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Model Profiles

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2023 Yearbook

Maternal Early Childhood Sustained Home-Visiting

Maternal Early Childhood Sustained Home-Visiting (MECSH) aims to improve the health, development, and social well-being of families with new babies in need of additional sustained support. The model supports positive transitions to parenting, positive parenting skills, future-oriented and aspirational thinking, problem-solving skills, the ability to mobilize resources, and healthy relationships.

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

Home visits take place based on the child’s age. Families may receive three prenatal visits. After the child’s birth, families receive visits weekly until the child is 6 weeks old, every 2 weeks until the child is 12 weeks old, every 3 weeks until the child is 6 months old, every 6 weeks until the child is 12 months old, and every 2 months until the child is 2 years old. MECSH recommends families initiate services prenatally, but allows families to enroll up to 8 weeks after the child is discharged from the hospital.

MECSH’s service population includes the following:

  • Expectant caregivers
  • Families with low incomes
  • Caregivers who are unmarried or single
  • Caregivers with limited access to education
  • Families with a history of substance use or in need of treatment
  • Families with a history of child abuse or neglect/involvement with child welfare system
  • Families experiencing mental health concerns, including maternal depression and anxiety

Who is implementing the model?

Home Visitors

MECSH was implemented by 319 home visitors in 2021. The model requires a bachelor’s degree in nursing for home visitors. Home visitors are required to maintain a caseload of 20 to 30 families.


MECSH was implemented by 38 supervisors in 2021. The model requires a bachelor’s degree in nursing for supervisors.

Where is the model implemented?

MECSH operated in 62 local agencies across 3 states in 2021. MECSH also operated outside the United States and its territories in Australia, the Channel Islands, South Korea, and the United Kingdom in 2021.


Families Served Through Evidence-Based Home Visiting in 2021

home visits provided
including 1,687 virtual visits
families served
children served


14% Hispanic or Latino

86% Not Hispanic or Latino

Caregiver age

24% ≤21 years

46% 22-29 years

30% 30-44 years

<1% ≥45 years

Caregiver education

17% No HS diploma

36% HS diploma or GED

34% Some college or training

14% Bachelor's degree or higher

Household income

58% Low-income status

42% Not Low-income status

Primary language

94% English

5% Spanish

2% Another language

Child age

67% <1 year

32% 1-2 years

<1% 3-5 years

Child insurance status

82% Public

7% Private

11% None

Percentages may not add to 100 due to rounding. • To protect confidentiality, race and ethnicity categories with 10 or fewer caregivers were replaced with *.