This report examines colleges’ use of multiple measures to determine whether students take college-level or developmental education courses, a more accurate method than standardized placement exams. Using additional placement tests, high school transcripts, and student motivation evaluations places more students into credit-bearing courses, improving academic results and college completion rates.

MIHOPE-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.

To address underplacement, in which students who could succeed in college-level courses are directed into developmental education, community colleges have begun supplementing the typical placement test with measures like high school GPA and noncognitive assessments. This guide walks colleges through the process and pitfalls of undertaking this kind of reform.

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.