Multiracial family snuggles with their newborn while sitting on the couch

Model Profiles

You are viewing historical content. Access the latest data.

2023 Yearbook

Healthy Families America

HFA seeks to build and sustain community partnerships to systematically engage overburdened families in home visiting services prenatally or at birth. Additionally, the model aims to cultivate and strengthen nurturing parent-child relationships, promote healthy childhood growth and development, and enhance family functioning by reducing risk and building protective factors. See for details.

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

Home visits take place based on a family’s level of need. All families are offered weekly home visits for at least 6 months after the birth of the child. Family progress criteria
are then used to determine a family’s readiness to move to less frequent visits, starting with every other week, then monthly, and finally, quarterly. Services are provided for a duration of 3 to 5 years. HFA recommends families initiate services prenatally, if possible, but allows for families to enroll after the child is born. Programs are required to enroll at least 80 percent of families by the time the child is 3 months old.

Local programs define target populations based on community needs data. All families receive an initial risk assessment to tailor services to meet their specific needs.

Who is implementing the model?

Home Visitors

HFA was implemented by 3,340.1 full-time equivalent (FTE) home visitors in 2018. The model requires a high school diploma or bachelor’s degree for home visitors depending on state or agency needs. The maximum caseload requirement for home visitors is 25 families.


HFA was implemented by 636.8 FTE supervisors in 2018. HFA requires a master’s degree or bachelor’s degree plus 3 years of experience for supervisors.

Where is the model implemented?

HFA operated in 574 local agencies across 38 states and the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the Virgin Islands in 2018. HFA also operated outside the United States and its territories in Israel in 2018.

Families Served Through Evidence-Based Home Visiting in 2018

home visits provided
families served
children served


30% Hispanic or Latino

70% Not Hispanic or Latino

Caregiver education

36% No HS diploma

64% HS diploma or higher

Child age

44% < 1 year

41% 1-2 years

15% 3-6 years

Child insurance status

83% Public

8% Private

9% None

Caregiver age

31% ≤ 21 years

43% 22-29 years

26% 30-44 years

<1% ≥ 45 years

Primary language

77% English

17% Spanish

5% Other

Note • Percentages may not add up to 100 due to rounding.