Multiracial family snuggles with their newborn while sitting on the couch

Model Profiles

You are viewing historical content. Access the latest data.

2023 Yearbook

Child First

Child First helps to heal and protect children and families from the effects of trauma and chronic stress by providing a psychotherapeutic intervention that promotes nurturing caregiver-child relationships, enhances adult capacity, and provides care coordination to connect families with services and supports. See for details.

What is the model’s approach to providing home visiting services?

Home visits take place twice per week during a month-long assessment period and a minimum of once per week thereafter. Services are provided for families and their children prenatally through 5 years old for approximately 6 to 12 months, but can extend beyond 12 months depending on a family’s need.

Child First’s target population includes the following:

  • Children with emotional or behavioral problems
  • Caregivers with depression, PTSD, and other mental health problems
  • Low-income families
  • Caregivers experiencing domestic violence or trauma
  • Children experiencing abuse, neglect, or other trauma
  • Families with a history of substance abuse or in need of treatment
  • Families who are homeless
  • Children with developmental delays or disabilities

Who is implementing the model?

Home Visitors

Child First was implemented by 156 home visitors in 2018. The model requires care coordinators to have a bachelor’s degree and mental health clinicians to have a master’s degree in a mental health specialty with a license. Home visitors typically maintain a caseload of 12 to 16 families.


Child First was implemented by 34 supervisors in 2018. The model requires a master’s degree in a mental health specialty with a license for supervisors.

Where is the model implemented?

Child First operated in 23 local agencies across three states in 2018.

Families Served Through Evidence-Based Home Visiting in 2018

home visits provided
families served
children served

Caregiver age

2% ≤ 21 years

31% 22-29 years

48% 30-44 years

20% ≥ 45 years

Caregiver education

23% No HS diploma

33% HS diploma or GED

30% Some college or training

14% Bachelor's degree or higher


30% Hispanic or Latino

70% Not Hispanic or Latino

Household income

92% Low-income status

8% Not low-income staus

Child age

11% < 1 year

20% 1-2 years

67% 3-5 years

Child insurance status

91% Public

8% Private

1% None

Primary language

84% English

13% Spanish

3% Other

Note • The number of home visitors and supervisors represents the number employed at the end of 2018. • Percentages may not add up to 100 due to rounding. • To protect confidentiality, race and ethnicity categories with 10 or fewer participants were replaced with *. • Low income is defined as families meeting eligibility for Medicaid. • One percent of children are 6 years and older.