Evidence-Based Home Visiting Models in California
This brief presents a snapshot of the number and county location of seven evidencebased early childhood home visiting models implemented throughout California as of fall 2018. Inclusion of models was based on the Home Visiting Evidence of Effectiveness (HomVEE) project that designated particular models as evidence-based. Findings were established through a review of websites and information provided by model representatives, county partners and state departments. Funding for model implementation comes from a variety of sources, such as the California Home Visiting Program, CalWORKs Home Visiting Initiative and First 5.
Evidence-Based Home Visiting Models
Early childhood home visiting programs pair nurses or paraprofessionals with pregnant and newly parenting women. Trained home visitors provide support and education to families to promote positive parenting and improve child health and development. Home visiting services have been shown to improve child outcomes when implemented by evidence-based programs during the first three years of life.1, 2, 3
The HomVEE project, launched in 2009 by the U.S. Health and Human Services Administration, conducts thorough reviews of the home visiting research literature to assess effectiveness of home visiting models that target families with pregnant women and children from birth to age 5.As of October 2018, HomVEE had determined that 18 home visiting models are evidencebased. 4
Location of Models
Seven HomVEE-approved models are included in the presented map and table: Early Head Start ā Home-Based Option (32 counties); Family Connects (1 county); Family Spirit (8 counties); Healthy Families America (20 counties); Home Instruction for Parents of Preschool Youngsters (1 county); Nurse-Family Partnership (20 counties); and Parents as Teachers (11 counties).
Information was verified by partners from: California Head Start Collaboration Office, California Department of Education; Healthy Families America, Prevent Child Abuse America; Help Desk, Head Start Enterprise System; Home Visiting State Interagency Team Workgroup; and Nurse Family Partnership National Service Office.
Number of Evidence-Based Home Visiting Models by County
California Counties Implementing Evidence-Based Home Visiting Models, as of October 2018*
County |
Early Head Start - Home Based Option |
Family Connects |
Family Spirit |
Healthy Families America |
Home Instruction for Parents of Preschool Youngsters |
Nurse- Family Partnership |
Parents as Teachers |
Total Number of Models |
Alameda |
yesX |
no |
yesX |
yesX |
no |
yesX |
no |
4 |
Butte |
no |
no |
no |
yesX |
no |
no |
no |
1 |
Calaveras |
yesX |
no |
no |
no |
no |
no |
no |
1 |
Colusa |
yesX |
no |
no |
no |
no |
no |
no |
1 |
Contra Costa |
yesX |
no |
no |
yesX |
no |
yesX |
no |
3 |
Del Norte |
no |
no |
no |
no |
no |
yesX |
no |
1 |
El Dorado |
yesX |
no |
no |
no |
no |
no |
no |
1 |
Fresno |
yesX |
no |
no |
no |
no |
yesX |
no |
2 |
Glenn |
yesX |
no |
no |
no |
no |
no |
no |
1 |
Humboldt |
no |
no |
yesX |
no |
no |
yesX |
no |
2 |
Imperial |
yesX |
no |
no |
yesX |
yesX |
no |
no |
3 |
Inyo |
no |
no |
yesX |
no |
no |
no |
no |
1 |
Kern |
yesX |
no |
no |
no |
no |
yesX |
no |
2 |
Kings |
yesX |
no |
no |
no |
no |
no |
yesX |
2 |
Lake |
yesX |
no |
no |
no |
no |
no |
no |
1 |
Los Angeles |
yesX |
no |
no |
yesX |
no |
yesX |
yesX |
4 |
Madera |
no |
no |
no |
yesX |
no |
no |
yesX |
2 |
Marin |
yesX |
no |
no |
yesX |
no |
no |
no |
2 |
Mendocino |
yesX |
no |
no |
yesX |
no |
no |
no |
2 |
Merced |
yesX |
no |
no |
yesX |
no |
no |
no |
2 |
Modoc |
yesX |
no |
no |
no |
no |
no |
no |
1 |
Monterey |
yesX |
no |
no |
no |
no |
no |
yesX |
2 |
Napa |
no |
no |
no |
yesX |
no |
no |
no |
1 |
Nevada |
no |
no |
no |
yesX |
no |
no |
no |
1 |
Orange |
yesX |
no |
yesX |
no |
no |
yesX |
no |
3 |
Placer |
no |
no |
no |
no |
no |
no |
yesX |
1 |
Riverside |
yesX |
no |
yesX |
yesX |
no |
yesX |
yesX |
5 |
Sacramento |
yesX |
no |
yesX |
no |
no |
yesX |
no |
3 |
San Bernardino |
yesX |
no |
yesX |
yesX |
no |
no |
yesX |
4 |
San Diego |
yesX |
no |
yesX |
yesX |
no |
yesX |
yesX |
5 |
San Francisco |
yesX |
no |
no |
no |
no |
yesX |
yesX |
3 |
San Joaquin |
yesX |
no |
no |
no |
no |
no |
no |
1 |
San Luis Obispo |
yesX |
no |
no |
no |
no |
yesX |
no |
2 |
San Mateo |
yesX |
no |
no |
no |
no |
yesX |
yesX |
3 |
Santa Barbara |
yesX |
yesX |
no |
no |
no |
no |
no |
2 |
Santa Clara |
yesX |
no |
no |
no |
no |
yesX |
no |
2 |
Santa Cruz |
yesX |
no |
no |
no |
no |
yesX |
no |
2 |
Shasta |
no |
no |
no |
no |
no |
yesX |
no |
1 |
Siskiyou |
yesX |
no |
no |
yesX |
no |
no |
no |
2 |
Solano |
no |
no |
no |
yesX |
no |
yesX |
no |
2 |
Sonoma |
no |
no |
no |
yesX |
no |
yesX |
no |
2 |
Stanislaus |
yesX |
no |
no |
no |
no |
yesX |
no |
2 |
Tehama |
yesX |
no |
no |
yesX |
no |
no |
yesX |
3 |
Yolo |
no |
no |
no |
yesX |
no |
no |
no |
1 |
Yuba |
no |
no |
no |
yesX |
no |
no |
no |
1 |
Total |
32 |
1 |
8 |
20 |
1 |
20 |
11 |
93 |
*Counties not implementing evidence-based home visiting are: Alpine, Amador, Lassen, Mariposa, Mono, Plumas, San Benito, Sierra, Sutter, Trinity, Tulare, Tuolumne and Ventura
References
-
Daro, D. (2006). Home Visitation: Assessing Progress, Managing Expectations. Chicago, IL: Ounce of Prevention Fund and Chapin Hall.
-
Harding, K., Galano, J., Martin, J., et al. (2007). Healthy Families America Effectiveness: A Comprehensive Review of Outcomes. Journal of Prevention and Intervention in the Community, 34(2): 149ā179.
-
Olds, D.L., Kitzman, H., Hanks, C., et al. (2007). Effects of Nurse Home Visiting on Maternal and Child Functioning: Age-9 Follow-up of a Randomized Trial. Pediatrics, 120(4): e832-845.
-
MIECHV Performance Indicators Summary (2017). https://mchb.hrsa.gov.