About MDRC
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MDRC Publications
Issue FocusUsing Existing Services During the Pandemic
March, 2021Many families with young children experienced severe strains during the pandemic—unemployment, increasing poverty, and increased anxiety and depression. State program administrators can help by strengthening home visiting services and using pediatric visits to reach families. This brief offers recommendations based on evidence of promising strategies, and insights from MDRC’s work.
ReportResults from the Mother and Infant Home Visiting Program Evaluation
January, 2019Home visiting provides information, resources, and support to expectant low-income parents and low-income families with young children. This report provides the final results from a national evaluation of four major evidence-based models of home visiting.
BriefA Summary of Results from the MIHOPE and MIHOPE-Strong Start Studies of Evidence-Based Home Visiting
January, 2019Home visiting provides information, resources, and support to expectant low-income parents and low-income families with young children. This brief summarizes reports from two national studies of early childhood home visiting.
ReportFinal Implementation and Impact Findings from the Mother and Infant Home Visiting Program Evaluation-Strong Start
January, 2019MIHOPE-Strong Start rigorously examined the effects of home visiting services, as provided by 66 local programs in 17 states, on outcomes such as low birth weight, preterm birth, and infant health care use. This final report details those effects as well as the services received by families in the programs.
ReportResults from the Mother and Infant Home Visiting Program Evaluation
October, 2018Adverse experiences in children’s earliest years can negatively affect development. Home visiting for expectant parents and families with young children can help, but implementation research is scant. MIHOPE, a national evaluation of a federal home visiting program, is examining 88 local programs across four evidence-based models to learn about their implementation and impacts.
Issue FocusInterviews or Focus Groups?
June, 2017Hearing directly from those who administer and take part in social programs can greatly enrich an implementation study. The Implementation Research Incubator offers some important considerations for choosing a method and discusses the preparation involved.
Working PaperA Scan of the Literature and Current Approaches
August, 2016Low-income and minority children suffer disproportionately from asthma. This review examines efforts to improve education and self-management, remediate asthma “triggers” at home, and improve health care provider practice. It concludes that asthma management education; proper, sustained medication regimes; cost-effective, replicable programs; and steady funding are all critical for addressing health disparities.
ReportThird Annual Report
April, 2016MIHOPE-Strong Start is the largest random assignment study to date examining the effects of home visiting services on birth and health outcomes and health care use. This report describes a partial sample of 1,200 families, explores the priorities and practices of the study programs, and discusses program recruitment.
ReportThe Mother and Infant Home Visiting Program Evaluation-Strong Start Second Annual Report
January, 2015Policymakers have increasingly encouraged greater use of administrative data to produce timely, rigorous, and lower-cost evaluations of health and social programs. This report details MIHOPE-Strong Start’s process of acquiring administrative vital records and Medicaid data from 20 states and more than 40 state agencies to measure health, health care use, and cost outcomes.
ReportEarly Findings on the Maternal, Infant, and Early Childhood Home Visiting Program — A Report to Congress
January, 2015This report presents the first findings from MIHOPE, the legislatively mandated national evaluation of the Maternal, Infant, and Early Childhood Home Visiting program. It includes an analysis of the states’ needs assessments, as well as baseline characteristics of families, staff, local programs, and models participating in the study.
ReportDecember, 2013MIHOPE-Strong Start, a collaboration of the Centers for Medicare and Medicaid Services, the Administration for Children and Families, and the Health Resources and Services Administration, assesses the impacts of home visiting programs for disadvantaged expectant mothers. This report describes the study and the programs: Healthy Families America and Nurse-Family Partnership.
ReportApril, 2013Home visiting programs seek to improve maternal and child outcomes by supporting families with young children. The Affordable Care Act of 2010 included $1.5 billion for the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program, with a national evaluation required. This report describes the design of that evaluation.
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Other Publications
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Projects
Virginia Knox, Carolyn Hill, Shira Kolnik Mattera, Desiree Principe Alderson, Rebecca Davis, Helen LeeAcross the United States, children’s life prospects are substantially shaped by their circumstances between birth and age 3. The earliest years of life, then, may present this country’s best opportunity to disrupt cycles of poverty. In the American South, children of low-income families acutely experience the disadvantages of poverty, and they disproportionately remain...
Jean Grossman, Dan Bloom, Barbara S. Goldman, John Hutchins, Jared Smith, Frieda Molina, Virginia Knox, Clinton Key, Bret Barden, Jessica Kopsic, Rebecca Schwartz, Emily Marano, Sophia Sutcliffe, Helen LeeMany human services programs require that applicants complete a series of steps — from providing eligibility to arranging transportation and child care — in order to benefit from services. Program designers often assume that individuals carefully consider their options and make the best decisions for their personal circumstances. Over the past 30 years, however,...
Kate Gualtieri, Alexandra Bernardi, Anne Warren, Mary Bambino, Caroline Mage, Sharon Rowser, Helen LeeCurrently, almost half of the 6.7 million pregnancies in the United States each year are unintended — a rate higher than that of many other industrialized countries. These unintended pregnancies are roughly evenly divided between women who did not use contraception at all and those who did, but ineffectively. Higher proportions of unintended pregnancies are found among...
Helen LeeAsthma is the most common chronic health condition affecting children in the United States: In 2007, 9.1 percent of children (6.7 million) had a current asthma diagnosis. Children from low-income families are disproportionately burdened, as they are more likely to have asthma, are less likely to be able to control the symptoms, and are more likely to visit the...
Virginia Knox, Charles Michalopoulos, JoAnn Hsueh, Desiree Principe Alderson, Dina A. R. Israel, Erika Lundquist, Electra Small, Rebecca Behrmann, Anne Warren, Samantha Xia, Kelly Saunders, Ilana Blum, Jessica Kopsic, Noemi Altman, Caroline Mage, Helen LeeAdverse birth outcomes result in significant emotional and economic costs for families and communities. One promising avenue for helping expectant women is home visiting programs, which work with parents to promote prenatal care and improve infant health. The Mother and Infant Home Visiting Program Evaluation-Strong Start ( MIHOPE -Strong Start) will evaluate the...
Virginia Knox, Charles Michalopoulos, JoAnn Hsueh, Desiree Principe Alderson, Dina A. R. Israel, Erika Lundquist, Electra Small, Carolyn Hill, Rebecca Behrmann, Ximena Portilla, Anne Warren, Samantha Xia, Kelly Saunders, Ilana Blum, Mallory Undestad, Emily Davies, Cullen MacDowell, Marissa Strassberger, Sharon Rowser, Livia Martinez, Helen LeeHome 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....
JoAnn Hsueh, Virginia Knox, Desiree Principe Alderson, Barbara S. Goldman, Erika Lundquist, Charles Michalopoulos, Electra Small, Kristen Faucetta , Meghan McCormick, Noemi Altman, Sharon Rowser, Amy Taub, Helen LeeThe Supporting Healthy Marriage project is the first large-scale, multisite, multiyear, rigorous test of marriage education programs for low-income married couples. Supported by the Administration for Children and Families within the U.S. Department of Health and Human Services ( HHS ), the project is motivated by research that indicates that married adults...