Factors that Influence Successful Start-Up of Home Visiting Sites

Lessons Learned from Replicating the First Born® Program

by M. Rebecca Kilburn, Jill Cannon

Download eBook for Free

FormatFile SizeNotes
PDF file 0.4 MB

Use Adobe Acrobat Reader version 7.0 or higher for the best experience.

Abstract

Growth in federal, state and private funding is fueling the initiation of home visiting programs around the country. As communities expand home visiting programs, they need information about how they can successfully start up new sites. This paper proposes measures of successful home visiting program implementation and identifies factors that promote successful implementation or serve as barriers to program initiation. It focuses on lessons learned from the replication of the First Born® Program in six counties in New Mexico. Specifically, it examines how well sites met staffing, family referral and enrollment, program fidelity, and financing goals in the first year of providing services. Data come from semi-structured interviews with senior program staff and program documentation. The findings are likely to be valuable to a wide spectrum of communities starting or expanding home visiting services, as well as to public and private funders of programs.

This paper series made possible by the NIA funded RAND Center for the Study of Aging and the NICHD funded RAND Population Research Center.

This report is part of the RAND Corporation working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.