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At a Glance

Funder:

U.S. Department of Health and Human Services, Program Support Center, Administration for Children and Families

Project Time Frame:

2008-2013

Publications and Presentations

Press Release

 

Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment

A growing body of research suggests that home visits from a professional social worker, nurse, early childhood expert, or paraprofessional can go a long way in the prevention of child abuse, particularly for high-risk parents. Home visitors can help parents improve their child-rearing skills and build and strengthen family relationships by offering support and advice. Rigorous research demonstrates that a number of home visiting program models are effective in changing these important parent behaviors and outcomes for children.

In 2008, the Children’s Bureau in the Administration for Children and Families funded 17 cooperative agreements to support the implementation of evidence-based home visiting programs to prevent child maltreatment. The grantees, located in 15 states, conduct collaborative planning efforts to leverage other existing federal, state, and local funding sources into evidence-based home visiting programs and practices. They then build the necessary infrastructure for the adoption, implementation, and sustainability of these programs.

Mathematica and Chapin Hall at the University of Chicago conducted a participatory, utilization-focused cross-site evaluation to:

  • Identify implementation strategies and challenges
  • Examine the degree to which system change occurred
  • Document the fidelity with which the program models were implemented
  • Evaluate the effects of home visiting programs in reducing child maltreatment and achieving other family and child outcomes
  • Analyze the cost involved in implementing and sustaining home visiting programs

As part of the evaluation, Mathematica and Chapin Hall established and are coordinating a peer learning network. This network connects grantees, federal staff, and other stakeholders, allowing them to share information with one another and utilize evaluation technical assistance.

Publications and Presentations

Reports:
"Costs of Early Childhood Home Visiting: An Analysis of Programs Implemented in the Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment Initiative" (January 2014)
"Making Replication Work: Building Infrastructure to Implement, Scale-Up, and Sustain Evidence-Based Early Childhood Home Visiting Programs with Fidelity" (January 2014)
"Data Collection Instruments for the Evidence-Based Home Visiting to Prevent Child Maltreatment Cross-Site Evaluation" (October 2013)
"Evidence-Based Home Visiting Systems Evaluation Update: Infrastructure-Building Plans and Activities in 2011" (December 2012)
"Replicating Home Visiting Programs with Fidelity: Baseline Data and Preliminary Findings" (December 2012)
"Building Infrastructure to Support Home Visiting to Prevent Child Maltreatment: Two-Year Findings from the Cross-Site Evaluation of the Supporting Evidence-Based Home Visiting Initiative" (August 2011)
"Cross-Site Evaluation of the Supporting Evidence-Based Home Visiting Grantees: Summary of the Planning Year" (November 2009)
"Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment: Overview of the Cross-Site Evaluation" (October 2009)
"Cross-Site Evaluation of the Supporting Evidence-Based Home Visiting Grantee Cluster: Evaluation Design. Volume 1" (October 2009)
"Evaluating Systems Change Efforts to Support Evidence-Based Home Visiting: Concepts and Methods" (September 2009)

Briefs:
"Home Visiting: The Potential for Cost Savings from Home Visiting Due to Reductions in Child Maltreatment" (March 2014)
"Making Replication Work: Building Infrastructure to Implement, Scale-Up, and Sustain Evidence-Based Early Childhood Home Visiting Programs with Fidelity" (December 2013)
"Supporting Home Visitors in Evidence-Based Programs: Experiences of EBHV Grantees, Brief 4" (December 2010)
"Replicating Evidence-Based Home Visiting Models: A Framework for Assessing Fidelity, Brief 3" (December 2010)
"Recruiting and Training Home Visitors for Evidence-Based Home Visiting (EBHV): Experience of EBHV Grantees, Brief 2" (October 2010)
“Assessing the Need for Evidence-Based Home Visiting (EBHV): Experiences of EBHV Grantees, Brief 1” (July 2010)

Presentations:
"Making Replication Work: Building Infrastructure to Implement, Scale Up, and Sustain Evidence-Based Early Childhood Home Visiting Programs" (January 2014)
"Cross-Site Evaluation of the Supporting Evidence-Based Home Visiting Grantees: Early Efforts to Build Infrastructure" (March 2011)
"Webinar: Replicating Home Visiting Programs with Fidelity: A Useful Pathway for Improving Quality and Maximizing Outcomes" (December 2010)
"Overall Approach for the EBHV Cross-Site Evaluation" (March 2009)
"Overview of the Grantees" (March 2008)