Location: Lucas County, Ohio Home Visiting Program Selected: Healthy Families America Home Visiting Target Population: Families with children between 3-5 years old Project Overview: St. Vincent Mercy Medical Center will collaborate with Lucas County Children's Services, Lucas County Family Council, Children's Trust Fund, Northwest Ohio Family and Child Abuse Prevention Center and other Federal, State and local programs to develop a comprehensive child maltreatment prevention strategy. This collaborative group will leverage multiple funding streams to provide home visiting services. The planned project, Healthy Connections Home Visitation Project, will implement an enhanced Healthy Families America model. Planned enhancements will address existing concerns that partner violence, parent substance use, and depression are not adequately addressed if paraprofessional home visitors are not comfortable addressing these issues by: (1) using bachelor and master-prepared home visitors with expertise in substance use, maternal depression, and/or partner violence and (2) assigning home visitors to families based on their primary area of risk. St. Vincent will evaluate their project through a randomized control evaluation that compares the enhanced HFA model to usual care. Metadata-only record linking to the original dataset. Open original dataset below.

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: 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: 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: 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: 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: To be determined; at least five counties will be identified throughout grant period Home Visiting Program Selected: SafeCare Home Visiting Target Population: Will depend on selected counties, but will target Latino families Project Overview: The Chadwick Center for Children and Families at Rady Children's Hospital in San Diego, California, in close partnership with the California Department of Social Services, the University of California, San Diego Department of Psychiatry, and the National SafeCare Training and Research Center, will implement the SafeCare home visitation model across multiple California counties in three, successive "cascading" cohorts. The aim of each implementation cohort will be to redirect existing home visiting service delivery in the county to the SafeCare model through strong implementation support and fidelity to the model. Each cohort will work as a "Learning Community" to aid in accelerating the pace of implementation, reinforcing model fidelity, and increasing the likelihood that changes are sustained. The ultimate goal of cascading implementation will be to expand the breadth of services geographically and the depth of local capacity to teach and support other practitioners. Also, during the grant period, The Chadwick Center will complete a full cultural adaptation of SafeCare for Latino families, including staff support and coaching in Spanish. To evaluate their efforts, the Chadwick Center intends to assess reach, progress, fidelity, and maltreatment re-reports to provide feedback on how implementation can be improved. Metadata-only record linking to the original dataset. Open original dataset below.

Location: Oklahoma City, Oklahoma Home Visiting Program Selected: SafeCare Home Visiting Target Population: Families with at least one child age 5 years or younger and at least one of the following risk factors: parental substance abuse, mental health issues, and/or intimate partner violence. Project Overview: The University of Oklahoma Health Sciences Center will build on their experience developing, implementing, evaluating, and expanding evidence-based home visiting programs serving high-risk populations. Oklahoma will evaluate SafeCare® augmented to address risks of intimate partner violence, substance abuse, and depression with Motivational Interviewing, safety planning, and problem solving (SafeCare+). Through this grant, Oklahoma will expand the SafeCare+ model by selecting an evidence-based augmentation to promote nonviolent behavior and conflict resolution skills, and implementing adaptations for receptivity and cultural congruency for the Oklahoma Latino community. Oklahoma will conduct a randomized trial comparing SafeCare+ to one or more other home-based service approaches offered at the Latino Community Development Agency. The violence prevention augmentation will also be evaluated in an ongoing randomized trial. To focus on systems change, the Sustaining Prevention Programs committee will examine private, municipal, state, and federal funding streams and cost benefits data to plan for the continuation and expansion of evidence-based high risk child maltreatment prevention in Oklahoma. 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.