Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St, 21205, Baltimore, MD, USA.
Matern Child Health J. 2023 Mar;27(3):407-412. doi: 10.1007/s10995-022-03566-4. Epub 2023 Feb 4.
Evidence supports ongoing investment in maternal and early childhood home visiting in the US. Yet, a small fraction of eligible families accesses these services, and little is known about how families are referred. This report describes priority populations for home visiting programs, the capacity of programs to enroll more families, common sources of referrals to home visiting, and sources from which programs want to receive more referrals.
We conducted a secondary analysis of data from a national web-based survey of members of the Home Visiting Applied Research Collaborative (HARC), focusing on a small set of items that directly addressed study aims. Survey respondents (N = 87) represented local programs implementing varying home visiting models diverse in size and geographic context.
Programs prioritized enrollment of pregnant women; parents with mental health, substance abuse or intimate partner violence concerns; teen parents; and children with developmental delays or child welfare involvement. Most respondents reported capacity to enroll more families in their programs. Few reported receiving any referrals from pediatric providers, child welfare, early care and education, or TANF/other social services. Most desired more referrals, especially from healthcare providers, WIC, and TANF/other social services.
Given that most programs have the capacity to serve more families, this study provides insights regarding providers with whom home visiting programs might strengthen their referral systems.
有证据表明，美国需要持续投资于母婴和儿童早期家庭访视。然而，只有一小部分符合条件的家庭能够获得这些服务，而且对于家庭是如何被推荐的知之甚少。本报告描述了家庭访视项目的优先人群、项目接纳更多家庭的能力、家庭访视的常见推荐来源以及项目希望获得更多推荐的来源。
我们对家庭访视应用研究合作组织（HARC）的一项全国性网络调查成员的数据进行了二次分析，重点关注直接针对研究目的的一小部分项目。调查受访者（N=87）代表了实施不同家庭访视模式的当地项目，这些模式在规模和地理背景上存在差异。
项目优先考虑招募孕妇；有心理健康、药物滥用或亲密伴侣暴力问题的父母；青少年父母；以及有发育迟缓或儿童福利问题的儿童。大多数受访者报告说，他们的项目有能力招募更多的家庭。很少有受访者报告从儿科医生、儿童福利、早期护理和教育或 TANF/其他社会服务中获得任何推荐。大多数人希望获得更多的推荐，特别是来自医疗保健提供者、WIC 和 TANF/其他社会服务的推荐。
鉴于大多数项目都有能力为更多家庭提供服务，本研究为家庭访视项目可以加强其推荐系统的提供者提供了一些见解。
