The legislation authorizing the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program requires the Department of Health and Human Services (HHS) to conduct a continuous program of research and evaluation activities to build knowledge around the implementation and effectiveness of home visiting programs.
MIECHV awardees may apply to receive funding to carry out well-designed, rigorous evaluations that will contribute knowledge to the field of home visiting. Along with providing valuable information about the MIECHV Program’s implementation and effectiveness, these efforts are intended to strengthen the evidence base for the home visiting models selected for implementation.
Between fiscal years (FYs) 2014 and 2018, 42 awardees developed 97 evaluation plans that were approved by the Health Resources and Services Administration (HRSA) with support from the Administration for Children and Families (ACF). Two resources summarize and synthesize information from these evaluation plans.
The resources were developed as part of the Design Options for Home Visiting Evaluation (DOHVE) project, led by OPRE in collaboration with HRSA. ACF has partnered with JBA to conduct the DOHVE project.
- The Overview of State-Led Evaluations: The Maternal, Infant, and Early Childhood Home Visiting Program. This resource synthesizes information across the evaluation profiles, including common evaluation topics and designs.
- The Profiles of State-Led Evaluations: The Maternal, Infant, and Early Childhood Home Visiting Program. This resource provides information about each evaluation, including the funded agency, the time and length of the grant, home visiting models evaluated, topics addressed, evaluation design details, and research questions.
Evaluations funded through the MIECHV Program are important to home visiting programs. State-led evaluations allow awardees to answer questions that are important to their state, contribute new knowledge to understand home visiting, and build the evidence base to inform data-driven policy at the local, state, and national levels. The purpose of these resources is to provide information about state-led evaluations funded between FYs 2014 and 2018, including evaluation topics and designs selected by MIECHV awardees.
Key Findings and Highlights
Common evaluation topics include:
- How to recruit, retain, and engage participants in home visiting services
- How workforce development can strengthen home visiting services
Common types of evaluations include:
- Implementation studies of evidence-based services or promising approaches
- Outcome studies of home visiting participants
- Systems change studies examining changes at the state- and community-level related to funding, centralized intake, coalition building, or infrastructure development
Information was taken from MIECHV awardees’ approved evaluation plans and confirmed by awardees during a review period (December 2019) for accuracy.
Morrison, C., & Miller, K. (2020). Profiles of state-led evaluations: The Maternal, Infant, and Early Childhood Home Visiting Program—Fiscal Years 2014–2018 (2nd edition). OPRE Report #2020-74. Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Produced by James Bell Associates.
Morrison, C., Zaid, S., Till, L., Miller, K., & Ranade, N. (2020). Overview of state-led evaluations: The Maternal, Infant, and Early Childhood Home Visiting Program—Fiscal years 2014–2018 (2nd edition). OPRE Report #2020-75. Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Produced by James Bell Associates.
- Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program:
- administered by the Health Resources and Services Administration in partnership with the Administration for Children and Families, the MIECHV Program was established in 2010 to support voluntary, evidence-based home visiting for at-risk pregnant women and parents with children up to kindergarten entry. The program provides grants to states, US territories, and tribes, which conduct needs assessments to identify eligible at-risk communities and serve priority populations.