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This section introduces a four-module resource 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 Introduction briefly describes PFO in the context of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program and gives an overview of the resource...

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 Strengthening Relationship Education and Marriage Services (STREAMS) evaluation is a random assignment impact study and in-depth process study of five Healthy Marriage and Relationship Education (HMRE) grantees funded by the Administration for Children and Families’ (ACF), Office of Family Assistance (OFA). To maximize its contributions to the evidence base and to inform future program and evaluation design...

Since 2005, Congress has funded $150 million each year in healthy marriage (HM) and responsible fatherhood (RF) grants designed to improve the well-being of children and families. The Administration for Children and Families (ACF) in the U.S. Department of Health and Human Services has awarded and overseen three cohorts of these grants (2006—2011, 2011—2015, and 2015—2020)....

High school-based healthy marriage and relationship education (HMRE) programs, funded by the Office of Family Assistance (OFA) in the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services, represent one opportunity for reaching youth who are experiencing teen dating violence (TDV) and connecting them with help.

Hotlines for victims and survivors of domestic violence and/or dating violence (DV) are an important source of information and support for individuals seeking intervention and preventative care services. However, evaluation of these programs is nascent. The National Domestic Violence Hotline (The Hotline) and loveisrespect (LIR; the help line targeted towards young people) provide information and assistance to adult and youth victims/survivors of DV...

The Behavioral Interventions to Advance Self-Sufficiency (BIAS) project is the first major effort to apply a behavioral economics lens to programs that serve poor and vulnerable families in the United States. This report presents findings from a behavioral intervention designed to increase the number of incarcerated noncustodial parents in Texas who apply for modifications to reduce the amount of their child support orders. Using a method called “behavioral diagnosis and design”...

This report presents findings from a study of two behavioral interventions — one that used behavioral messaging postcards and text message reminders to encourage participation in an optional meeting, and one that made the meeting easier to attend.

The goal of each intervention was to increase participant attendance at an optional informational meeting for Paycheck Plus, an earnings supplement program in which participants had previously enrolled. These meetings gave clients an...

This brief, developed for organizations implementing healthy relationship programming, provides a summary of research/theory on how healthy relationship program participation could affect intimate partner violence and teen dating violence. Specifically, the brief describes how those effects might occur, and how they might differ for different groups of adults and youth...

This paper summarizes research on the prevalence and experiences of intimate partner violence (IPV) among the target populations for adult healthy relationship programs. The purpose is to provide practitioners with information on their program populations to support their efforts in addressing program participants’ experiences with IPV.