Implementing HOMEBUILDERS (Birth to Age 5)®

Implementation last updated: 2011

The information in this profile 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 research 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. Similarly, models described here may not all have impact studies, and those with impact studies may vary in their effectiveness. Please see the Effectiveness button on the left for more information about research on the effectiveness of the models discussed here.

Materials and forms to support implementation

Operations manuals

No information is available.
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Service delivery forms

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Assessment tools

Therapists must complete a written assessment of each family within one week of the start of services. Therapists also use the North Carolina Family Assessment Scales (NCFAS/NCFAS-R) to guide the assessment process and organize information.
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No information is available.

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Available languages

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Fidelity measurement

The HOMEBUILDERS quality enhancement system (QUEST) is set of processes designed to assure quality through the continual development of HOMEBUILDERS programs. It accomplishes this using a three-pronged approach:
  • Delineation of HOMEBUILDERS standards
  • Measurement of and feedback regarding fidelity of service implementation
  • Development of quality enhancement plans, including training and consultation, which upgrade program capacities at all levels, with the ultimate goal of improving the lives of service recipients

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Fidelity standards

The HOMEBUILDERS fidelity standards define the components of successful program implementation. Below is a list of fidelity standards and indicators.

Specific Target Populations

  1. Families referred for HOMEBUILDERS services have one or more children at imminent risk of placement OR are in need of reunification that will not occur without intensive services in place.

Values-Based Orientation

  1. The therapist is behaviorally descriptive, uses value-neutral language, and avoids the use of labels and inference when communicating with or about family members.

Immediate Availability and Response to Referrals

  1. Referrals are made and accepted 24 hours a day, seven days a week.
  2. Therapists meet with families within 24 hours of referral.

Twenty-Four Hour Availability

  1. Therapists, supervisors, and other team members are available and accessible to families 24 hours a day, seven days a week.

Services Provided in the Family’s Natural Environment

  1. sessions primarily occur in the family’s home or natural environment.

Service Intensity and Caseload

  1. Therapists typically work with two families at a time; periodically therapists may work with one or three families for a short period of time.
  2. Therapists typically meet with each family three to five times per week and provide 40 or more hours of face-to-face service.

Brevity of Services

  1. Therapists typically provide services for four weeks. Services may be extended up to six weeks when an extension will substantially decrease the chance of placement.

Single Therapist Operating Within a Team

  1. Therapists and supervisors meet HOMEBUILDERS employment criteria.

Supervision and Consultation

  1. Team consultation occurs at least weekly.
  2. Therapists receive at least weekly consultation regarding client families.
  3. Supervisors routinely accompany therapists on home visits.
  4. Team members follow the HOMEBUILDERS Consultation Guidelines during team consultation meetings.

Ongoing Quality Enhancement

  1. Supervisors provide on-the-job training to new therapists.
  2. Supervisors have ongoing client contact.
  3. Program complies with QUEST requirements.
  4. HOMEBUILDERS services reduce the likelihood of out-of-home placement.
  5. Families show improvement in family functioning.
  6. Provider agency gathers feedback regarding services from family members and referents.

Promoting Safety

  1. When safety concerns are identified, family safety is increased during the intervention.

Individually Tailored Services

  1. Therapists provide services that are individually tailored to each family’s needs, goals, values, culture, circumstances, learning styles, and abilities.
  2. Scheduling and length of sessions vary to match the needs of the family and to ensure the therapist is available at times when problems are likely to occur.
  3. Therapists engage with family members.

Comprehensive Assessment

  1. The therapist completes a comprehensive assessment.

Goal Setting and Service Planning

  1. Service plans focus on goals that reduce the danger of placement or barriers to successful reunification and that can be realistically accomplished during the intervention.

Cognitive and Behavioral Approach

  1. The therapist applies cognitive and behavioral principles and research-based strategies to facilitate behavior change.

Teaching and Skill Development

  1. Therapists use a variety of teaching methods.
  2. Family members acquire needed skills during the HOMEBUILDERS intervention.

Provision of Concrete Services

  1. Families receive the items, supports, and services needed to reduce the likelihood of placement.

Collaboration and Advocacy

  1. Therapist maintains frequent communication with the referent.
  2. Therapist collaborates and advocates with others in the family’s social support network.

Transition and Service Closure

  1. Prior to conclusion of services, the therapist and family members assess goal attainment, plan for the maintenance of progress, and collaborate with the referent to address ongoing service needs.
  2. Families have access to limited post-intervention contact with their therapist.

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Implementation notes

The information contained on this page was last updated in April 2011. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by the Institute for Family Development on April 5, 2011. HomVEE reserves the right to edit the profile for clarity and consistency.

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