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Mother and Infant Home Visiting Program Evaluation (MIHOPE), 2011-2019

Project Overview

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Project Overview

The Mother and Infant Home Visiting Evaluation (MIHOPE) is the legislatively mandated evaluation of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program.

MIHOPE includes:

  • a random assignment impact study that examines the effects of home visiting programs on family and child outcomes in a broad range of outcome areas specified in the MIECHV authorizing legislation;
  • an implementation study that provides detailed information on the actual services provided to families and how those services vary depending on the characteristics of families, home visitors, local programs, other home visiting stakeholders, and communities;
  • a cost analysis that will examine the financial costs of operating the programs and how those costs are related to impacts;
  • an analysis of the needs assessments that were provided by states and territories in their initial MIECHV applications and plans in 2010 and 2011.

Sites in the evaluation operated one of four models that met HHS’ criteria for evidence of effectiveness (see HomVEE) and were chosen by at least 10 states for their MIECHV programs in their initial plans: Early Head Start – Home-based option, Healthy Families America, Nurse-Family Partnership, and Parents as Teachers. The study includes 88 local home visiting programs across 12 states. More than 4,200 women who were pregnant or had children less than six months old were randomly assigned to a MIECHV-funded home visiting program or to a control group that was provided with information on services in the community. The primary data used in the study comes from surveys of families and home visiting staff; review of programs’ administrative records; interviews with staff, supervisors, model developers, and state administrators; direct observations of parents, children, and home visitors; staff logs; and state administrative data (child welfare, Medicaid, and vital records).

Study enrollment and data collection began in 2012; study enrollment ended in 2015, and data collection ended in 2017. The MIHOPE Report to Congress, which included the analysis of the states’ and territories’ needs assessments and baseline data on the families, staff and programs participating in MIHOPE, was delivered to Congress in February 2015. A report on implementation was released in 2018, a report on impact and impact variation was released in 2019, and a report on cost is expected in 2019.

The contract was awarded to MDRC with subcontracts to James Bell Associates, Johns Hopkins University, Mathematica Policy Research, University of Georgia and a number of academic consultants. This project is being led by the Administration for Children and Families in collaboration with the Health Resources and Services Administration.

The points of contact are Nancy Geyelin Margie and Laura Nerenberg.

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