infant snuggles in blue blanket

Introduction

The 2022 Home Visiting Yearbook compiles key data on early childhood home visiting, a proven service delivery strategy that helps children and families thrive. Home visiting serves expectant parents and caregivers of young children by connecting them with a designated support person who guides them through the early stages of raising a family.

Home visitors regularly meet with families in their homes or another location of their choice. Services are voluntary and tailored to participants’ needs, positioning the field to advance health equity by supporting families in communities challenged by disparate social, economic, and health outcomes. For example, home visitors can help address social determinants of health, (Source: According to the [Centers for Disease Control and Prevention](https://www.cdc.gov/socialdeterminants/about.html), social determinants of health are “conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes.” They include areas such as access to and the quality of healthcare, education access and quality, social and community context, economic stability, and neighborhood and built environment. Social determinants of health are impacted by complex social and economic structures (e.g., discrimination, housing access, income, transportation).)Go to footnote #>1 including access to education and social support, among the families they serve.

Home visiting has a long history and a strong evidence base showing that it improves outcomes for children and families. However, until the NHVRC published the 2017 Home Visiting Yearbook, no single source had documented the national home visiting landscape.

This year marks our seventh major publication (six yearbooks and a data supplement) shedding light on who received home visiting and who could benefit. As with previous yearbooks, we examined publicly available data and collected new data—this time from 2021—to present a more up-to-date look at home visiting in action.

What’s New in the Data?

For the 2022 Home Visiting Yearbook, we are pleased to report data on additional —

  • Maternal and child health indicators. The 2022 Yearbook presents three new indicators of maternal and child health compiled from national sources: emotional flourishing; health insurance coverage; and mental, emotional, developmental, and behavioral conditions. Two of the indicators focus on family strengths, and data are disaggregated by race and ethnicity.
  • Emerging models. Arizona Health Start, AVANCE Parent Child Education Program, First Born Program, and High Risk Perinatal Program joined the list of emerging models providing data to help convey the reach of home visiting programs that have not yet met federal standards of evidence.

A Note About COVID-19

The data in this yearbook are from 2021, when the ever-changing COVID-19 pandemic affected the delivery of home visiting services. Most home visiting programs continued to provide virtual services for parts of the year, and many resumed in-person services as health and safety allowed. We again present data on virtual and in-person services.

Where Do the National Data Come From?

The NHVRC uses model, state, and administrative data sources, along with publicly available information, to present the national home visiting landscape.

National Data Sources for the 2022 Home Visiting Yearbook

Question addressed Data type and source Location in the yearbook
Where do home visiting programs operate? List of local agencies active in 2021 ; list of zip code information on families served in 2021 Evidence-based home visiting maps (by county, by zip code)
Who receives evidence-based home visiting services? Participant demographics ; number of home visits, virtual home visits, and children and families served National profile
Who receives Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program-funded home visiting services? Administrative MIECHV data National MIECHV summary
Who receives Tribal MIECHV-funded home visiting services? Administrative Tribal MIECHV data Tribal MIECHV summary
Who receives home visiting services from tribal-led organizations? Number of home visits, virtual home visits, and children and families
served
Tribal-led organizations summary
Who receives home visiting services from emerging models? Participant demographics ; number of home visits, virtual home visits, and children and
families served
Emerging models summary
How many families and children could benefit from home visiting? Counts of potential beneficiaries and their demographics Potential beneficiaries tables (priority populations, high-priority families, child characteristics, family characteristics)
Who provides home visiting? Counts of home visitors and supervisors Home visitors and supervisors summary

 

MIECHV is a program that gets results. This program builds upon decades of research that proves home visits by a nurse, social worker, or other trained professional during pregnancy and in the first year of a child's life helps prevent child abuse and neglect, support positive parenting, improve maternal and child health, and promote child development and school readiness.
Former U.S. Representative Jackie Walorski (R-Ind.) in her opening statement for a March 2022 Hearing on Improving Family Outcomes Through Home Visiting. Congresswoman Walorski, who served as Ranking Member of the House Ways and Means Worker and Family Support Subcommittee, and two members of her staff were killed in a car crash in early August.