Mother and son in a park

Introduction

The 2023 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 eighth major publication (seven 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 2022—to present a more up-to-date look at home visiting in action.

What’s New in the Data?

We are pleased to report several updates in the 2023 Home Visiting Yearbook:

  • Expanded data and language on Indigenous home visiting. We include new data on the locations of Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees to better depict home visiting’s geographic reach. We also increasingly use the broader term “Indigenous” to acknowledge the range of home visiting programs led by tribes, Native nations, urban Indian organizations, or others.
  • New data on virtual visits by MIECHV awardees. Forty-nine MIECHV awardees reported data on virtual visits for the first time in 2022, as captured by our MIECHV data tables.
  • Recognition of the Maternal Infant Health Outreach Worker Program (MIHOW) as an evidence-based model. The Home Visiting Evidence of Effectiveness project recently added MIHOW to its list of evidence-based models. We now include MIHOW data in the national and state profiles reflecting evidence-based home visiting, rather than in our section on emerging models.

A Note About Virtual Home Visiting

The data in this yearbook are from 2022, a time when many home visiting programs offered both in-person and virtual services. To reflect this hybrid approach, we present data on both service types. However, we also note a significant decline in the percentage of home visits provided virtually in 2022—44 percent compared to nearly 70 percent the prior year.
See the Data

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 2022 ; list of zip code information on families served in 2022 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 Indigenous-led organizations? Number of home visits, virtual home visits, and children and families
served 		Indigenous-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

 

We are supporting vulnerable families and targeting dollars to the neediest communities with increased transparency, and ensuring that, where states see value, the federal government also invests. This bill renews our longstanding commitment to help mothers and babies thrive through pregnancy into the early years of a child’s life and to reduce the maternal mortality rate nationwide.
Ways and Means Republican Leader Kevin Brady (Texas) in a press release announcing House passage of the Bipartisan Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of 2022. Congress reauthorized MIECHV in December 2022, via a year-end funding package that passed a bipartisan vote.

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