Model Profiles

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 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 165 home visitors in 2019. 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.

Supervisors

Child First was implemented by 34 supervisors in 2019. 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 2019.

Families Served Through Evidence-Based Home Visiting in 2019

55,934
home visits provided
1,937
families served
1,937
children served

Caregiver age

2% ≤ 21 years

29% 22-29 years

50% 30-44 years

19% ≥ 45 years

Caregiver education

20% No HS diploma

37% HS diploma or GED

27% Some college or training

16% Bachelor's degree or higher

Ethnicity

27% Hispanic or Latino

73% Not Hispanic or Latino

Household income

94% Low-income status

6% Not low-income staus

Child age

10% < 1 year

18% 1-2 years

71% 3-5 years

Child insurance status

92% Public

6% Private

1% None

Primary language

88% English

11% Spanish

1% Other

Note • Percentages may not add to 100 due to rounding. • To protect confidentiality, race and ethnicity categories with 10 or fewer caregivers were replaced with *. • Less than 1 percent of children were 6 years and older.