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2023 Yearbook

The 2020 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, 22 tribal communities, and 52 percent of U.S. counties in 2019.
  • In 2019, more than 298,000 families received evidence-based home visiting services over the course of nearly 3.2 million home visits.
  • An additional 36,534 families received home visiting services through 9 emerging models that provided more than 511,000 home visits in 2019.
  • Home visitors and supervisors receive training to deliver voluntary services to families and young children in their homes. In 2019, more than 23,000 home visitors and supervisors delivered evidence-based services nationwide.
  • Of the approximately 18 million pregnant women and families (including more than 23 million children) who could benefit from home visiting, roughly 300,000 received services in 2019.
  • In the 10 years since its inception, the federal Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) has strengthened home visiting by supporting services, research, and local infrastructure.
  • In 2019, MIECHV helped fund services for more than 80,700 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.

A Note About COVID-19

The data in this yearbook are from 2019, before the national shutdown from the COVID-19 pandemic. However, our data collection process was impacted by the unprecedented events of 2020.