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Referrals to Home Visiting: Current Practice and Unrealized Opportunities.

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Summary
This summary is machine-generated.

Maternal and early childhood home visiting programs have capacity to serve more families. Strengthening referral systems, particularly from healthcare providers, is key to reaching priority populations effectively.

Keywords:
Early childhood systemsMaternal, Infant, and Early Childhood Home VisitingService coordination

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Health Services Research

Background:

  • Evidence supports continued investment in maternal and early childhood home visiting services in the U.S.
  • A small proportion of eligible families utilize these crucial services.
  • Understanding referral pathways is essential for improving access.

Purpose of the Study:

  • To identify priority populations for home visiting programs.
  • To assess program capacity for enrolling additional families.
  • To determine current and desired referral sources for home visiting services.

Main Methods:

  • Secondary analysis of a national web-based survey of the Home Visiting Applied Research Collaborative (HARC).
  • Focus on survey items directly addressing study aims.
  • Respondents included 87 local programs with diverse models, sizes, and geographic contexts.

Main Results:

  • Programs prioritize pregnant women, parents with mental health/substance abuse/intimate partner violence concerns, teen parents, and children with developmental delays or child welfare involvement.
  • Most programs reported capacity to enroll more families.
  • Referrals from pediatric providers, child welfare, early care and education, and TANF/social services were infrequent; most programs desired more referrals from healthcare providers, WIC, and TANF/social services.

Conclusions:

  • Home visiting programs possess the capacity to expand services to more families.
  • Enhancing referral systems with key providers, especially healthcare, is crucial for program growth and reach.