An estimated 3000 or more home visiting projects are under way across the United States, operating through local initiative or under the more than 70 state-based efforts in progress in 2009.1 Most provide in-home support from nurses and paraprofessionals to new and expecting parents, primarily those who have 1 or more social risk factors (eg, parents who are younger than 20 years, have less than a high school education, have below poverty income, or are otherwise considered vulnerable or at risk). Participation in these programs is purely voluntary and most families choose to continue for a period of 1 to 3 years. Their goals generally are to reduce child abuse, promote optimal child health and development, strengthen parent skills, and improve family economic and psychosocial well-being.
Johnson K. New Evidence on Program Impact Can Guide Implementation of Federal Home Visiting Program. Arch Pediatr Adolesc Med. 2011;165(3):278-279. doi:10.1001/archpediatrics.2010.220