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Family Economic Self-Sufficiency

In Brief

Overview

Some home visiting models in the HomVEE review have a goal of improving the self-sufficiency of participating families. To achieve this goal, models facilitate parents’ engagement in educational and training programs, and encourage their pursuit of employment. Some models also help families access family support services such as temporary cash assistance and supplemental food programs. Home visitors accomplish these tasks by providing information about services in the community and linking families to self-sufficiency programs. Some may directly provide educational and training services (such as GED classes).

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Measurement Considerations

Primary outcome measures in this domain include measures of public assistance receipt based on government administrative records. Secondary outcome measures are based on maternal self-reports of service receipt and economic outcomes.

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Review of Studies

The HomVEE review examined the research on 45 program models with studies published between 1979 and 2016. (More information is available on literature search and prioritizing program models for review.) Of the 9 home visiting program models with high- or moderate-quality studies that measured outcomes in this domain, 3 had favorable effects on primary outcome measures and 4 had favorable effects on secondary outcome measures.

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Summary of Findings

The effects shown in the research are grouped into four categories: (1) favorable, (2) no effect, (3) unfavorable or ambiguous, and (4) not measured. Results for program models that do not have studies with a high or moderate rating are listed as “not applicable.” For more information on these categories please read Describing Effects. Only results from studies that meet the standards for the high or moderate ratings are considered below. This table includes links to more information on the program model’s effectiveness, implementation, and details on outcomes in this domain.

Effects Shown in Research — Family Economic Self-sufficiency Domain


Program Model Name Meets DHHS-Criteria Primary Outcome Measures Secondary Outcome Measures For More Information
Attachment and Biobehavioral Catch-Up (ABC) Intervention
ABC
Yes Not measured Not measured
Child First Yes Not measured Not measured
Child Parent Enrichment Project (CPEP) No Not measured Not measured
Childhood Asthma Prevention Study (CAPS) No Not measured Not measured
Computer-Assisted Motivational Intervention (CAMI)
Computer-Assisted Motivational Intervention (CAMI)
No Not measured Not measured
Early Head Start-Home Visiting (EHS-HV) Yes

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

Favorable:  16
No effect: 74
Unfavorable or ambiguous: 2

Early Intervention Program for Adolescent Mothers Yes

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

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

Early Start (New Zealand)
Early Start (New Zealand) - Full Sample
Yes

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

Favorable:  0
No effect: 7
Unfavorable or ambiguous: 0

Even Start-Home Visiting (Birth to Age 5) No Not applicable Not applicable
Family Check-Up® For Children Yes Not measured Not measured
Family Connections (Birth to Age 5) No Not applicable Not applicable
Family Connects Yes Not measured Not measured
Family Spirit® Yes Not measured Not measured
Health Access Nurturing Development Services (HANDS) Program Yes

Favorable:  2
No effect: 0
Unfavorable or ambiguous: 1

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

HealthConnect One's® Community-Based Doula Program No Not applicable Not applicable
Healthy Beginnings Yes Not measured Not measured
Healthy Families America (HFA)® Yes

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

Favorable:  4
No effect: 38
Unfavorable or ambiguous: 2

Healthy Start-Home Visiting No Not measured Not measured
Healthy Steps (National Evaluation 1996 Protocol) Yes Not measured Not measured
Home Instruction for Parents of Preschool Youngsters (HIPPY)® Yes Not measured Not measured
Home-Start No Not measured Not measured
HOMEBUILDERS (Birth to Age 5)® No Not applicable Not applicable
Maternal Early Childhood Sustained Home-Visiting Program (MECSH) Yes Not measured Not measured
Maternal Infant Health Outreach Worker (MIHOW)® No Not applicable Not applicable
Minding the Baby® Yes Not measured Not measured
MOM Program No

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

Favorable:  0
No effect: 13
Unfavorable or ambiguous: 0

Mothers’ Advocates in the Community (MOSAIC) No Not applicable Not applicable
North Carolina Baby Love Maternal Outreach Workers Program No Not applicable Not applicable
Nurse Family Partnership (NFP)® Yes

Favorable:  4
No effect: 16
Unfavorable or ambiguous: 1

Favorable:  17
No effect: 78
Unfavorable or ambiguous: 1

NFP with Nurse Home Visitors - Mothers with low psychological resources subgroup
NA

Favorable:  0
No effect: 6
Unfavorable or ambiguous: 1

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

NFP with Paraprofessional Home Visitors
NA

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

Favorable:  2
No effect: 11
Unfavorable or ambiguous: 1

Nurses for Newborns® No Not applicable Not applicable
Nurturing Parenting Programs (Birth to Age 5) No Not applicable Not applicable
Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program Yes Not measured Not measured
Parent-Child Assistance Program (PCAP)
Parent-Child Assistance Program (P-CAP)
No Not applicable Not applicable
Parent-Child Home Program No Not measured Not measured
Parents as Teachers (PAT)®
Parents as Teachers
Yes

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

Favorable:  0
No effect: 38
Unfavorable or ambiguous: 2

Parents as First Teachers (New Zealand)
Yes

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

Favorable:  0
No effect: 19
Unfavorable or ambiguous: 1

Philani Outreach Programme No Not applicable Not applicable
Play and Learning Strategies (PALS)
Play and Learning Strategies (PALS) Infant
Yes Not measured Not measured
Pride in Parenting (PIP) No Not applicable Not applicable
Promoting First Relationships® No Not applicable Not applicable
Resource Mothers Program No Not applicable Not applicable
Resources, Education, and Care in the Home (REACH) No Not measured Not measured
REST Routine No Not measured Not measured
SafeCare®
SafeCare Augmented
Yes

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

Favorable:  0
No effect: 4
Unfavorable or ambiguous: 0

Seattle-King County Healthy Homes Project No Not applicable Not applicable
Triple P-Positive Parenting Program®-Home Visiting (Triple P-Home Visiting)
Triple P-Home Visiting
No Not measured Not measured
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