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

2. Fact Sheet: Early Head Start Massachusetts Home Visiting Initiative Model Fact Sheet 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 Mat Depress. Child Develop School Readine ss School Drop Out Positive Parenting Child Maltreat Subst Abuse Violent Crime DVPovertyUnemp loyme nt Service Areas 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

3. Fact Sheet: Healthy Families America Massachusetts Home Visiting Initiative Model Fact Sheet Premature Birth LBW Infants Infant Mortality Mat Depress. Child Develo pment School Readiness School Drop Out Positive Parentin g Child Maltreat Subst Abuse Violent Crime DVPovertyUnemp loyme nt Service Areas YES PROGRAM SPECIFICS Population & age servedCurrent service area in top 17 MA at-risk communities Data Collection Mechanism Varies, typically first time parents/ children at risk for abuse/neglect. In MA children are served up to the age 3 StatewideOnline 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 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

4. Fact Sheet: Parents as Teachers Massachusetts Home Visiting Initiative Model Fact Sheet Premature Birth LBW Infants Infant Mortality Mat Depress. Child Develo pment School Readiness School Drop Out Positive Parentin g Child Maltreat Subst Abuse Violent Crime DVPovertyUnemp loyme nt Service Areas YES PROGRAM SPECIFICS Population & age served Current service area in top 17 MA at-risk communities Data Collection Mechanism Parents and pregnant women to Kindergarten New Bedford, PittsfieldWeb-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 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

5. Fact Sheet: Healthy Steps Massachusetts Home Visiting Initiative Model Fact Sheet Premature Birth LBW Infants Infant Mortality Mat Depress. Child Develo pment School Readiness School Drop Out Positive Parentin g Child Maltreat Subst Abuse Violent Crime DVPove rty Unemp loyme nt Service Areas YES PROGRAM SPECIFICS Population & age served Current service area in top 17 MA at-risk communities Data Collection Mechanism Children birth to age 3 Boston, Chelsea, RevereUnknown 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 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

6. More MA Model Information Early Head Start: http://www.acf.hhs.gov/programs/ohs/http://www.acf.hhs.gov/programs/ohs/ Healthy Families America: www.healthyfamiliesamerica.orgwww.healthyfamiliesamerica.org –Healthy Families MA: http://www.mctf.org/programs/Pages/hf.aspxhttp://www.mctf.org/programs/Pages/hf.aspx Healthy Steps: http://www.healthysteps.orghttp://www.healthysteps.org Parents as Teachers: www.parentsasteachers.orgwww.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.aspxhttp://homvee.acf.hhs.gov/Default.aspx