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Building Infrastructure to Support Home Visiting to Prevent Child Maltreatment: Two-Year Findings from the Cross-Site Evaluation of the Supporting Evidence-Based Home Visiting Initiative.

Publication Year: 
2011
Personal Author: 
Del Grosso, Patricia.
Hargreaves, Margaret.
Paulsell, Diane.
Vogel, Cheri.
Strong, Debra A.
Zaveri, Heather.
Boller, Kimberly.
Daro, Deborah.
Corporate Author: 
United States. Children's Bureau.
Mathematica Policy Research.
Chapin Hall at the University of Chicago.
Technical Report
Page Count: 
96

This report discusses the cross-site findings from the first two-years (2008-2010) of the Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV) initiative, an initiative deigned to build knowledge about how to build the infrastructure and service delivery systems necessary to implement, scale-up, and sustain evidence-based home visiting program models as a strategy to prevent child maltreatment. For the evaluation, site visits were conducted to 10 grantees and interviews were held with grantee staff, home visitors, and supervisors. Because of this variation in their approaches, grantees differed in the status of EBHV initiative-related home visiting operations when the grant began and the progress they made implementing home visiting during the first two years of the grant. Regardless of their specific situations, however, home visiting operations for all grantees were affected by the economic downturn and resulting fiscal stress on States, and by the disruption in EBHV initiative funding. These factors delayed implementation of home visiting services in some sites. Many grantees had to slow down their plans, found enrollment lagging behind their initial projections, or saw services shrink due to funding cuts. Delays also occurred because planning and/or application processes for national model accreditation took longer than anticipated. Despite these challenges, most grantees that planned to implement or expand home visiting as part of the EBHV initiative successfully launched program operations. They worked with program model purveyors, hired and trained staff, and began conducting home visits with new enrollees. Specific findings are discussed in the areas of planning and collaboration, building infrastructure, beginning home visiting operations, and future plans. 11 tables and 40 references. (Author abstract modified)

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