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This is the second of four modules providing home visiting research findings to inform pay for outcomes (PFO) feasibility studies and project development, including outcome selection, projected cost savings, and outcome payment pricing for PFO financial agreements.

This is the first of four modules providing home visiting research findings to inform pay for outcomes (PFO) feasibility studies and project development, including outcome selection, projected cost savings, and outcome payment pricing for PFO financial agreements.

The Tribal Home Visiting Program, part of the Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV), is a federally funded initiative that supports the provision of home visiting services to American Indian and Alaska Native (AI/AN) families and children. The program, also known as Tribal MIECHV, is overseen by the Administration for Children and Families (ACF) in collaboration with the Health Resources and Services Administration and was authorized...

Home visiting services geared toward pregnant women and families with young children offer an opportunity to intervene and support mothers at risk for intimate partner violence (IPV). In theory, effective services might reduce the incidence of IPV and thereby reduce the likelihood that children witness family violence. However, we know very little about the effectiveness of home visiting in reducing IPV outcomes.

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program, administered by the Health Resources and Services Administration (HRSA) in collaboration with the Administration for Children and Families (ACF), supports voluntary, evidence-based home visiting services for at-risk pregnant women and parents with young children up to kindergarten entry. In February 2018, the MIECHV Program was allocated $400 million per year through fiscal year (FY) 2022 through...

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...

Pay for outcomes (PFO) is a payment model that promotes innovative financing for social initiatives, connecting funding to outcomes and cost savings. The Bipartisan Budget Act of 2018 allows Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program awardees to implement PFO initiatives. PFO can help awardees expand services, improve outcomes, reach new or underserved populations, and/or engage new stakeholders.

The American Indian and Alaska Native Head Start Family and Child Experiences Survey 2015 (AI/AN FACES 2015) is the first national descriptive study of children and families enrolled in Head Start programs operated by federally recognized tribes. These programs incorporate communities’ unique histories, traditions, and beliefs into their operations. AI/AN FACES 2015 reflects advice from the AI/AN FACES Workgroup, comprising Region XI Head Start directors, researchers, and federal officials.

Home visiting aims to support expectant parents and families with young children by offering them “resources and skills to raise children who are physically, socially, and emotionally healthy and ready to learn” (HRSA, 2019). Although the characteristics of the families served, and the service components delivered, vary by evidence-based home visiting model, problematic substance use is commonly one of the many outcome areas addressed by home visitors in the course of their engagement...

This is the third of four modules providing home visiting research findings to inform pay for outcomes (PFO) feasibility studies and project development, including outcome selection, projected cost savings, and outcome payment pricing for PFO financial agreements.