Home Visiting Career Trajectories, 2016 - 2021

The goal of the Home Visiting Career Trajectories project is to examine the state of home visiting careers to understand how people enter the field, the perceived and actual pathways for professional advancement and tenure, and reasons for field attrition. This work aims to address the paucity of data on the home visiting workforce that can be used to learn how to best recruit and retain high quality staff. The project has two purposes. First, it will provide information on the state of the home visiting sector and the career trajectories of home visitors and recommendations on strategies to build a pipeline of high-quality home visitors and supervisors. Second, it will provide information on the professional development system that supports early childhood home visiting, including training and technical assistance supports. To accomplish these goals, the research team accessed pre-existing administrative and survey data, as well as collected new quantitative and qualitative data through two surveys and eight case studies.

Research questions include:

  1. What does the early childhood home visiting workforce look like?
  2. What are the career pathways of home visitors and supervisors?
  3. How are other factors related to the recruitment and retention of home visitors in the field?
  4. What are the challenges or opportunities in studying the early childhood workforce?

Urban Institute was awarded this contract. This project is being led by the Administration for Children and Families in collaboration with the Health Resources and Services Administration.

Point(s) of contact: Tia Brown and Aleta Meyer

This study is registered on the Open Science Framework under the title, Home Visiting Career Trajectories Visit disclaimer page .

Information collections related to this project have been reviewed and approved by the Office of Management and Budget (OMB) Office of Information and Regulatory Affairs under OMB #0970-0512. Related materials are available on at the HVCT Information collection page on RegInfo.gov Visit disclaimer page .

The most currently approved document are accessible by clicking on the ICR Ref. No. with the most recent conclusion date. To access the information collections (E.g. interviews, surveys, protocols), click on View Information Collection (IC) List. Click on View Supporting Statement and Other Documents to access other supplementary documents.

Related Resources

Early childhood home visiting programs support pregnant women and families with young children so they can be healthy, safe, and better prepared to reach their goals. The success of these programs is dependent upon recruiting and retaining a skilled, committed, and satisfied workforce. This brief summarizes findings from the Home Visiting Career Trajectories study—a national study of the home visiting workforce—on workplace factors in recruiting and retaining qualified staff.

Until recently, limited research has been available on home visiting staff or on the professional development system that supports them. In 2016, the Office of Planning, Research, and Evaluation in the Administration for Children and Families, in collaboration with the Health Resources and Services Administration, contracted with the Urban Institute to study the home visiting workforce in MIECHV-funded local implementing agencies (LIAs) to gather needed information...

Early childhood home visiting programs provide new and expecting parents with information, support, referrals, and connections to community resources and services. These programs build relationships to support families in reaching their goals. They aim to improve maternal and child health, prevent child abuse and neglect, encourage positive parenting, and promote child development and school readiness...

The goal of the Home Visiting Career Trajectories project is to examine the state of home visiting careers to understand how people enter the field, the perceived and actual pathways for professional advancement and tenure, and reasons for field attrition. This work aims to address the paucity of data on the home visiting workforce that can be used to learn how to best recruit and retain high quality staff. The project has two...