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Implementing Healthy Families America (HFA)®

Meets DHHS criteria for an evidenced based model

Training to Support Implementation

Last Updated

May 2015


Requirements for Program Certification

Existing home visiting programs, as well as new start-up sites, can affiliate with HFA. Completion of this process reflects a commitment to implementing the 12 critical elements in accordance with the HFA Best Practice Standards. All sites or multisite systems interested in affiliating with HFA and using the “Healthy Families” name must complete the HFA Application for Affiliation. By the end of its third anniversary of affiliation, a site must complete the HFA accreditation process, which has three steps: (1) a site self-assessment, (2) an external peer review performed by a team of at least two HFA -certified reviewers, and (3) an accreditation decision made by the HFA accreditation panel.

Sites are accredited by HFA through PCA America on the basis of their adherence to the critical elements and HFA Best Practice Standards that serve as the foundation for HFA model implementation. After initially accredited, HFA sites are required to complete accreditation every four years thereafter.


Pre-Service Staff Training

HFA core training is a mandatory four-day seminar delivered by nationally certified HFA trainers. Supervisors and program managers attend a fifth day focused on administrative, clinical, and reflective supervision. The training (1) prepares program staff to provide services specific to their job responsibilities; (2) integrates strategies for use with families with unresolved trauma; and (3) describes the HFA critical elements and the best practices of family-centered and strength-based service provision. The HFA National Office requires that direct service staff, supervisors, and program managers receive this training within the first six months of employment.


In-Service Staff Training

The HFA National Office requires sites to provide orientation training that includes information about the challenges faced by the community’s families, the local resources available to support those families, and staff safety and confidentiality. Affiliated sites are offered more than 38 hours of distance learning modules and/or recorded webinars that meet all of the mandatory training requirements within 3, 6, and 12 months of hire.

HFA offers implementation training for site leaders. Although not required, this training is designed to help staff at new sites understand the HFA requirements and successfully implement services that will meet HFA’s accreditation standards. Implementation training is a three-day in-person training that is preceded by two hours of online pre-training.


Training Materials

Training materials are available through the HFA National Office.


Qualified Trainers

HFA core training is provided by nationally certified HFA trainers. Additionally, HFA supports the development of in-state training capacity and offers a train-the-trainer process. National and state trainers are required to be recertified every five years. Training is coordinated through the HFA National Office, except in states with in-state training capacity, and is made available both locally and regionally.


Technical Assistance

Technical assistance is available from the HFA National Office by regional directors via phone, email, and onsite (when requested).



The information contained on this page was last updated in May 2015. HFA/8/7#devreferences"> Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the HFA National Office in April 2015. HomVEE reserves the right to edit the profile for clarity and consistency.