Location: Statewide Home Visiting Program Selected: Nurse Family Partnership Home Visiting Target Population: Low-income first-time pregnant mothers with risk factors associated with child maltreatment comprise the target population Project Overview: Children & Families First, a non-profit, statewide human service agency, in collaboration with a variety of public– and private–sector agencies, will lead Delaware's plan to coordinate existing home visitation programs and to implement Nurse Family Partnership Program (NFP). The first project goal is to lead a comprehensive community planning process to build local capacity to support improved home visit quality. The second goal is to implement NFP through a phased-in approach beginning with a team of four Nurse Home Visitors, which will then be expanded to statewide by adding home visitors in two additional counties. In these two counties, Delaware will add mental health consultation services to address the limited mental health resources in those communities. Children and Families First will evaluate their efforts through a process evaluation and cost analysis. Metadata-only record linking to the original dataset. Open original dataset below.

Location: To be determined Home Visiting Program Selected: Nurse Family Partnership Home Visiting Target Population: Families at risk for child maltreatment, including first-time parents and parents who have recently added a newborn to their family Project Overview: Minnesota plans a two-pronged approach to enhance, expand and sustain evidence-based home visiting programs through infrastructure development and a targeted population implementation project. To strengthen the infrastructure supporting home visiting service delivery, Minnesota will establish a system for reimbursement of evidence-based home visiting programs through publicly funded health programs; engage in joint planning to blend funding streams; award mini-grants to support startup costs for Nurse Family Partnership (NFP) implementation; and provide reflective practice, supervision, and technical assistance for new and current NFP sites. Minnesota will also implement NFP with American Indians and/or a non-English speaking immigrant/ refugee population (Hmong), two populations in Minnesota experiencing health disparities that have not previously been included in NFP randomized trials. Minnesota will work with the NFP National Office to explore the proposed adaptation of materials for the identified target population. As part of this targeted population implementation project, Minnesota will explore the feasibility of evaluating home visits delivered by a bilingual nurse compared to home visits provided by an English-speaking nurse and an interpreter. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Providence, Pawtucket, and Central Falls, Rhode Island Home Visiting Program Selected: Nurse Family Partnership Home Visiting Target Population: Families with multiple risks for child maltreatment expecting their first child. Project Overview: RI KIDS COUNT will lead a statewide Rhode Island (RI) Nurse-Family Partnership (NFP) Initiative to develop the infrastructure required to support NFP replication in three cities with large concentrations of families and children at risk for child maltreatment. The ultimate goal is to have NFP services available statewide. Children's Friend & Service will serve as the key program implementation partner at the NFP anchor site. Other partners focusing on infrastructure development and systems building targeted on leveraging state funds and engaging stakeholders and the public include the RI Department of Children, Youth and Families; the RI Department of Health, the RI Department of Human Services; and the NFP National Service Office. Bradley/Hasbro Children's Research Center at Brown University Medical School will conduct an experimental evaluation that includes assessments when children are 3 and 24 months old. The evaluation will examine implementation of the state infrastructure development activities, measure process indicators and child and family level outcomes, and analyze costs. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Monroe County (Rochester) Home Visiting Program Selected: Nurse Family Partnership; Parents as Teachers Home Visiting Target Population: At-risk, low-income parents who had their first child below age 21 Project Overview: The Rochester Society for the Prevention of Cruelty to Children will collaborate with seven community partners to examine the benefits of combining multiple evidence-based home visitation and other models to effectively meet the needs of families at the greatest risk, with the goal of reducing child maltreatment and enhancing family functioning. Depending on eligibility, families will receive Nurse Family Partnership or other evidence-base programs, including Parents as Teachers. During intake, families will participate in a comprehensive screening process that identifies whether the family needs more intense mental health therapy. A rigorous evaluation will compare treatment delivery through a multi-tiered evidence-based service delivery model that includes Nurse Family Partnership services. Program participants will first be screened for Nurse Family Partnership eligibility. If ineligible, they will then be randomly assigned to alternative evidence-based home visitation services or to an enhanced treatment as usual group that includes only referrals to community resources. To support their building a sustainable infrastructure, a Steering Committee will explore leveraging of funding streams and develop a model capable of national replication for sustainability. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Statewide Home Visiting Program Selected: Nurse Family Partnership, Healthy Families America, and Parents as Teachers Home Visiting Target Population: Families at risk for child maltreatment, including first-time parents and parents who have recently added a newborn to their family Project Overview: The Illinois Department of Human Services will lead development of an integrated state infrastructure to support three evidence-based models of home visitation. Illinois DHS will coordinate with two other state agencies, Illinois Department of Children and Family Services and Illinois State Board of Education, and with service providers and advocacy groups in the state. Grant goals are to: 1) create a successful and sustainable state level collaborative to support Healthy Families Illinois, Parents as Teachers, and Nurse Family Partnership programs; 2) ensure that local home visiting programs are effective in reducing the risk for child abuse or neglect (implemented and operated with fidelity to the original model) through a quality assurance approach that includes training, technical assistance, monitoring, data collection, reporting and credentialing; and 3) conduct a rigorous evaluation to demonstrate that Illinois' home visitation infrastructure is effective and efficient. The evaluation will examine implementation of the state infrastructure, measure improvements in the operation and impact of local programs, and gauge the impact of these programs on parent-child interactions and the occurrence of child maltreatment. Metadata-only record linking to the original dataset. Open original dataset below.

Location: East Tennessee, which is composed of 16 diverse counties. Home Visiting Program Selected: Nurse Family Partnership; Family Connections Home Visiting Target Population: At-risk, low income females who are pregnant; first-time mothers will be given priority Project Overview: Child and Family Tennessee (CFT) aims to reduce child maltreatment through Project Babies, an intensive home visitation service program targeted for at-risk pregnant women and young mothers in a 16 county area of east Tennessee. The project will replicate two family intervention models – Nurse Family Partnership (NFP) and with some families, the Family Connections model. The overall goals of the project include improving the health and living situations of participants, promoting the widespread adoption and sustainability of home visitation services; and evaluating the effectiveness of these interventions for specific populations. The proposed evaluation will include a process analysis, a quasi-experimental evaluation, and an economic cost study. Additionally, the grantee will be working with fourteen selected State and local partners to ensure the sustainability of the project. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Salt Lake City, Utah Home Visiting Program Selected: Nurse Family Partnership, and Healthy Families America Home Visiting Target Population: First-time mothers who are 185% below the federal poverty level, and eligible for Medicaid or the Woman, Infants and Children (WIC) program Project Overview: Four of Utah's counties—all of them in populous areas of the state—have home visiting programs, established in 2007. The fifth populous county, and all the remaining counties, which are located in non-urban areas and have some of the state's highest child poverty and maltreatment rates, lack home visiting programs. With their grant funding, the Utah Department of Health plans to establish an Office of Home Visiting (OHV) to work with the Division of Child and Family Services in the state's Department of Human Services, and with the Division's Child Abuse Prevention Specialist, to support existing programs and to spread the use of evidence-based models of home visiting throughout the state. OHV plans to develop or improve linkages between home visiting programs and other service systems such as health care, substance abuse treatment, and mental health providers, and to identify new sources of funding for home visiting programs. OHV will seek to leverage potential funding for these new programs through possible sources such as Medicaid, Temporary Assistance to Needy Families, and the Maternal and Child Health Block Grant. They then hope to establish additional evidence-based programs in the state. The evaluation coordinator will work with an external evaluator from the Intervention Research Institute at Utah State University. The grantee currently plans to compare data from local home visiting programs to national data. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Fairfield, California Home Visiting Program Selected: Nurse Family Partnership Home Visiting Target Population: Low-income, first-time mothers in the County with significant risk factors for child maltreatment, along with pregnant transitional-age youth previously or currently involved in foster care or in relationships with former or current foster care youth. Project Overview: The County of Solano Department of Health and Social Services will work closely with community partners currently providing home visitation services, including BabyFirst Solano, a public-private partnership established in 2003 to make sure babies born in the County are healthy and able to thrive, to implement a Nurse Family Partnership (NFP) home visiting program. The Department expects to receive referrals to NFP from a diverse group of collaborative partner agencies and programs such as public health clinics, WIC clinics, family resource centers, and private physicians. To implement the grant, the Department's child welfare and public health divisions will collaborate with each other, including combining funding streams to support NFP. They will also work with mental health, substance abuse treatment, and employment and eligibility divisions. The grantee plans to compare outcomes, costs, and benefits of NFP with other, non-evidence-based home visiting models in the county, and will engage an external evaluator to conduct the evaluation. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Dickinson, Texas City, Santa Fe, and La Marque, Texas Home Visiting Program Selected: Positive Parenting Program Home Visiting Target Population: Families with children between 0-16 years old at risk for child maltreatment Project Overview: The DePelchin Children's Center will implement the Positive Parenting Program (Triple P), in four high-need communities in southeast Texas through the establishment of the Healthy Solutions Program. The goals of the Healthy Solutions Program are: (1) to provide home based family support, prevention and parenting services to at-risk families; (2) to build upon existing infrastructure of collaborative partnerships to implement and sustain evidence-based home visitation programs; and (3) to contribute to the knowledge and research base of child abuse prevention through rigorous evaluation. DePelchin will work collaboratively with a broad range of local stakeholders to build an infrastructure and leverage existing funds and resources to ensure the sustainability of these services. To address concerns with continuity of care, DePelchin will develop a referral system for enrolled families. DePelchin will evaluate their home visiting approach through a randomized control evaluation. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Cape May, Essex, Hudson, Middlesex, Ocean, and Union Counties Home Visiting Program Selected: Nurse Family Partnership; Healthy Families America; Parents as Teachers Home Visiting Target Population: First-time mothers in Hudson and Union Counties; families from pregnancy to age five in Cape May County, and system coordination in Essex and Middlesex Counties Project Overview: The State of New Jersey's Department of Children and Families will conduct State and local planning to build the infrastructure necessary for a system of care that uses the state's Comprehensive Home Visiting System model. This model will promote collaboration for early identification of pregnant women and parents and will advance statewide efforts to integrate evidence-based home visitation services into a system of care. The model will also increase the availability of evidence-based home visiting services as a primary strategy to prevent child maltreatment. New Jersey plans to initially pilot a screening/risk assessment and intake coordination model with women in Essex (including Newark) and Middlesex Counties. In subsequent years, New Jersey will expand Nurse Family Partnership capacity to target first–time mothers in Hudson and Union counties. Additionally, New Jersey will pilot an enhanced model of Parents as Teachers in Cape May County for families with pregnant mothers and children ages zero to five. Efforts will be evaluated through a comprehensive evaluation that includes process, outcome, and cost measures. Metadata-only record linking to the original dataset. Open original dataset below.