High Risk Perinatal Program
High Risk Perinatal Program (HRPP) is dedicated to reducing maternal and infant mortality and morbidity. The model helps children and families transition from the special care nursery (SCN) or neonatal intensive care unit (NICU) to their home and community. Community Health Nurses monitor children’s medical and developmental needs, provide support and education to families, and make referrals to other early intervention programs or community resources.
What is the model’s approach to providing home visiting services?
HRPP recommends at least four home visits lasting 30–90 minutes each per family. The first visit occurs after the child is discharged from the hospital, and the other visits can take place when the child is 2, 4, 6, 8 or 9, and 12 months old. Additional visits may be provided based on family need. The Community Health Nurse can visit until the child is 3 years old.
HRPP’s service population includes the following:
- Families who have stayed in the SCN or NICU for at least 120 hours
- Children diagnosed with neonatal abstinence syndrome
- Children with special health care needs referred by a neonatologist
Who is implementing the model?
Home Visitors
HRPP was implemented by 32 Community Health Nurses in 2025. The model requires Community Health Nurses to have a bachelor’s degree in nursing and to be an Arizona Licensed Registered Nurse with Basic Life Support Certification. The model also requires experience in maternal and child health, pediatrics, and/or the NICU.
Supervisors
HRPP was implemented by 8 supervisors in 2025.
Where is the model implemented?
HRPP operated in 8 local agencies in 1 state in 2025.
Families Served Through Home Visiting in 2025
Race
4% American Indian Alaska Native
5% Asian
8% Black
<1% Native Hawaiian Pacific Islander
81% White
* Multiple
Ethnicity
44% Hispanic or Latino
56% Not Hispanic or Latino
Caregiver age
2% ≤21 years
23% 22-29 years
72% 30-44 years
3% ≥45 years
Caregiver education
10% No HS diploma
33% HS diploma or GED
18% Some college or training
39% Bachelor's degree or higher
Child insurance status
50% Public
48% Private
3% None
Primary language
89% English
10% Spanish
<1% Another language
Child age
16% <1 year
79% 1-2 years
5% 3-5 years