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System Change

Home Visiting Community Planning Tool

Describes key components of successful home visiting services. The tool can be used by communities to identify community needs and strengths based on data, explore current home visiting assets and service gaps, choose an evidence-based program model, and analyze components of both program- and system-level implementation that are critical to the replication of high-quality home visiting programs.

Replicating and Scaling Up Evidence-Based Home Visiting Programs: The Role of Implementation Research

Discusses emerging research points to the importance of supportive supervision, fidelity monitoring, and organizational climate to support home visitors and maintain support for the evidence-based program. Additional research on these topics can provide guidance and tools for promoting successful implementation of evidence-based home visiting and adaptation of program models to different populations and contexts.

Replicating Home Visiting Programs with Fidelity: Baseline Data and Preliminary Findings

Describes how the Evidence Based Home Visiting cross-site evaluation is examining fidelity across a range of home visiting models. Program administrators can use fidelity data to demonstrate that public investments are achieving required service delivery levels associated with positive child and family outcomes. Systematically monitoring implementation across models can help state and local planners maintain quality standards and identify any need for adaptation to successfully engage and retain the target population.

Medicaid Financing of Early Childhood Home Visiting Programs: Options, Opportunities, and Challenges

Discusses the findings of NASHP's literature review of state policies and practices nationwide to identify mechanisms for supporting home visiting services through Medicaid and findings from an expert panel regarding both currently used and potential additional mechanisms through which Medicaid could pay for home visiting and provides state examples where applicable. Six in-depth case studies illustrate states’ experiences with Medicaid financing of home visiting services.

Home Visiting Family Support Programs: Benefits of Maternal, Infant, and Early Childhood Home Visiting Programs

Presents evidence from research that shows that Home Visiting programs work and ultimately save money for taxpayers. A number of studies find evidence of effectiveness across a spectrum of family support programs in a variety of areas, including reduced health care costs, reduced need for remedial education, and increased family self-sufficiency.

The Potential for Cost Savings from Home Visiting due to Reductions in Child Maltreatment

Describes the evidence of effectiveness of several home-visiting program models in reducing child maltreatment. We present the estimated costs of implementing these models and describe the additional information needed to assess whether they are cost-beneficial with respect to reductions child maltreatment and other outcomes.The brief focuses on four program models—Healthy Families America (HFA), Nurse Family Partnership (NFP), Parents as Teachers (PAT), and SafeCare. 

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