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 for families to enroll until the child is 2 months old.

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 with mental health concerns, including maternal depression and anxiety

Who is implementing the model?

Home Visitors

MECSH was implemented by 101 home visitors in 2020. 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.

Supervisors

MECSH was implemented by 24 supervisors in 2020. The model requires a bachelor’s degree in nursing for supervisors.

Where is the model implemented?

MECSH operated in 14 local agencies across 2 states in 2020. MECSH also operated outside the United States and its territories in Australia, South Korea, and the United Kingdom in 2020.

 

Families Served Through Evidence-Based Home Visiting in 2020

4,625
home visits provided
including 1,024 virtual visits
594
families served
522
children served

Caregiver age

27% ≤21 years

50% 22-29 years

23% 30-44 years

<1% ≥45 years

Caregiver education

20% No HS diploma

38% HS diploma or GED

33% Some college or training

9% Bachelor's degree or higher

Ethnicity

6% Hispanic or Latino

Household income

76% Low-income status

Primary language

95% English

2% Spanish

3% Another language

Child insurance status

93% Public

5% Private

3% None

Child age

52% <1 year

48% 1-2 years

0% 3-5 years

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