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Maternal Infant Health Program (MIHP) Meets HHS Criteria

Last updated: May 2019

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

The Maternal Infant Health Program (MIHP) serves pregnant women and infants up to 18 months old who live in Michigan and receive Medicaid. The model aims to reduce rates of maternal and infant morbidity and mortality by promoting healthy pregnancies, positive birth outcomes, and healthy growth and development for infants. Home visiting is offered by a team composed of a licensed social worker, a registered nurse, an infant mental health specialist, a lactation consultant, and a registered dietitian. MIHP is designed to supplement regular prenatal and infant care by offering tailored education and counseling, care coordination, and referrals. The model serves mothers and infants separately based on their respective needs. MIHP maternal services include an assessment visit and up to nine additional monthly visits to implement the plan of care during pregnancy. Mothers are also eligible to receive care as needed up to 60 days postpartum. MIHP infant services also include an assessment and up to nine additional monthly visits in the first year of the child’s life. If needs persist, the infant may be eligible for an additional nine visits, but services must conclude before the infant reaches 18 months of age. Each home visit must last at least 30 minutes. For more information, please read the Model Overview.

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Extent of Evidence

Results of Research and Review
Number of studies
Eligible for review
4
Rated high
0
Rated moderate
4
Rated low
0
Additional source1

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.

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Summary of Findings

Outcome domain links to effects details by study.
Outcomes
Primary Outcome Measures
Secondary Outcome Measures

Outcome Child Development and School Readiness

Not measured in high- or moderate-rated outcomes

Outcome Child Health

Primary outcome measures:
Favorable: 7
No effect: 0
Unfavorable or ambiguous: 0
Secondary outcome measures:
Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Outcome Family Economic Self-Sufficiency

Not measured in high- or moderate-rated outcomes

Outcome Linkages and Referrals

Not measured in high- or moderate-rated outcomes

Outcome Maternal Health

Primary outcome measures:
Favorable: 2
No effect: 0
Unfavorable or ambiguous: 0
Secondary outcome measures:
Favorable: 1
No effect: 0
Unfavorable or ambiguous: 0

Outcome Positive Parenting Practices

Not measured in high- or moderate-rated outcomes

Outcome Reductions In Child Maltreatment

Primary outcome measures:
Favorable: 0
No effect: 13
Unfavorable or ambiguous: 5
Secondary outcome measures:
Favorable: 0
No effect: 0
Unfavorable or ambiguous: 0

Outcome Reductions in Juvenile Delinquency, Family Violence, and Crime

Not measured in high- or moderate-rated outcomes

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
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
No
One or more favorable, statistically significant impact reported in a peer-reviewed journal?1
Yes

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.

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