Resources, Education, and Care in the Home (REACH)
Last updated: 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 because the findings from high- or moderate-rated effectiveness studies of the model do not meet all required criteria.
The Resources, Education and Care in the Home (REACH) program was a multiagency service model designed to prevent and reduce post-neonatal morbidity and mortality in high-need communities. REACH targeted infants born to low-income teenage mothers, mothers with limited or no access to prenatal care, infants and mothers discharged early from the hospital, and families with psychosocial problems. A hospital-based registered nurse case manager coordinated mothers’ contacts with participating REACH agencies, made referrals to social service organizations, and provided counseling. Families typically received home visits when children were two weeks; six to eight weeks; and 4, 8, and 12 months old, with additional visits as necessary. Home visitors provided parent education; conducted infant, parent, and environmental assessments; and collected information on child health and development. For more information, please read the Model Overview.
Extent of evidence
Criteria established by the U.S. Department of Health and Human Services
Notes: If the model does not meet criterion 3 but meets criteria 1 and 2 based on findings from subgroups, the impacts must be replicated in the same domain in two or more studies using non-overlapping analytic study samples. HomVEE assesses and reports criteria 4 and 5 for all models that have well-designed research, but meeting those two criteria is only required of models for which all findings are from randomized controlled trials. Please read the HHS criteria for evidence-based models for more information.