Promoting First Relationships®—Home Visiting Option

Last updated: 2019

Model overview

Theoretical approach

PFR-Home Visiting Option is a version of PFR used with parents in the home. PFR can also be used one-on-one with parents in a health clinic and with child care providers and early childhood teachers responsible for group care. The information in this profile describes PFR-Home Visiting Option unless specified otherwise.

PFR in general, based on attachment theory, posits that developing strong early relationships with caregivers is the key to healthy social, emotional, behavioral, language, and cognitive development in children. The model aims to foster parent-child relationships by helping parents read and understand child cues and the unmet needs behind challenging behaviors, and supporting parents’ use of sensitive and responsive caregiving behaviors.

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Model services

PFR-Home Visiting Option involves home visitors providing feedback to parents based on video recordings of the parent’s interactions with the child. The home visitor makes video recordings of the parent interacting with the child at home, and the home visitor and parent view and reflect on the recordings. The home visitor highlights positive interactions observed and offers instructive comments to enhance caregiving. The home visitor also helps the parent reflect on his or her own behavior, feelings, and needs during the interaction, as well as on those of the child. In addition, PFR-Home Visiting Option provides parents with information, including handouts, on the social and emotional needs of young children, and strategies to meet these needs. The home visitor and the parent discuss ways to handle challenging behaviors and explore the parent’s own social-emotional development and how that influences caregiving.

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Intended population

PFR-Home Visiting Option serves parents of children ages birth to 5 years.

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Where to find out more

Jennifer Rees
Director, Promoting First Relationships Home Visiting
Parent-Child Relationship Programs
Barnard Center, University of Washington
Box 357920, CHDD South Building Room 212
Seattle, WA 98195
Phone: (206) 616-5380

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