Home Visiting

Children’s life prospects are substantially shaped by their circumstances between birth and age 3, so the earliest years of life present promising opportunities to disrupt cycles of poverty. Children growing up in families with low incomes acutely experience the disadvantages of poverty, and they disproportionately remain at the bottom of the economic ladder as adults...


Results from the Mother and Infant Home Visiting Program Evaluation

October, 2018
Anne Duggan, Ximena Portilla, Jill H. Filene, Sarah Crowne, Carolyn Hill, Helen Lee, Virginia Knox

Adverse 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.


A Snapshot of State Efforts

December, 2017
Mariel Sparr, Alexandra Joraanstad, Grace Atukpawu-Tipton, Nicole Miller, Julie Leis, Jill H. Filene

The Mother and Infant Home Visiting Program Evaluation-Strong Start (MIHOPE-Strong Start) aims to determine whether home visiting programs improve birth- and health-related outcomes up to age 1. This report provides a snapshot of state efforts to promote prenatal health and improve birth outcomes, including but not limited to home visiting.


Laying the Groundwork for Long-Term Follow-Up in the Mother and Infant Home Visiting Program Evaluation (MIHOPE)

October, 2017

Home visiting provides information, resources, and support to expectant low-income parents and low-income families with young children. This brief summarizes evidence from existing studies on the impact of early childhood home visiting on children 5 and older for four national models of home visiting.

A small body of research has found that families who participated in a home visiting program when their children were young may continue to benefit through their children’s adolescence. Therefore, a long-term follow-up study is being planned for families in the Mother and Infant Home Visiting Program Evaluation ( MIHOPE ). MIHOPE is examining how home visiting programs...


Third Annual Report

April, 2016
Helen Lee, Sarah Crowne, Kristen Faucetta , Rebecca Behrmann

MIHOPE-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.


Early Findings on the Maternal, Infant, and Early Childhood Home Visiting Program — A Report to Congress

January, 2015
Charles Michalopoulos, Helen Lee, Anne Duggan, Erika Lundquist, Ada Tso, Sarah Crowne, Lori Burrell, Jennifer Somers, Jill H. Filene, Virginia Knox

This 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.


The Mother and Infant Home Visiting Program Evaluation-Strong Start Second Annual Report

January, 2015
Helen Lee, Anne Warren, Lakhpreet Gill

Policymakers 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.

Issue Focus

The Importance of Evidence

July, 2014
Gordon Berlin

In this essay, adapted from remarks made to the Growth Philanthropy Network/Social Impact Exchange 2014 Conference on Scaling Impact, MDRC President Gordon Berlin explains why developing reliable evidence of effectiveness is critical when expanding programs to a large scale.