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HOMEBUILDERS (Birth to Age 5)®

In Brief

Last Updated

July 2011


Evidence of Model Effectiveness

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


Model Description

HOMEBUILDERS is designed for families with children at risk for placement in state-funded care. The program aims to prevent the unnecessary out-of-home placement of children by teaching families problem-solving skills through intensive, in-home crisis intervention, counseling, and life-skills. Five characteristics categorize the services offered through HOMEBUILDERS: (1) intervention at the crisis point (client families are seen within 24 hours of referral); (2) treatment in the natural setting (almost all services take place in the client's home and community); (3) accessibility and responsiveness (therapists are on call to their clients 24 hours a day, 7 days a week); (4) research-based interventions (therapists use research-based interventions, including crisis intervention, motivational interviewing, parent education, skill building, and cognitive/behavioral therapy); and (5) flexibility (services are provided when and where the clients wish and therapists provide a wide range of services based on the clients’ needs). For more information, please read the Model Overview.


Extent of Evidence

Results of Research and ReviewNumber of Studies
Released from 1979 to 2011 44
Eligible for review 0
     Rated high 0
     Rated moderate 0
     Rated low 0
     Additional sources1 0

1Additional 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.


Summary of Findings

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.


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? None eligible for review
Across high- or moderate-quality studies, favorable impacts in…
   at least two outcome domains within one sample
   the same domain for at least two non-overlapping samples?
Favorable impacts on full sample? NA
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1 NA
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1 NA

NA = not applicable.

1This information is reported for all 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 HHS Criteria for Evidence-Based Models for more information.