The Cost of Implementing a Home Visiting Program Designed to Prevent Repeat Pregnancies Among Adolescent Mothers




Schulte Neelan, Theresa Goesling, and Brian Goesling

Brief Type



  • Healthy Families America (HFA)


Cost is often a primary concern when policymakers and practitioners consider a new program. This brief provides information on the cost of implementing a home visiting program for adolescent mothers. The information comes from an evaluation of the Steps to Success home visiting program in San Angelo, Texas, which Mathematica conducted for the Administration for Children and Families within the U.S. Department of Health and Human Services. As part of the evaluation, trained staff from Healthy Families San Angelo (HFSA) provided Steps to Success to pregnant or recently postpartum mothers ages 14 to 20. HFSA developed Steps to Success by enhancing a traditional home visiting program offered by the organization. While HFSA’s traditional home visiting program focused on child development and parenting, the enhanced program included additional program components designed to (1) promote healthy birth spacing, (2) encourage father involvement, and (3) support mothers’ education and career aspirations. For both Steps to Success and HFSA’s traditional home visiting program, mothers receive program services for up to two years. (author abstract)

Data Collection Methods



For More Information

Neelan, T. S., Goesling, T., & Goesling, B. (2020). The cost of implementing a home visiting program designed to prevent repeat pregnancies among adolescent mothers (OPRE Report #2014-57). Washington, DC: U.S. Department of Health and Human Services, Administration for Children and Families, Office of Planning, Research, and Evaluation. https://www.acf.hhs.gov/sites/default/files/documents/opre/PREP_HFSA_cost%20brief_Nov%202020_Final%20508_0.pdf


  • Cost