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Implementing Maternal Early Childhood Sustained Home-Visiting Program (MECSH)

Meets DHHS criteria for an evidenced based model

Materials and Forms to Support Implementation

Last Updated

May 2014


Operations Manuals

Licensed users receive a MECSH operations manual and a manual for operating the Learning to Communicate curriculum.


Service Delivery Forms

The program developer provides licensed users with information sheets and consent forms for clients, and checklists for recording the activities completed during home visits.


Assessment Tools

All participants complete a risk assessment, the Edinburgh Postnatal Depression Scale, and a parent satisfaction and enablement questionnaire.



The nurse home visitors use the Learning to Communicate parent education and child development curriculum. The curriculum is delivered monthly for 12 months beginning when the child is one month old. Each participating family receives a copy of the Learning to Communicate Parent Handbook and DVD.


Available Languages

Materials are available in English and Korean.


Fidelity Measurement

The primary health care service agency is required to provide a system for recording fidelity. The developer provides an online database for transmitting the collected fidelity data every three months as required under the licensing agreement. Implementing agencies receive feedback on their performance.


Fidelity Standards

The program developer requires implementing agencies to meet and report fidelity standards related to staff qualifications and training, implementation support, client enrollment, client participation, and client satisfaction:

  • 100 percent of nurses have child and family health (or equivalent) qualification
  • 100 percent of key program staff received training in the MECSH program, the Family Partnership Model (or equivalent), and the Learning to Communicate curriculum (or equivalent child development parent education program)
  • 100 percent of nurses receive clinical supervision
  • Health and welfare professionals are supporting the program
  • 100 percent of pregnant women who receive routine care from the universal maternal, child, and family health services system are assessed for eligibility
  • 100 percent of eligible families are offered the program
  • More than 75 percent of families offered the program agree to participate
  • More than 65 percent of recruited families remain in the program when their children are 12 months old
  • More than 50 percent of families complete the program when their children are 2 years old
  • 100 percent of families are receiving the minimum number of scheduled visits of appropriate duration
  • Primary caregivers score greater than 20 on the modified Patient Satisfaction Questionnaire (PSQ-18) and greater than 4 on the modified Patient Enablement Instrument (PEI)



The information contained on this page was last updated in May 2014. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Dr. Lynn Kemp at the University of New South Wales on May 11, 2014. HomVEE reserves the right to edit the profile for clarity and consistency.