 45 minutes long and take place in the family’s home, virtually, or in a community setting. Services are offered prenatally until the child is 5 years old.
First Born and More serves all families with young children and does not recommend or require any specific family characteristics for enrollment.
Who is implementing the model?
Home Visitors
First Born and More was implemented by 43 full-time equivalent (FTE) home visitors in 2024. The model requires a high school diploma or GED for home visitors; a bachelor’s degree is recommended. The maximum caseload requirement for home visitors is 25 families.
Supervisors
First Born and More was implemented by 8 FTE supervisors in 2024. The model requires a bachelor’s degree for supervisors; a master’s degree is recommended. First Born and More recommends that supervisors have experience in early education, home visiting, child health and/or development, as well as experience working with children and families.
Where is the model implemented?
First Born and More operated in 8 local agencies in 2 states in 2024.
Families Served Through Home Visiting in 2024
Race
16% American Indian Alaska Native
3% Asian
3% Black
0% Native Hawaiian Pacific Islander
77% White
<1% Multiple
Ethnicity
42% Hispanic or Latino
58% Not Hispanic or Latino
Caregiver age
5% ≤19 years
34% 20-29 years
49% 30-39 years
12% ≥40 years
Primary language
80% English
14% Spanish
6% Another language
Household income
37% Low-income status
63% Not low-income status
Caregiver education
12% No HS diploma
20% HS diploma or GED
27% Some college or training
41% Bachelor's degree or higher
Child age
34% <1 year
42% 1-2 years
23% 3-5 years