First Born and More
First Born and More is a multigenerational, relationship-based, culturally sensitive, and family-centered home visiting model designed to support families during pregnancy and in the early years of their child’s life. The model helps families create a nurturing, safe, and stimulating environment to promote the immediate well-being of children and caregivers, as well as the long-term health, wellness, development, safety and overall stability of families and communities.
What is the model’s approach to providing home visiting services?
Home visits occur twice a month or more often, if needed. Home visits are at least 45 minutes long and take place in the family’s home, virtually, or in a community setting. Services are offered prenatally until the child is 5 years old.
First Born and More serves all families with young children and does not recommend or require any specific family characteristics for enrollment.
Who is implementing the model?
Home Visitors
First Born and More was implemented by 46 full-time equivalent (FTE) home visitors in 2023. The model requires a high school diploma or GED for home visitors; a bachelor’s degree is recommended. The maximum caseload requirement for home visitors is 25 families.
Supervisors
First Born and More was implemented by 10 FTE supervisors in 2023. The model requires a bachelor’s degree for supervisors; a master’s degree is recommended. First Born and More recommends that supervisors have experience in early education, home visiting, child health and/or development, as well as experience working with children and families.
Where is the model implemented?
First Born and More operated in 8 local agencies in 1 state in 2023.
Families Served Through Home Visiting in 2023
Race
33% American Indian Alaska Native
3% Asian
* Black
* Native Hawaiian Pacific Islander
47% White
2% Multiple
13% Another race
Ethnicity
30% Hispanic or Latino
70% Not Hispanic or Latino
Caregiver age
4% ≤21 years
37% 22-29 years
56% 30-44 years
3% ≥45 years
Primary language
73% English
9% Spanish
18% Another language
Household income
26% Low-income status
74% Not low-income status
Caregiver education
4% No HS diploma
30% HS diploma or GED
46% Some college or training
20% Bachelor's degree or higher
Child age
41% <1 year
32% 1-2 years
28% 3-5 years