Building Better Programs

Evaluating Replication, Infrastructure, and Costs of Evidence-Based Home Visiting Programs

In 2008, the Children’s Bureau (CB) in the Administration for Children & Families (ACF) in the U.S. Department of Health and Human Services (DHHS) entered into cooperative agreements with 17 organizations in 15 states to support the implementation of home visiting programs that have potential to prevent child maltreatment. Three goals were identified:

  1. Support implementation with fidelity to the home visiting program models
  2. Support scale-up of the home visiting models—replicating the program model in a new service area, adapting the model for a new target population, or increasing the enrollment capacity in an existing service area
  3. Support sustainability of the home visiting model beyond the end of the funding period

Mathematica Policy Research and its partner, Chapin Hall at the University of Chicago, conducted a national cross-site evaluation of the Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV) initiative. Using a mixed-methods approach, the national cross-site evaluation was designed to (1) examine the degree to which system change occurred, (2) document the fidelity with which the program models were implemented, and (3) identify implementation strategies and challenges.

Mathematica and Chapin Hall – Making Replication Work: Building Infrastructure to Implement, Scale-up, and Sustain Evidence-Based Early Childhood Home Visiting Programs with Fidelity
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