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Model Profiles

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2023 Yearbook

Early Head Start Home-Based Option

Early Head Start Home-Based Option (EHS) provides individualized services to pregnant women, infants, and toddlers to promote the school readiness of young children from families with low incomes. The model is administered by the Office of Head Start in the U.S. Department of Health and Human Services’ Administration for Children and Families. EHS promotes the school readiness of children from birth to 3 years old by enhancing their cognitive, social, and emotional development.

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

Home visits take place weekly. Services are provided until the child is 3 years old. There are no age requirements for when families should begin services.

EHS’ service population includes the following:

  • Families with low incomes
  • Caregivers under 21 years old
  • Caregivers with limited access to education
  • Children with developmental delays or disabilities
  • Children with special health care needs
  • Families with a history of substance use or in need of treatment
  • Families with a history of child abuse or neglect/involvement with child welfare system
  • Children in foster care

Who is implementing the model?

Home Visitors

EHS was implemented by 5,871 home visitors in 2021. The model requires a home-based Child Development Associate (CDA) credential, comparable credential, or equivalent coursework as part of an associate’s or bachelor’s degree. Home visitors are required to maintain an average caseload of 10 to 12 families.


The model requires a bachelor’s or other advanced degree with coursework in early childhood education and early education experience for supervisors.

Where is the model implemented?

EHS operated in 868 local agencies across 50 states and the District of Columbia, Puerto Rico, and the U.S. Virgin Islands in 2021.


estimated home visits provided
children served


32% Hispanic or Latino

68% Not Hispanic or Latino

Caregiver education

22% No HS diploma

47% HS diploma or GED

21% Some college or training

9% Bachelor's degree or higher

Child age

30% < 1 year

63% 1-2 years

7% 3 years

Child insurance status

89% Public

7% Other

4% None

Primary language

73% English

20% Spanish

6% Another language

Percentages may not add to 100 due to rounding. • Data for 19,721 children and 16,719 families are described in the demographics. • Other insurance includes state-only funded insurance and private insurance.