Dad and baby

Model Profiles

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 60–75 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
  • Children diagnosed with neonatal abstinence syndrome
  • Children with special healthcare needs

Who is implementing the model?

Home Visitors

HRPP was implemented by 30 Community Health Nurses in 2022. 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 prior experience in maternal and child health, pediatrics, and/or the NICU.


HRPP was implemented by 8 supervisors in 2022.

Where is the model implemented?

HRPP operated in 8 local agencies in 1 state in 2022.


Families Served Through Home Visiting in 2022

home visits provided
including 5,159 virtual visits
families served
children served

Child age

49% <1 year

49% 1-2 years

2% 3-5 years

Caregiver education

10% No HS diploma

36% HS diploma or GED

22% Some college or training

33% Bachelor's degree or higher

Child insurance status

56% Public

42% Private

2% None

Primary language

91% English

9% Spanish


43% Hispanic or Latino

57% Not Hispanic or Latino

Percentages may not add to 100 due to rounding.