Evidence-Based Home Visiting Models Currently in Massachusetts Massachusetts Model Fact Sheets.

Evidence-Based Home Visiting Models Currently in Massachusetts

Massachusetts Model Fact Sheets

Fact Sheet: Early Head StartM

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PROGRAM SPECIFICS

Population & age served

Current service area in top 17 MA at-risk

communities

Data Collection Mechanism

Pregnant, children birth to

age 3

Boston, Fall River, Holyoke, Lowell, Lynn, Springfield,

Southbridge, Worcester

Online database

EHS KEY COSTS:• Start-UP COST: N/A• AVERAGE ANNUAL AGENCY COST: $1 million - $2

million per year per 100/200 families (In MA cost per family per year is $10K including center-based care)

HOME VISIT LOGISTICS:• Home Visitors: Paraprofessional Home Visitors• Caseload per Home Visitor: 12 Families• Program Caseload in MA: 116 pregnant women / 242 children• Onset, Duration, Frequency of Visits: 1 home visit per family per

week for a minimum of 90 minutes & weekly or bi-monthly (2x/wk) socialization groups

* year-round

EHS PROGRAM HIGHLIGHTS:• CHILD SCREENING: All children receive developmental &

sensory screening inc. cognitive, behavioral, vision, hearing & a dental exam. Children are referred for necessary care

• MEDICAL HOME: All children must receive medical & dental visits and all families are linked to a medical home

• MATERNAL CARE: Pregnant women are screened for PPD and are referred for prenatal and postpartum care

• ON-GOING ASSESSMENTS: Continual developmental and health/risk assessments for children and pregnant women

• SOCIO-ECONOMIC SUPPORT: Assistance with issues such as food, housing, utilities, & referrals for ABE, ESOL, & job training

• PARENTING SKILLS: Family literacy & parent training skills

Premat. Birth

LBW Infants

Infant Mortality

MatDepress.

Child Develop

School Readiness

School Drop Out

Positive Parenting

Child Maltreat

Subst Abuse

Violent Crime

DV Poverty Unemployment

Service Areas

YES YES YES YES YES YES YES YES YES YES YES

YES YES

Maternal Health

Child Health

Child Development & School Readiness

Positive Parenting

Child Maltreatment

Family Economic Self Sufficiency

Linkages & Referrals

Juvenile Delinquency, Family Violence, Crime

Impact Areas* Impact refers to specific study(ies) within the domain area

YES YES YES

Fact Sheet: Healthy Families America M

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Premature Birth

LBW Infants

Infant Mortality

MatDepress.

Child Development

School Readiness

School Drop Out

Positive Parenting

Child Maltreat

Subst Abuse

Violent Crime


Service Areas

YES YES YES YES YES YES YES YES YES YES YES

YES YES

PROGRAM SPECIFICS

Population & age served Current service area in top 17 MA

at-risk communities


Varies, typically first time parents/ children at risk for abuse/neglect. In MA children are served up to

the age 3

Statewide Online database

HFA KEY COSTS:• START-UP COST: $19,000 (16 home visitors)• AVERAGE ANNUAL AGENCY COST: $330,000 - $660,000 per

year per 100/200 families ($3,300 per family)

HFA PROGRAM HIGHLIGHTS:•PROMOTE FAMILY WELLNESS :Help families access primary care and track immunizations •CHILD SCREENING: All children receive developmental screening •ON-GOING ASSESSMENTS: Continual developmental and health/risk assessments for children •FAMILY GOAL SETTING: Family centered approach focused on dyad and family’s goals; create a family plan. Inclusive of fathers•SOCIO-ECONOMIC SUPPORT: Assistance, referrals, and connections to community resources around issues such as food, housing, utilities, job training•PARENTING SKILLS: Promotes positive parenting

HOME VISIT LOGISTICS:• Home Visitors: Paraprofessional Home Visitors• Caseload per Home Visitor: 15 Families• Program Caseload in MA: 3,131 teens / 2,317 children• Onset, Duration, Frequency of Visits: Biweekly visits for prenatal

participants, changing to weekly for 6 months postpartum, and tapering to biweekly

* year-round

Maternal Health

Child Health


Positive Parenting

Child Maltreatment





YES YES YES YES YES YES YES

Fact Sheet: Parents as TeachersM

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Premature Birth

LBW Infants

Infant Mortality

MatDepress.

Child Development

School Readiness

School Drop Out

Positive Parenting

Child Maltreat

Subst Abuse

Violent Crime


Service Areas


PROGRAM SPECIFICS



communities


Parents and pregnant women to

Kindergarten

New Bedford, Pittsfield Web-based data management

system

PAT KEY COSTS:• START-UP COSTS: $5,025 - $15,705 (example= 4-16

home visitors + 1 supervisor) • AVERAGE ANNUAL AGENCY COST: $100,000 -

$300,000 per year per 100/200 families (In MA cost per family per year is $1,000- national $1,000 -$1,500)

PAT PROGRAM HIGHLIGHTS:• PARENT EDUCATION/ SCHOOL READINESS: Help parents

learn about early child development and prepare their children for educational success

• CHILD SCREENING: All children receive health & developmental screening

• SOCIO-ECONOMIC SUPPORT: Linkages and referrals to community resources

• PARENTING SKILLS: Promotes positive parenting skills

HOME VISIT LOGISTICS:• Home Visitors: Paraprofessional Home Visitors• Caseload per Home Visitor: Site specific• Program Caseload in MA: 279 families / 328 children• Onset, Duration, Frequency of Visits: At least one visit a month,

visits can be weekly or biweekly

* year-round

Maternal Health

Child Health


Positive Parenting

Child Maltreatment





YES YES

Fact Sheet: Healthy StepsM

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Premature Birth

LBW Infants

Infant Mortality

MatDepress.

Child Development

School Readiness

School Drop Out

Positive Parenting

Child Maltreat

Subst Abuse

Violent Crime

DV Poverty

Unemployment

Service Areas


PROGRAM SPECIFICS



communities


Children birth to age 3

Boston, Chelsea, Revere Unknown

HEALTHY STEPS KEY COSTS:• START-UP COSTS: $10,000-$15,000 (3 staff-

average)• AVERAGE ANNUAL AGENCY COST: $29,000 -

$82,600 per year per 100/200 families ($290-$413 per family)

HEALTHY STEPS PROGRAM HIGHLIGHTS:• PARENT-PROVIDER RELATIONSHP BUILDING: Services

directly linked with pediatric or family practice. Relationship building to address and developmental and emotional needs of young children.

• WELL CHILD & FAMILY CHECK-UP: Well child visits with clinician and home visitor & regular family check-ups

• CHILD HEALTH SCREENINGS: All children receive health & developmental screenings

• PARENT EDUCATION: Help parents learn about early child health and development

• FAMILY SUPPORT: Linkages and referrals to community resources HOME VISIT LOGISTICS:

• Home Visitors: Professional Home Visitors• Caseload per Home Visitor: 150-300 • Program Caseload in MA: Unknown• Onset, Duration, Frequency of Visits: Only 3 home visits a year (in

MA)

* year-round

Maternal Health

Child Health


Positive Parenting

Child Maltreatment





YES YES

More MA Model Information

• Early Head Start: http://www.acf.hhs.gov/programs/ohs/

• Healthy Families America: www.healthyfamiliesamerica.org – Healthy Families MA: http://www.mctf.org/programs/Pages/hf.aspx

• Healthy Steps: http://www.healthysteps.org

• Parents as Teachers: www.parentsasteachers.org

• For additional information on all Evidence-Based Home Visiting Models visit the US Dept of Health and Human Services (HHS) Home Visiting Evidence of Effectiveness website: http://homvee.acf.hhs.gov/Default.aspx

Evidence-Based Home Visiting Models Currently in Massachusetts Massachusetts Model Fact Sheets.

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