Introduction, Demographics, and Education Findings

November 27, 2018

This Region X project is 100% funded by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under The Maternal, Infant, and Early Childhood Home Visiting Program, #UH4MC30465, total award of $3,957.620.00. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Region X Home Visiting Workforce Study

Welcome!

AGENDA:• Introductions• Webinar Logistics• Background and Methodology• Characteristics of the Workforce

• Demographics, education, and work experience

• Home Visiting Job Characteristics• Home visiting models, caseloads & family characteristics, job

structure, and compensation & benefits

Introductions: Research TeamMeg Franko, PhD Diana Schaack, PhD Amy Roberts, PhD

Anthony Molieri, MSW Heather Gann, MEd Ann Wacker, MA

Logistics

Background and Methodology

Context

• Health Resources and Services Administration’s (HRSA) Region X• Alaska, Idaho, Oregon, Washington

• Part of Region X Innovation Grant• Purpose:

• To identify the current strengths, gaps, and unmet needs in the home visiting workforce in Region X

• To inform workforce recruitment, retention, and professional development efforts

Methodology

Workforce Survey (online and paper options):• Personal characteristics• Nature of the work• Quality of the work

environment• Turnover/retention• Well-being

Exit Survey (online):• 12 items• Reasons for leaving• Factors to encourage

staying• Supervisor relationship• Current job status

Methodology

Interviews (phone):• Semi-structured• Career and educational trajectories• Job challenges• Professional preparation• Management of job stresses• Supervision structures• Career plans

Recruitment

• 196 program administrators invited to send staff emails for survey participation

• Program eligibility: • Use an evidence-based home visiting model approved by

MIECHV or • Use promising practices or evidence-informed models as

defined by criteria defined by the states comprising Region X

• 147 program administrators provided staff email lists• 1,208 home visitors and home-visiting supervisors

Sample

Workforce Survey: • 468 home visitors• 161 home visiting supervisors

• 29% of whom carry a caseload

Exit Survey: • 21 home visitorsInterviews: • 14 home visitors • 6 supervisors

Response Rates by Job Role and State

AK ID OR WA All StatesN % N % N % N % N %

Home Visitor

60 75.9% 30 73.2% 186 73.8% 192 73.0% 468 73.7%

Supervisor 18 22.8% 11 26.8% 63 25.0% 69 26.2% 161 25.4%

No Job Role Selected

1 1.3% 0 0.0% 3 1.2% 2 0.8% 6 0.9%

Total 79 100% 41 100% 252 100% 263 100% 635 100%

Demographic Snapshot of the Region X Workforce

Many home visitors and home visiting supervisors in the region are new to

the profession.

• A third of home visitors and almost a quarter of supervisors have been in the home visiting profession less than two years.

• Almost half of home visitors and slightly over a third of supervisors have been in their current job less than two years.

Workforce Education & Experience

Degree Attainment

Degree Content

Prior Experience• 62% of Home Visitors come to their jobs from other areas of the early childhood sector,

averaging about 3.6 years in early childhood.

• Home Visitors average more than 10 years working with young children or their families.

• 33.3% have been in the home visiting sector less than 2 years.

• Supervisors average about 7.9 years in other areas before moving to home visiting. 11.4% have no experience as a home visitor prior to becoming supervisor.

• Other supervisors have about 8.3 years as a home visitor prior to becoming a supervisor. 22.8% have been in the home visiting sector less than 2 years. 36.5% have been in their current jobs less than 2 years.

Home Visiting Job Characteristics

Home Visiting Models

Across Region X, home visitors report

using 18 different home visiting models

Approximately 25% of home visitors in

the region regularly deliver services using

two or more home visiting models

Average Caseloads

Home visitors visit approximately 9 families each

week. Supervisors visit about 4 families weekly

Home visitors spend about 13 hours each

week delivering face-to-face home visitation services

They also report spending about 10 hours each week completing paperwork

Time Spent with Families

Family Characteristics

Home visitors share common racial,

ethnic, or cultural traits with fewer than half of the families they serve

Approximately 1/3 of families speak a

different language than their home visitors

Family Characteristics

Job Structure

Job Structure

Compensation

Median home visitors’ wages were

$19.22 per hour, while supervisors'

were $26.08 per hour

More than 25% of home visitors who

have at least one year of experience have not received a raise in over a year.

Benefits

On average, home visitors and supervisors in Region X are offered approximately 9 benefits.

The most common benefits offered include:

• health insurance • paid vacation days• dental insurance • paid sick days• mileage reimbursement• vision insurance • employer-contributed retirement savings

One of the least common benefit offerings is tuition reimbursement.

Public Assistance23.4% of home visitors and 17.4% of supervisors receive public assistance

Home visitors and supervisors use an average of 2.2 and 1.6 public assistance services, respectively.

The most common public assistance services received are child health subsidies,

Medicare/Medicaid, and free and reduced lunch.

Next Up

Next Webinar:• Professional Development, Workplace Quality, And

Retention within the Region X Home Visiting Workforce• January 2019

Available Later this Week:• Visual summary of today’s webinar content

Next Up

Next Webinar:• Professional Development, Workplace Quality, And

Retention within the Region X Home Visiting Workforce• January 2019

Available Later this Week:• Visual summary of today’s webinar content