Cited by 83Maternal and Neonatal HealthcareSocial Policies and FamilyChild and Adolescent Health

Home Visiting: A Service Strategy to Reduce Poverty and Mitigate Its Consequences

Minkovitz, Cynthia S., O'Neill, Kay M.G., Duggan, Anne K.·2016·Academic Pediatrics

Abstract

Home visiting programs are increasingly recognized as an important part of the early childhood system of care in the United States. The objectives of this report are to review the rationale for home visiting; characterize the Federal Home Visiting Program; highlight the evidence of home visiting effectiveness, particularly for low income families; identify opportunities to promote coordination between medical homes and home visiting programs; and explain the critical role of research, evaluation, and quality improvement to strengthen home visiting effectiveness. Home visiting programs offer voluntary home-based services and other supports to meet the needs of vulnerable pregnant women and young families. Home visiting intends to address poverty in 2 ways. First, it promotes economic self-sufficiency directly by building parents' knowledge, skills, and motivation related to employment opportunities and by linking families with community services such as adult education and job training. Second, it mitigates the effects of poverty through direct service and community linkages to enhance parents' capacity for positive parenting and for their own health and family functioning. Home visiting has shown effectiveness in multiple domains, including family economic self-sufficiency, birth outcomes, maternal health, child health and development, and positive parenting practices. Authorized as part of the Affordable Care Act in 2010 and reauthorized in 2015, the Federal Home Visiting Program invests an unprecedented $1.9 billion in the form of grants to states to expand home visiting programs and support rigorous research. As part of the early childhood system of services, home visiting programs must coordinate with other community services and supports. Programs will be most effective when resources are used efficiently, duplication of services is avoided, and alignment and reinforcement of other providers' messages are achieved. The Federal Home Visiting Program has established 4 mechanisms of research, evaluation, and quality improvement to enhance home visiting implementation and effectiveness.

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Crossref · 10.1016/j.acap.2016.01.005

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  • Home visits can promote healthy family functioning and positive parenting in early childhood.

    “Research has reported that home visits can promote healthy family functioning and positive parenting in early childhood (Minkovitz et al., 2016) and can especially support three-way relationships between mother and child, father and child, and mother and father, in addition to strengthening the role of each parent (Barboza et al., 2018).”

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Authors
Minkovitz, C. S., O'Neill, K. M. G., & Duggan, A. K.
Affiliations
Johns Hopkins University (US)
Corresponding author
Minkovitz, Cynthia S.
Venue
Academic Pediatrics
Publisher
Elsevier BV
Published
2016-04
Volume
16
Issue
3
Pages
S105-S111
ISSN
1876-2859 (ISSN-L)
OpenAlex
W2312395200
Cited by
83
References
15
Citations by year
2026: 5 · 2025: 9 · 2024: 9 · 2023: 9 · 2022: 12 · 2021: 11 · 2020: 5 · 2019: 5 · 2018: 10 · 2017: 4 · 2016: 4
FWCI
14.30
Type
journal article
Language
en
Open access
closed
Locations
  • Academic Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Maternal and Child Health Bureau
  • Health Resources and Services Administration
  • DHHS
Topics
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Social Sciences › Sociology and Political Science › Social Policies and Family
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords
home visits, poverty reduction, low-income households, economic self-reliance, positive parenting, maternal health, child health and development, birth outcomes, Affordable Care Act, program evaluation, quality improvement, pregnant women
MeSH terms
Child Health, Maternal Health, Adolescent, Child, Child Health Services, Child, Preschool, Female, Home Care Services, House Calls, Humans, Infant, Infant, Newborn, Maternal Health Services, Parents, Poverty, Pregnancy, Referral and Consultation, Social Welfare, United States, Vocational Education, Program Evaluation, Parenting, Early Intervention, Educational

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