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Implementing Nurse-Family Partnership (NFP)®

Meets HHS criteria for an evidenced based model

Model Overview

Last Updated

April 2018


The information in this profile reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model here, including any adaptations, may differ from how it was implemented in the studies reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness.


Implementation Support

The Nurse-Family Partnership® (NFP) is a home visiting model supported in its replication by a Colorado-based national nonprofit organization referred to as the Nurse-Family Partnership National Service Office (NFP NSO). The NFP NSO helps states and communities implement and sustain NFP.

The NFP NSO has established partnerships for the provision of consultative services in many states and major urban and rural areas, including California, Colorado, Louisiana, Minnesota, North Carolina, Oklahoma, Pennsylvania, South Carolina, Texas, and New York City.


Theoretical Model

NFP is shaped by human attachment, human ecology, and self-efficacy theories. The model is client-centered and driven by client-identified goals. NFP nurse home visitors use input from parents, nursing experience, nursing practice, and a variety of model-specific resources coupled with the principles of motivational interviewing to promote low-income, first-time mothers’ health during pregnancy, care of their child, and own personal growth and development.


Target Population

NFP is designed for first-time, low-income mothers and their children. Mothers may invite fathers and other family members to participate in home visits.

NFP requires a client to be enrolled in the program early in her pregnancy and to receive a first home visit no later than the end of the woman’s 28th week of pregnancy. Services are available until the child is 2 years old.


Targeted Outcomes

NFP is designed to (1) improve prenatal and maternal health and birth outcomes, (2) improve child health and development, and (3) improve families’ economic self-sufficiency and/or maternal life course development.


Model Components

The NFP model includes one-on-one home visits between a registered nurse educated in the NFP model and the client.


Model Intensity and Length

NFP nurses conduct weekly home visits for the first month after enrollment and then every other week until the baby is born. After the child’s birth, client need determines the visit schedule. Clients are assessed using the Strength and Risk Framework at enrollment, after the child’s birth, and regularly throughout the program. The results determine the visit schedule and where the visits will be held, the client’s home or another location. Visits may increase or decrease depending on the client’s strengths, risks, and identified need. Home visits typically last 60 to 75 minutes.

NFP NSO recommends that programs begin conducting visits early in the second trimester (14–16 weeks gestation) and requires programs to begin visits by the end of the 28th week of pregnancy. Clients graduate from the program when the child turns 2 years old.



NFP programs are located in 42 states, the U.S. Virgin Islands, and several tribal communities.


Adaptations and Enhancements

In some tribal communities, NFP has enrolled women with previous births.

Dr. David Olds at the Prevention Research Center at the University of Colorado oversees adaptations to the model. Dr. Olds also manages any requests for enhancements to the model.



The information contained on this page was last updated in April 2018. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Nurse-Family Partnership National Service Office on January 17, 2018. HomVEE reserves the right to edit the profile for clarity and consistency.