Implementing Early Start (New Zealand) Meets HHS Criteria

Model implementation summary last updated: 2015

The information in this implementation report reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.

Prerequisites for implementation

Type of implementing program

Early Start is implemented by the Early Start Project Ltd., a charitable non-governmental organization based in New Zealand.

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Staffing requirements

Early Start is staffed by 17 to 20 full-time home visitors (called Family Support Workers/Whanau Awhina). Other staff include a general manager, clinical manager, three clinical supervisors, and administrative support staff.

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Staff education and experience

Early Start employs home visitors with educational backgrounds in nursing, social work, early childhood education, teaching, or related fields. Home visitors must also have an awareness of cultural issues, experience with high-risk families, and evidence of good interpersonal skills and sound judgment.

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Supervision requirements

Home visitors receive, on average, two hours of clinical supervision each week from trained supervisors. During these sessions, the pair reviews the home visitor’s caseload and case notes. They also discuss future plans for families. In addition, the supervisor provides time for the home visitor to discuss challenges or concerns.

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Staff ratio requirements

Home visitor caseloads are calculated by allocating case load points (CLP) to each family based on the service level each family is enrolled in. For example, a family enrolled in level one has an allocation of 2.75 CLP. It is recommended that each FTE home visitor has a maximum caseload of 30 CLP.

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Data systems/technology requirements

Early Start Project Ltd. provides guidance to local implementing agencies on database requirements.

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Implementation notes

The information contained on this page was last updated in July 2015. Recommended further reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Early Start Project Ltd. in April 2015. HomVEE reserves the right to edit the profile for clarity and consistency.

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