Early Head Start–Home-Based Option (EHS-HBO) Meets HHS Criteria

Last updated: July 2016

In Brief

Evidence of Model Effectiveness

This model meets 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, but does not meet the criteria for tribal populations.

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Model Description

Early Head Start (EHS) targets low-income pregnant women and families with children from birth to age 3, most of whom are at or below the federal poverty level or who are eligible for Part C services under the Individuals with Disabilities Education Act in their state. The model provides early, continuous, intensive, and comprehensive child development and family support services. EHS programs include home- or center-based services, a combination of home- and center-based programs, and family child care services (services provided in family child care homes). The focus of this report is on the EHS-Home-Based Option (EHS-HBO). EHS-HBO services include weekly 90-minute home visits and two group socialization activities per month for parents and their children. Home visitors are required to have a minimum of a Home Visitor Child Development Associate (CDA) or comparable credential, or equivalent coursework as part of an associate’s or bachelor’s degree. This report also includes a review of an infant mental health home-based services adaptation of EHS-HBO services, IMH-HB EHS, which aims to help parents build stronger relationships with their infants and toddlers, foster healthy family functioning, and support the emotional health of both parent and child. For more information about EHS-HBO, please read the Model Overview.

For this report, we present author-calculated effects of the impact on participants. Participants are program group members who received more than one EHS home visit. Therefore, any program group members who received only one home visit (likely for the purpose of completing registration paperwork rather than for service delivery) are excluded.

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Extent of Evidence

Early Head Start–Home-Based Option (EHS-HBO)
Results of Research and Review
Number of studies
Eligible for review
19
Rated high
5
Rated moderate
1
Rated low
6
Additional source1
7
Early Head Start Infant Mental Health Home-Based Services Adaptation (IMH-HB EHS)
Results of Research and Review
Number of studies
Eligible for review
1
Rated high
0
Rated moderate
1
Rated low
0
Additional source1
0

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

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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.

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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
Early Head Start–Home-Based Option (EHS-HBO)
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?
Yes
Favorable impacts on full sample?
Yes
Any favorable impacts on outcome measures sustained at least 12 months after model enrollment?1
Yes
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1
Yes
Early Head Start Infant Mental Health Home-Based Services Adaptation (IMH-HB EHS)
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 model enrollment?1
Yes
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1
Yes

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

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