The 2022 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 54 percent of U.S. counties in 2021.
  • More than 277,000 families received evidence-based home visiting services in 2021, over the course of more than 3 million home visits. Approximately two-thirds of those home visits were provided virtually.
  • Nearly 44,000 additional families received home visiting services through 12 emerging models that provided more than 606,000 home visits in 2021. Nearly three-quarters of these visits were provided virtually.
  • More than 21,000 home visitors and supervisors delivered evidence-based services nationwide in 2021.
  • Of the more than 17.5 million pregnant women and families (including nearly 23 million children) who could benefit from home visiting, nearly 280,000 received services in 2021. This translates to 1.6 percent of potential beneficiaries, and 3.3 percent of high-priority families based on priority criteria.
  • In 2021, the federal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program began distributing funds from the American Rescue Plan Act to help home visiting programs continue and expand services, meet families’ basic needs, address the well-being of their workforce, and more.
  • In 2021, MIECHV helped fund services for more than 71,000 families in states, the District of Columbia, 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.

A Note About COVID-19

The data in this yearbook are from 2021, as the nation continued to grapple with the COVID-19 pandemic. The year was also marked by transition with programs continuing to provide virtual services while shifting back to in-person delivery. The 2022 Yearbook shares a glimpse into the adaptability of home visiting to provide services during challenging times.