Dad and baby

Model Profiles

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 305 home visitors in 2022. 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 68 supervisors in 2022. The model requires a bachelor’s degree in nursing for supervisors.

Where is the model implemented?

MECSH operated in 74 local agencies across 3 states in 2022. MECSH also operated outside the United States and its territories in Australia, the Channel Islands, South Korea, and the United Kingdom in 2022.


Families Served Through Evidence-Based Home Visiting in 2022

home visits provided
including 519 virtual visits
families served
children served


20% Hispanic or Latino

80% Not Hispanic or Latino

Caregiver age

21% ≤21 years

44% 22-29 years

35% 30-44 years

<1% ≥45 years

Caregiver education

20% No HS diploma

37% HS diploma or GED

31% Some college or training

12% Bachelor's degree or higher

Household income

65% Low-income status

35% Not low-income status

Primary language

83% English

11% Spanish

6% Another language

Child age

59% <1 year

41% 1-2 years

<1% 3-5 years

Child insurance status

77% Public

8% Private

15% None

Percentages may not add to 100 due to rounding.