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Early Head Start-Home Visiting (EHS-HV)§

Meets DHHS criteria for an evidenced based model

Last Updated: July 2016

In Brief for Linkages and Referrals Outcomes

Impact Studies Rated High


Love, J., Kisker, E., Ross, C. M., Schochet, P. Z., Brooks-Gunn, J., Paulsell, D., et al. (2002). Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Volumes I-III: Final technical report [and] appendixes [and] local contributions to understanding the programs and their impacts. Washington, DC: U.S. Department of Health and Human Services, Head Start Bureau.
Additional Sources:

Love, J. M., Kisker, E. E., Ross, C., Raikes, H., Constantine, J., Boller, K., et al. (2005). The effectiveness of Early Head Start for 3-year-old children and their parents: Lessons for policy and programs. Developmental Psychology, 41(6), 885–901. doi:10.1037/0012-1649.41.6.885

Roggman, L. A., Boyce, L. K., Cook, G. A., & Hart, A. D. (2002). Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Vol. 3, Local contributions to understanding the programs and their impacts. Washington, DC: Administration for Children and Families, Office of Planning, Research, and Evaluation, Child Outcomes Research and Evaluation.

Raikes, H. H., Chazan-Cohen, R., Love, J. M., & Brooks-Gunn, J. (2010). Early Head Start impacts at age 3 and a description of the age 5 follow-up study. In Childhood Programs and Practices in the First Decade of Life: A Human Capital Integration. Reynolds, A.A., Rolnick, A.J., Englund, M.M, and Temple, J.A., eds. New York: Cambridge University Press, 99-118.

Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Any family health services No Effect EHS-HV impact study 28 months after assignment 941 mothers 100% 100% 0 Not statistically significant,
p > 0.05
Not Applicable Secondary
Any family mental health services No Effect EHS-HV impact study 28 months after assignment 941 mothers 23.9% 21% 2.9 Not statistically significant,
p > 0.05
HomVEE = 0.10 Secondary
Identification of child’s disability No Effect EHS-HV impact study 28 months after assignment 941 mothers 7.6% 5% 2.7 Not statistically significant,
p > 0.05
HomVEE = -0.05 Secondary
Services for child with disability No Effect EHS-HV impact study 28 months after assignment 941 mothers 5.3% 3.7% MD = 1.5 Not statistically significant,
p > 0.05
HomVEE = -0.06 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Any family health services Percentage of families that had received any family health services Parent interview Not applicable Secondary
Any family mental health services Percentage of families that had received any family mental health services Parent interview Not applicable Secondary
Identification of child’s disability Percentage of children identified as having a disability Parent/caregiver report Not applicable Secondary
Services for child with disability Percentage of families that received early intervention servicesfor a child with a disability Parent interview Not applicable Secondary
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Impact Studies Rated Moderate


Love, J., Kisker, E., Ross, C. M., Schochet, P. Z., Brooks-Gunn, J., Paulsell, D., et al. (2002). Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Volumes I-III: Final technical report [and] appendixes [and] local contributions to understanding the programs and their impacts. Washington, DC: U.S. Department of Health and Human Services, Head Start Bureau.
Additional Sources:

Love, J. M., Kisker, E. E., Ross, C., Raikes, H., Constantine, J., Boller, K., et al. (2005). The effectiveness of Early Head Start for 3-year-old children and their parents: Lessons for policy and programs. Developmental Psychology, 41(6), 885–901. doi:10.1037/0012-1649.41.6.885

Roggman, L. A., Boyce, L. K., Cook, G. A., & Hart, A. D. (2002). Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Vol. 3, Local contributions to understanding the programs and their impacts. Washington, DC: Administration for Children and Families, Office of Planning, Research, and Evaluation, Child Outcomes Research and Evaluation.

Raikes, H. H., Chazan-Cohen, R., Love, J. M., & Brooks-Gunn, J. (2010). Early Head Start impacts at age 3 and a description of the age 5 follow-up study. In Childhood Programs and Practices in the First Decade of Life: A Human Capital Integration. Reynolds, A.A., Rolnick, A.J., Englund, M.M, and Temple, J.A., eds. New York: Cambridge University Press, 99-118.

Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Any education-related services Favorable EHS-HV impact study 28 months after assignment 941 mothers 86.9% 50.8% 36.1 Statistically significant,
p < 0.01
HomVEE = 1.13 Secondary
Any employment-related services Favorable EHS-HV impact study 28 months after assignment 941 mothers 77.3% 47.1% 30.2 Statistically significant,
p < 0.01
HomVEE = 0.81 Secondary
Housing assistance No Effect EHS-HV impact study 28 months after assignment 941 mothers 65.7% 64.1% 1.6 Not statistically significant,
p > 0.05
HomVEE = 0.04 Secondary
Transportation assistance Favorable EHS-HV impact study 28 months after assignment 941 mothers 32% 23.9% 8.1 Statistically significant,
p < 0.01
HomVEE = 0.24 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Any education-related services Indicates whether the family reported receiving any education-related services from the EHS program Parent interview Not applicable Secondary
Any employment-related services Indicates whether the family reported receiving help finding a job from the EHS program Parent interview Not applicable Secondary
Housing assistance Indicates whether the family reported receiving housing assistance from the EHS program Parent interview Not applicable Secondary
Transportation assistance Indicates whether the family reported receiving trasnporation assistance from the EHS program Parent interview Not applicable Secondary

Love, J., Kisker, E., Ross, C., Schochet, P., Brooks-Gunn, J., Boller, K., et al. (2001). Building their futures: How Early Head Start programs are enhancing the lives of infants and toddlers in low-income families. Summary report. Report to Commissioner’s Office of Research and Evaluation, Head Start Bureau, Administration on Children, Youth and Families, and Department of Health and Human Services. Princeton, NJ: Mathematica Policy Research.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Any education-related services Favorable EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 83.4% 45.2% 38.2 Statistically significant, p < 0.01 1.09 Secondary
Any employment-related services Favorable EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 71.6% 32.6% 39 Statistically significant, p < 0.01 1 Secondary
Any family health services No Effect EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 97.6% 98.2% -0.6 Not statistically significant,
p > 0.05
-0.18 Secondary
Any family mental health services No Effect EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 19.7% 18.4% 1.3 Not statistically significant,
p > 0.05
0.05 Secondary
Housing assistance No Effect EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 55.6% 54.2% 1.4 Not statistically significant,
p > 0.05
0.03 Secondary
Identification of child’s disability Favorable EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 5.1% 2.5% 2.6 Statistically significant, p < 0.05 0.45 Secondary
Services for child with disability Favorable EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 3.8% 1.7% 2.1 Statistically significant, p < 0.05 0.5 Secondary
Transportation assistance Favorable EHS-HV impact study 7 to 16 months after assignment 1,059 mothers 29.8% 20.7% 9.1 Statistically significant, p < 0.01 0.29 Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Any education-related services Indicates whether the family reported receiving any education-related services from the EHS program Parent interview Not applicable Secondary
Any employment-related services Indicates whether the family reported receiving help finding a job from the EHS program Parent interview Not applicable Secondary
Any family health services No description provided Parent report Not applicable Secondary
Any family mental health services No description provided Parent report Not applicable Secondary
Housing assistance Indicates whether the family reported receiving housing assistance from the EHS program Parent interview Not applicable Secondary
Identification of child’s disability Indicates whether the family reported that a child’s disability was identified Parent interview Not applicable Secondary
Services for child with disability Indicates whether the family reported receiving services for a child with a disability Parent interview Not applicable Secondary
Transportation assistance Indicates whether the family reported receiving trasnporation assistance from the EHS program Parent interview Not applicable Secondary
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