Who Is Being Served?

By Evidence-Based Models

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 2019.

National Profile

3,197,784
home visits provided
298,979
families served
326,430
children served

Ethnicity

30% Hispanic or Latino

Caregiver Education

25% No high school diploma

Child Age

32% <1 year

42% 1-2 years

26% 3-5 years

Child Insurance Status

89% Public

7% Private

4% None

Primary Language

79% English

16% Spanish

5% Other

Notes

Models include 15 models operating in the United States in 2019 that met HomVEE criteria for evidence of effectiveness at that time: Attachment and Biobehavioral Catch-Up (ABC), Child First, Early Head Start Home-Based Option (EHS), 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, Family Connects, Family Spirit, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, PALS, and SafeCare Augmented provided data on the number of families served. ABC, Child First, EHS, Family Spirit, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, and PALS provided data on the number of children served. ABC, Child First, Family Connects, Family Spirit, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, and PALS provided data on the number of home visits completed. Child First, EHS, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented provided participant demographic data.

Ethnicity includes data from Child First, EHS, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented. Child First, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented reported ethnicity for adult participants. EHS reported ethnicity for children and pregnant caregivers.

Race includes data from Child First, EHS, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented. Child First, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, PAT, and SafeCare Augmented reported race for adult participants. EHS reported race for children and pregnant caregivers.

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

Child age includes data from Child First, EHS, HANDS, HFA, HIPPY, MIHP, Minding the Baby, NFP, and PAT.

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

Primary language includes data from Child First, EHS, HFA, HIPPY, MIHP, NFP, and SafeCare Augmented. EHS reported primary language for children and pregnant women. SafeCare Augmented reported language of service delivery. Child First, HIPPY, and MIHP reported primary language of children. HFA and NFP reported primary language of adult participants.

Maternal, Infant, and Early Childhood Home Visiting Program

The Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) 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 #>5 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 (53 of 56) shared it with us. Supplemented with publicly available data from the Health Resources and Services Administration, we calculated the extent of MIECHV-funded services in 2019.

State and territory MIECHV awardees served 79,066 families and 71,044 children (Source: Data on children served are not publicly available, so this count is based on the data shared by 53 of 56 states and territories.)Go to footnote #>6 and provided 1,018,825 home visits in 2019. (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 and Team for Infants Exposed to Substance abuse Program.)Go to footnote #>7 Tribal MIECHV awardees served an additional 1,648 families and 1,633 children and provided 15,779 home visits in 2019.

Families Served Through MIECHV: State and Territory Awardees

1,018,825
home visits provided
79,066
families served
71,044
children served

Families Served Through MIECHV: Tribal Awardees

15,779
home visits provided
1,648
families served
1,633
children served

Families Served by Tribal-Led Organizations

Home visiting services were provided to families in 22 tribal communities through Tribal MIECHV funds in 2019. Families in tribal communities also receive home visiting through non-MIECHV-funded programs. For the 2020 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 EHS, Family Spirit, HFA, MIHP, PAT, and SafeCare Augmented.)Go to footnote #>8

In 2019, more than 5,020 families and 5,664 children were served by 144 tribal-led organizations. In total, more than 36,467 home visits were provided. 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.