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 48 home visitors in 2025. 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 9 supervisors in 2025. 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 7 local agencies in 1 state in 2025.
Families Served Through Home Visiting in 2025
Race
19% American Indian Alaska Native
5% Asian
2% Black
0% Native Hawaiian Pacific Islander
71% White
3% Multiple
0% Another race
Ethnicity
46% Hispanic or Latino
54% Not Hispanic or Latino
Caregiver age
5% ≤21 years
36% 22-29 years
56% 30-44 years
4% ≥45 years
Primary language
77% English
16% Spanish
7% Another language
Household income
39% Low-income status
61% Not low-income status
Caregiver education
9% No HS diploma
18% HS diploma or GED
29% Some college or training
43% Bachelor's degree or higher
Child age
31% <1 year
45% 1-2 years
24% 3-5 years
Child insurance status
56% Public
37% Private
7% None