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2023 Yearbook

The 2019 Home Visiting Yearbook provides updated information about who receives, administers, and could benefit from home visiting. Key takeaways include—

  • Evidence-based home visiting was implemented in all 50 states, the District of Columbia, 5 territories, 25 tribal communities, and 51 percent of U.S. counties in 2018.
  • In 2018, more than 286,000 families received evidence-based home visiting services over the course of more than 3.2 million home visits.
  • An additional 30,850 families received home visiting services through 9 emerging models that provided more than 455,000 home visits in 2018.
  • Home visitors and supervisors receive training to deliver voluntary services to families and young children in their homes. In 2018, more than 23,000 home visitors and supervisors delivered evidence-based services nationwide.
  • About 18 million pregnant women and families (including more than 23 million children) could benefit from home visiting but were not being reached in 2018. These numbers have held steady since 2015.
  • Since its inception in 2010, the federal Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) has strengthened home visiting by supporting services, research, and local infrastructure. MIECHV expired in September 2017 but was reauthorized in February 2018 for an additional 5 years.
  • In 2018, MIECHV helped fund services for more than 77,000 families in states, territories, and tribal communities—a portion of the total families served by home visiting that year.
  • States continue to support home visiting by combining funds from tobacco settlements and taxes, lotteries, and budget line items. With limited resources, states are working to expand the reach of home visiting and serve as many families as they can in a way that makes sense on a local level.