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.

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.

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.

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.