Multiracial family snuggles with their newborn while sitting on the couch

Model Profiles

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2023 Yearbook

Parent-Child Assistance Program

PCAP’s primary goals are to help mothers with alcohol and drug use disorders: achieve and maintain recovery from substance abuse, build healthy family lives, and prevent the births of subsequent alcohol- or drug-exposed infants. The PCAP model is based on relational theory, motivational interviewing, and harm reduction principles to build trusting relationships with mothers, help participants identify goals and take incremental steps to meet them, connect families with comprehensive community services, and enhance maternal confidence. See for details.

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

Home visits take place twice per month, with a higher frequency during times of family need. Services are provided for a duration of 3 years. Families may enroll until the child is 12 months old, but PCAP recommends families initiate services prenatally.

PCAP’s target population includes the following:

  • Families with a history of substance abuse or in need of treatment
  • Low-income families
  • Expectant mothers
  • Mothers ineffectively engaged with service providers

Who is implementing the model?

Home Visitors

PCAP was implemented by 87 home visitors in 2018. The model requires a bachelor’s degree for home visitors. The maximum caseload requirement for home visitors is 20 families.


PCAP was implemented by 15 supervisors in 2018. The model recommends at least a bachelor’s degree for supervisors.

Where is the model implemented?

PCAP operated in three states in 2018. The model also operated outside the United States and its territories in Australia and Canada in 2018.

Families Served Through Home Visiting in 2018

home visits provided
families served
children served

Caregiver age

10% ≤ 21 years

55% 22-29 years

35% 30-44 years

<1% ≥ 45 years

Caregiver education

36% No HS diploma

53% HS diploma or GED

9% Some college or training

1% Bachelor's degree or higher


12% Hispanic or Latino

88% Not Hispanic or Latino

Household income

98% Low-income status

2% Not low-income status

Child age

30% < 1 year

53% 1-2 years

17% 3-5 years

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