Implementing Following Baby Back Home (FBBH)

Model implementation summary last updated: 2020

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.

Materials and forms to support implementation

Service delivery forms

FBBH uses the following forms: participant referral, Health Information Portability and Accountability Act, program consent, consent to share information with physicians and community agencies, participant and family intake packet, participant demographic and medical information, immunization record, growth chart, ASQ-3 and ASQ:SE-2 introduction letter, and referrals for services.

View Revisions

Assessment tools

FBBH home visitors conduct the following assessments during enrollment:

  • Infant physical assessment;
  • Medication and formula preparation assessment, at intake and as needed;
  • Caregiver depression screening, at intake and every 6 months;
  • Food insecurity screening for infants, at intake and every 6 months;
  • ASQ-3 and ASQ:SE-2;
  • Intimate partner violence screening;
  • Infant vision screening, at and before age 3 months, and annually thereafter;
  • Infant and parent interaction observation assessment;
  • Psychosocial assessment;
  • Infant well-being assessment; and
  • Family Map Inventory.
View Revisions


The FBBH curriculum addresses the medical, social, and emotional growth and development needs of the infant and the family and covers the following topics:


  • Medical topics and procedures;
  • Management of medical concerns;
  • Strategies to reduce preventable emergency department visits and rehospitalizations;
  • Prevention of influenza and respiratory syncytial virus (RSV);
  • Immunizations;
  • Infection control and home hygiene;
  • Period of PURPLE Crying;
  • Infant feeding and food choices from ages 1 to 3;
  • Oral health and dental care;
  • Birth spacing;
  • Tax Equity and Fiscal Responsibility Act (TEFRA) option, Supplemental Security Income, and Medicaid; and
  • Medicaid transportation.

Physical/Social/Emotional Development

  • ASQ-3 learning activity handouts;
  • ASQ-3 activity pages;
  • ASQ:SE-2 Emotional Development Guide;
  • Healthy Minds: Nurturing Your Child’s Development handouts;
  • Act Early developmental checklists and booklet;
  • Bright Futures Family Tip Sheets;
  • Brain development; and
  • Infant and child pre-literacy skills.

Injury Prevention

  • Home safety checklist;
  • Safe sleep fact sheet;
  • Child maltreatment fact sheet;
  • Crybaby fact sheet;
  • Crying plan;
  • Hot car safety fact sheet;
  • Burn prevention fact sheet;
  • Fire escape plan graph;
  • Home smoke alarm distribution; and
  • Intimate partner violence fact sheet.

Additional resources are available to the home visitors on topics to address the individual needs of the family.

View Revisions

Available languages

Most FBBH materials are available in English, Marshallese, and Spanish.

View Revisions

Fidelity measurement

At least quarterly, supervisors observe a visit conducted by each home visiting team. The supervisor completes a home visit observation form that assesses the planning and delivery of the home visit, the relationship between the home visiting team and the family, and the home visiting team’s flexibility and adherence to and competence with the curriculum. Supervisors discuss fidelity issues with the home visitors individually and as a team during quarterly meetings.

View Revisions

Fidelity standards

The FBBH manual describes the model’s objectives and curriculum guidelines, and it includes a list of additional education resources.

To deliver FBBH with fidelity, the following core components of the FBBH model must be implemented:

  • Home visits are provided by a registered nurse and licensed social worker;
  • Home visiting teams participate in monthly case conference presentations with the medical director;
  • Supervisors observe each home visiting team at least quarterly;
  • Home visiting teams participate in ongoing training (quarterly, at a minimum);
  • Referrals typically are received from Arkansas NICUs;
  • Home visiting teams use the FBBH curriculum to deliver home visiting and case management services;
  • Infants’ growth and development are monitored though growth charts and ASQ-3 and ASQ:SE-2 questionnaires, according to the recommended schedule; and
  • Home visiting teams use a web-based data management system to monitor cases and assess outcomes.
View Revisions

Implementation notes

The information contained on this page was last updated in May 2020. Recommended further reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Following Baby Back Home in April 2020. HomVEE reserves the right to edit the profile for clarity and consistency.

View Revisions