The NHVRC used data from 15 models recognized as evidence based by the Home Visiting Evidence of Effectiveness (HomVEE) project to create a national profile of home visiting in 2020.

National Profile

3,226,160
home visits provided
including 1,448,618 virtual visits
298,798
families served
326,837
children served

Ethnicity

29% Hispanic or Latino

Caregiver Education

22% No high school diploma

Child Age

34% <1 year

39% 1-2 years

27% 3-5 years

Child Insurance Status

87% Public

11% Private

2% None

Primary Language

82% English

15% Spanish

4% Another language

Notes

Models include 15 models operating in the United States in 2020 that met HomVEE criteria for evidence of effectiveness at that time: Attachment and Biobehavioral Catch-Up (ABC), Child First, Family Check-Up (FCU), Family Connects, Family Spirit, Health Access Nurturing Development Services (HANDS), Healthy Families America (HFA), Home Instruction for Parents of Preschool Youngsters (HIPPY), Maternal Early Childhood Sustained Home-Visiting (MECSH), Maternal Infant Health Program (MIHP), Minding the Baby, Nurse-Family Partnership (NFP), Parents as Teachers (PAT), Play and Learning Strategies (PALS), and SafeCare Augmented. ABC, Child First, FCU, Family Connects, Family Spirit, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, PAT, PALS, and SafeCare Augmented provided data on the number of families served. ABC, Child First, FCU, Family Spirit, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, PAT, and PALS provided data on the number of children served. ABC, Child First, FCU, Family Connects, Family Spirit, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, PAT, and PALS provided data on the number of home visits completed. ABC, Child First, FCU, Family Connects, HANDS, HFA, HIPPY, MECSH, MIHP, NFP, PAT, and PALS provided data on the number of virtual home visits completed. Child First, FCU, Family Connects, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented provided participant demographic data. Early Head Start Home-Based Option (EHS) data were not available for 2020. The number of children served in 2019 was adjusted and included as a proxy for children and families served in 2020. See methodology for details.

Ethnicity includes data from Child First, FCU, Family Connects, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented.

Race includes data from Child First, FCU, Family Connects, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented. Limited information is available on races included in the “another race” category (i.e., Middle Eastern/North African was the only race specified). We will request additional information on the races included in this category going forward to better represent the diversity of home visiting participants.

Educational attainment includes data from Child First, Family Connects, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, and PAT.

Child age includes data from Child First, FCU, Family Connects, HANDS, HFA, HIPPY, MECSH, MIHP, Minding the Baby, NFP, and PAT.

Child insurance status includes data from Child First, Family Connects, HANDS, HFA, HIPPY, MECSH, MIHP, and NFP. Public insurance includes Medicaid, Children’s Health Insurance Program (CHIP), and TRICARE.

Primary language includes data from Child First, HANDS, HFA, HIPPY, MECSH, MIHP, NFP, and SafeCare Augmented. Child First, HANDS, HIPPY, MECSH, and MIHP reported primary language of children. HFA and NFP reported primary language of adult participants. SafeCare Augmented reported language of service delivery. Limited information is available on languages included in the “another language” category (i.e., Arabic was the only language specified). We will request additional information on the languages included in this category going forward to better represent the diversity of home visiting participants.

Maternal, Infant, and Early Childhood Home Visiting Program

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program demonstrates a significant federal investment in evidence-based home visiting (Source: MIECHV families are a portion of total families served by evidence-based models, but because of the way data are collected (aggregated across all models in MIECHV reporting, with promising approaches included), the overlap between model data and MIECHV data cannot be determined.)Go to footnote #>1 but does not account for all families reached. MIECHV awardees are required to report data annually to the U.S. Department of Health and Human Services about the families they serve. We contacted states and territories to request this information, and most (54 of 56) shared it with us. Supplementing this information with publicly available data from the Health Resources and Services Administration, we calculated the extent of MIECHV-funded services in 2020.

State and territory MIECHV awardees served 71,380 families and 67,392 children (Source: Data on children served are not publicly available, so this count is based on the data shared by 54 of 56 states and territories.)Go to footnote #>2 and provided 1,057,997 home visits in 2020. (Source: The models represented in the MIECHV numbers are Child First, EHS, Family Spirit, HANDS, HFA, HIPPY, MECSH, NFP, PAT, SafeCare Augmented, and promising approaches. Promising approaches include Following Baby Back Home, Health Start, and Team for Infants Exposed to Substance use Program.)Go to footnote #>3 Tribal MIECHV awardees served an additional 1,606 families and 1,559 children and provided 17,129 home visits in 2020.

Families Served Through MIECHV: State and Territory Awardees

1,057,997
home visits provided
71,380
families served
67,392
children served

Families Served Through MIECHV: Tribal Awardees

17,129
home visits provided
1,606
families served
1,559
children served

Families Served by Tribal-Led Organizations

Home visiting services were provided to families in 22 tribal communities through Tribal MIECHV funds in 2020. Families in tribal communities also receive home visiting through non-MIECHV-funded programs. For the 2021 Home Visiting Yearbook, we asked evidence-based models to identify programs led by tribal organizations, regardless of funding source. Six models provided data on home visiting services provided by tribal-led organizations. (Source: Models that provided tribal-led organization data include Family Spirit, HFA, MIHP, NFP, PAT, and SafeCare Augmented.)Go to footnote #>4

In 2020, 4,697 families and 5,038 children were served by 132 tribal-led organizations. In total, 32,849 home visits were provided, including 4,594 virtual home visits. These data, coupled with information about families served by Tribal MIECHV awardees, begin to convey the reach of evidence-based home visiting in tribal communities.