Home Visitation Update: States Assess Their At-Risk Communities
Though the Maternal, Infant, and Early Childhood Home Visitation Program has been in existence for less than a year, it is taking off rapidly. Now is the time for your organization to get involved.
Not only does it provide a much needed service, the program creates an opportunity for local organizations and agencies to work in partnership with federal, state, and local governments.
Right now, states are working on their state needs assessment, which is due Sept. 20, 2010. The purpose of the needs assessment is for states to identify their at-risk communities and existing resources in those communities.
It may not be too late for organizations to contribute. States would benefit from the expertise of the nonprofit community, since many of these organizations operate in at-risk communities.
Nonprofits can better provide states with information regarding the demographics they serve, the resources available, and the needs of these communities.
Additionally, the U.S. Department of Health and Human Services is encouraging organizations that offer evidence-based home visitation programs to include the families they serve in the state needs assessment process. Input from families that will benefit from the Maternal, Infant, and Early Childhood Home Visitation Program is an invaluable contribution to the program’s implementation.
States must also report on the availability and effectiveness of existing state or federally-funded home visitation programs.
If your organization falls in this category, you should contact your state’s Title V agency director, Title II Child Abuse Prevention and Treatment Act (CAPTA) director, the director of the Head Start State Collaboration Office, or the agency that provides substance abuse services. Each of these offices is required to sign off of on the state needs assessment since, more likely than not, they target the same population groups.
Make sure your organization is not overlooked.
This home visitation program is intended to be collaborative. As of July 2010, every state has committed to applying for home visitation funding. However, states would still have had to submit the state needs assessment, even if they had not applied for home visiting funds, in order to receive their FY 2011 Title V block grant funding.
Binding the release of Title V funding to the submission of the state needs assessment demonstrates how serious the federal government is about coordinating efforts.
Some of the overall goals of the home visitation program are to:
- Improve health outcomes for mother and child pre- and post-birth
- Strengthen the cognitive and physical development of the child
- Enhance parenting skills
- Enable economic self-sufficiency for low-income families
- Better connect families with other supportive services that they may be eligible for within their communities
Ultimately, this program is designed to be a piece of an already existing network of support that bolsters positive outcomes for children and families.
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About the Author

Katherine Astrich is senior vice president of public policy and mobilization for the Alliance and UNCA.
She previously worked as a consultant for The Lewin Group, a national health and human services consulting firm. She has advocated for Medicaid, early education, and workforce assistance programs that benefit vulnerable children and families.
Her expertise includes regulatory and information collection policy. She also has eight years of experience working for the Office of Management and Budget. ... more
About the Author
Cecilia Fiermonte is director of child welfare policy at the Alliance. An attorney, she previously was assistant director at the American Bar Association Center on Children and the Law, advocating for policy change and providing training and technical assistance.
She also previously:
- Supervised the child welfare program of the County Attorney's Office in Wyoming County, N.Y.
- Worked in research and evaluation at the Quality Improvement Center on the Representation of Children
- Represented children in family court matters ... more
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