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Results for home visiting programs

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Author: Burwick, Andrew

Title: Costs of Early Childhood Home Visiting: An Analysis of Programs Implemented in the Supporting Evidence-Based Home Visiting to Prevention Child Maltreatment Initiative

Summary: Home visiting programs offer a promising method for delivering support services to at-risk families and children and preventing child maltreatment. As interest grows in scaling up home visiting programs as a strategy to promote parent and child well-being and prevent child maltreatment, program implementers and policymakers are seeking more information about the costs of implementing these programs. The Cost Study of Evidence-Based Home Visiting Programs applied a uniform approach and common time frame to analyze costs among agencies implementing five different home visiting program models. The study assessed (1) the total cost of providing home visiting programs during a year of steady-state operation, (2) the allocation of annual costs among cost categories and program activities or components, (3) the cost to serve a participating family, and (4) variation in average costs across program models and other agency characteristics. Mathematica Policy Research and Chapin Hall at the University of Chicago conducted the study with support from the Doris Duke Charitable Foundation and in collaboration with Casey Family Programs. It included agencies that participated in the Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV) initiative, a five-year grant program launched in 2008 by the Children's Bureau of the Administration for Children and Families at HHS. In 2011, the EBHV grant program was formally incorporated into the Maternal, Infant and Early Childhood Home Visiting Program (MIECHV) State Formula Grant Program administered by the Health Resources and Services Administration of HHS. The cost study sample includes 25 implementing agencies (IA) that delivered home visiting services in 13 states.3 The IAs offered one of five home visiting program models: (1) Healthy Families America (HFA, 7 IAs), (2) the Nurse-Family Partnership (NFP, 10 IAs), (3) Parents as Teachers (PAT, 3 IAs), (4) SafeCare (SC, 4 IAs), and (5) the Positive Parenting Program (Triple P, one IA). Most of the IAs (15 agencies) were private nonprofit organizations. Seven were state or county government agencies, and 3 were hospitals or medical centers. IAs located in urban areas (16 agencies) were more common than those located in suburban or rural areas (5 and 4 agencies, respectively). We analyzed program costs from the implementing agency's perspective. Costs include all resources used by an agency to deliver a program during a one-year period of "steady-state" operation (July 1, 2011, through June 30, 2012), and cost estimates provide an indication of the resources that an agency would need in order to replicate a program at a similar scale in a similar context. To conduct the study, we collected three types of data from IAs: (1) data on resources used for program operations, to estimate total costs; (2) data on staff time use, to allocate costs among program components; and (3) data on the number of families served and their receipt of home visiting services, to estimate costs per family. The cost analysis was conducted using the "ingredient" or resource cost method, which involved itemizing the types of resources (or ingredients) needed to provide services, gathering information on the types and value of resources used by each agency during the study period, and aggregating costs to estimate total program costs (Levin and McEwan 2001). To represent more accurately the total resources required to implement a program, we incorporated costs not typically captured by budgets or accounting records, including donated resources such as volunteer time and in-kind contributions of services or materials, as well as the value of staff time spent on the program beyond normal working hours (and not reflected in salaries or fringe benefits).

Details: Princeton, NJ: Mathematica Policy Research, 2014. 108p.

Source: Internet Resource: Accessed June 17, 2014 at: http://www.chapinhall.org/sites/default/files/documents/Costs%20of%20EC%20Home%20Visiting.Final%20Report.January%2030%202014.2.pdf

Year: 2014

Country: United States

URL: http://www.chapinhall.org/sites/default/files/documents/Costs%20of%20EC%20Home%20Visiting.Final%20Report.January%2030%202014.2.pdf

Shelf Number: 132494

Keywords:
Child Abuse and Neglect
Child Maltreatment
Cost-Benefit Analysis
Costs of Criminal Justice
Crime Prevention Programs
Evidence-Based Practices
Home Visiting Programs