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Home Visiting: Improving Children's and Families' Well-Being
Courtney L Harrison, Alison May1
1National Conference of State Legislatures.
Evidence-based home visiting programs demonstrate significant return on investment, with studies showing $1.80 to $5.70 earned for every dollar invested. These impactful programs reached over 300,000 families in 2016.
Area of Science:
- Public Health
- Health Economics
- Social Work
Background:
- Home visiting programs are recognized for their potential to improve health and social outcomes.
- Evidence-based interventions are crucial for maximizing program effectiveness and resource allocation.
- Limited data exists on the widespread reach and economic impact of these programs.
Purpose of the Study:
- To quantify the return on investment (ROI) for evidence-based home visiting programs.
- To assess the scale and reach of home visiting services across the United States.
- To understand the availability of evidence-based home visiting programs in U.S. counties.
Main Methods:
- Meta-analysis of existing studies to calculate ROI.
- Analysis of national program data from 2016 to determine reach.
- Geographic mapping and county-level data to assess program availability.
Main Results:
- Studies indicate a substantial ROI, ranging from $1.80 to $5.70 for every dollar spent on home visiting.
- In 2016, nearly 4 million evidence-based home visits were provided, serving over 300,000 families.
- Approximately 40% of U.S. counties have access to at least one evidence-based home visiting program.
Conclusions:
- Evidence-based home visiting represents a cost-effective public health intervention with proven benefits.
- The reach of these programs is significant, yet substantial gaps in availability persist across U.S. counties.
- Further investment and expansion of evidence-based home visiting are warranted to maximize societal returns.
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