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Model Profiles

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2023 Yearbook

Early Start

Early Start serves caregivers with newborns through intensive home visiting. Services are targeted toward caregivers who face challenges that may negatively impact the well-being of their children. Early Start uses a planned, focused, and systematic approach to help caregivers learn and apply nurturing parenting practices, discover personal strengths and abilities, and make healthy lifestyle changes.

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

Home visits take place based on families’ needs. Families with the highest level of need receive weekly visits for the first 15 to 18 months of enrollment. Families at the next level receive one visit every 2 weeks for 1 year or until set criteria are reached. Families at the next level receive monthly visits and families at the lowest level of need receive quarterly visits with a phone call between visits. Services are provided until the child is 5 years old and begins school. Early Start requires families to initiate services before the child is 9 months old. Families are encouraged to enroll prenatally.

Early Start’s service population includes the following:

  • Families with low incomes
  • First-time caregivers
  • Caregivers under 21 years old
  • Caregivers who are unmarried or single
  • Caregivers with limited access to education
  • 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

Who is implementing the model?

Home Visitors

Early Start was implemented by 24.7 full-time equivalent (FTE) home visitors in 2021. The model requires a bachelor’s degree for home visitors. Home visitors are required to maintain a caseload of 10 to 14 families.


Early Start was implemented by 5 FTE supervisors in 2021. The model requires a bachelor’s degree for supervisors.

Where is the model implemented?

Early Start does not currently operate in the United States. Early Start has not been duplicated, but two programs delivered services in New Zealand based on Early Start in 2021.