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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.

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 service population includes the following:

  • Children with emotional or behavioral concerns
  • Caregivers with depression, PTSD, and other mental health concerns
  • Families with low incomes
  • Caregivers experiencing domestic violence or trauma
  • Children experiencing abuse, neglect, or other trauma
  • Families with a history of substance use or in need of treatment
  • Families experiencing homelessness
  • Children with developmental delays or disabilities

Who is implementing the model?

Home Visitors

Child First was implemented by 176 home visitors in 2020. 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 36 supervisors in 2020. 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 3 states in 2020.

US map with Child First service area highlighted


Families Served Through Evidence-Based Home Visiting in 2020

home visits provided
including 31,977 virtual visits
families served
children served

Caregiver age

3% ≤21 years

32% 22-29 years

48% 30-44 years

18% ≥45 years

Caregiver education

18% No HS diploma

35% HS diploma or GED

31% Some college or training

16% Bachelor's degree or higher


29% Hispanic or Latino

71% Not Hispanic or Latino

Household income

94% Low-income status

6% Not low-income status

Child age

12% <1 year

16% 1-2 years

58% 3-5 years

15% ≥6 years

Child insurance status

93% Public

6% Private

<1% None

Primary language

89% English

10% Spanish

<1% Another language

Percentages may not add to 100 due to rounding. • To protect confidentiality, race and ethnicity categories with 10 or fewer caregivers were replaced with *.