Skip Navigation

Resources, Education, and Care in the Home (REACH)

In Brief

Last Updated

July 2011

Top

Evidence of Program Model Effectiveness

This program model does not meet the criteria established by the Department of Health and Human Services (DHHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations.

Top

Program Model Description

The Resources, Education and Care in the Home (REACH) program is a multiagency service model designed to prevent and reduce post-neonatal morbidity and mortality in high-need communities. REACH targets infants born to low-income teenage mothers, mothers with limited or no access to prenatal care, infants and mothers discharged early from the hospital, and families with psychosocial problems. A hospital-based registered nurse case manager coordinates mothers’ contacts with participating REACH agencies, makes referrals to social service organizations, and provides counseling. Families typically receive home visits when children are two weeks; six to eight weeks; and 4, 8, and 12 months old, with additional visits as necessary. Home visitors provide parent education; infant, parent, and environmental assessments; and collect information on child health and development. For more information, please read the Program Model Overview.

Top

Extent of Evidence

Results of Search and ReviewNumber of Studies
Released from 1979 to 2011 3
Eligible for review 3
     Rated high 0
     Rated moderate 1
     Rated low 2
     Additional sourcesa 0

aAdditional sources overlap with another study and are not rated.

For more information, see the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.

Top

Summary of Findings



Outcomes Primary Outcome Measures Secondary Outcome Measures
Child Development and School Readiness

Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Favorable: 0
No effect: 1
Unfavorable or ambiguous: 0

Child Health

Favorable: 0
No effect: 2
Unfavorable or ambiguous: 0

Favorable: 1
No effect: 1
Unfavorable or ambiguous: 0

Family Economic Self-Sufficiency Not measured Not measured
Linkages and Referrals Not measured Not measured
Maternal Health Not measured Not measured
Positive Parenting Practices Not measured Not measured
Reductions in Child Maltreatment Not measured Not measured
Reductions in Juvenile Delinquency, Family Violence, and Crime Not measured Not measured

Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.

Top

Criteria Established by the Department of Health and Human Services

Information Based on Comprehensive Review of All High- and Moderate-Impact Studies for this Model
High- or moderate-quality impact study? Yes
Across high- or moderate-quality studies, favorable impacts in…
 
   at least two outcome domains within one sample
 
   OR
 
   the same domain for at least two non-overlapping samples?
No
Favorable impacts on full sample? Yes
Any favorable impacts on outcome measures sustained at least 12 months after program enrollment?a No
One or more favorable, statistically significant impact reported in a peer-reviewed journal?a Yes

aThis information is reported for all program models, but the requirements for sustained findings and inclusion in a peer-reviewed journal only apply to models for which all findings are from randomized controlled trials.

Please read the DHHS Criteria for Evidence-Based Program Models for more information.

Top