Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment
The Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment Initiative (EBHV) was designed to build knowledge of how best to identify and construct the infrastructure needed to implement, scale up, and sustain evidence-based home visiting programs. The initiative is supported through the Maternal, Infant, and Early Childhood Home Visiting Program included in the Affordable Health Care Act of 2010.
The EBHV program supports 17 grantees from 15 states. Home visiting models selected by the EBHV grantees for replication include Healthy Families America (HFA), Nurse Family Partnership (NFP), Parents as Teachers (PAT), SafeCare, and Triple P. Each grantee focuses on initiating or expanding the provision of one or more of these home visiting models, and creating an infrastructure to sustain implementation beyond this immediate funding. Seven of the grantees are local or state public entities who are responsible for directly implementing the home visiting services or funding local community agencies to deliver services. Nine of the grantees are private health care, community service, or academic institutions who either provide direct services or partner with other local public or private providers to implement home visiting services.
A cross-site evaluation of the initiative is being conducted by Mathematica Policy Research and Chapin Hall. The study will document grantee efforts and identify those strategies most successful in achieving the initiative’s core objectives of building infrastructure to support the widespread adoption, implementation, and sustainability of home visiting programs. The cross-site evaluation focuses on four components—fidelity, child and family outcomes, system and infrastructure development, and program costs.