Home visiting programs operate around the country to prevent child maltreatment, improve maternal and child health outcomes, and increase school readiness. The Patient Protection and Affordable Care Act of 2010 authorized the creation of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, expanding federal funding of home visiting programs.
The Mother and Infant Home Visiting Program Evaluation (MIHOPE) is a legislatively mandated, large-scale evaluation of the effectiveness of home visiting programs funded by MIECHV. It will systematically estimate the effects of MIECHV home visiting programs on a wide range of outcomes and study the variation in how programs are implemented.
MIHOPE includes four evidence-based home visiting program models: (1) Early Head Start - Home Based Program Option, (2) Healthy Families America, (3) Nurse-Family Partnership, and (4) Parents as Teachers. Two of these models are also included in the related MIHOPE-Strong Start study, which examines birth outcomes for women who are enrolled in Medicaid.
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Additional Project Details
Agenda, Scope, and Goals
MIHOPE will provide federal and state policymakers, service providers, and other interested parties with valuable information about whether and how home visiting programs improve outcomes for children and families.
MIHOPE will enroll approximately 4,300 at-risk families who are expecting a baby or have an infant up to 6 months old. The study includes 88 program sites in 12 states nationwide. MIHOPE includes four evidence-based home visiting models: Early Head Start - Home Based Program Option, Healthy Families America, Nurse-Family Partnership, and Parents as Teachers.
MIHOPE has a number of aims. It will:
Assess the effects of the programs on child and parent outcomes, including prenatal, maternal, and newborn health; child health and development; parenting skills; school readiness and academic achievement; crime and domestic violence; family economic self-sufficiency; and referrals and service coordination
Examine how the program models operate in their local and state contexts, linking implementation strategies to program impacts to inform the field about the types of program features or strategies that might lead to greater impacts on families
- Assess the potential of the programs to affect the health care system and to reduce costs
Design, Sites, and Data Sources
MIHOPE uses a rigorous study design. The study includes three components:
An analysis of the state needs assessments that were provided in the state MIECHV applications
An effectiveness study that incorporates random assignment and an implementation study, which together will investigate how the program models operate in their local and state contexts, describe the families who participate, and examine health disparities and outcomes
An economic analysis that will estimate the financial costs of operating the programs
Data will be collected through a variety of means, including surveys, reviews of program policies, administrative records, interviews with state administrators, videotaped observations of selected home visits, web-based surveys of local staffs, and web-based activity logs kept by home visitors and supervisors.
The study includes 88 program sites in 12 states nationwide: California, Georgia, Illinois, Iowa, Kansas, Michigan, Nevada, New Jersey, Pennsylvania, South Carolina, Washington, and Wisconsin. In January 2015 early findings were released in the MIHOPE Report to Congress.