HS (national evaluation) was implemented by pediatric and family medicine practices, including group practices and clinics within a hospital or health maintenance organization.
Implementing Healthy Steps (National Evaluation 1996 Protocol)
This report focuses on Healthy Steps as implemented in the 1996 evaluation. HHS has determined that home visiting is not the primary service delivery strategy and the model does not meet current requirements for MIECHV program implementation.
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
Staffing requirements
Healthy Steps used a team approach to primary health care for young children. The team included (1) the HS specialist, who conducted home visits, staffed the telephone line, attended well-child care appointments, and facilitated parent group meetings; and (2) the pediatric or family medicine clinicians, who served HS families during well-child care appointments.
Staff education and experience
HS specialists were professionals with training in early childhood development, nursing, or social work.
Supervision requirements
HS specialists were supervised by physicians or administrators in the pediatric or family practice where they worked.
No information is available on the recommended or required ratio of supervisors to HS specialists.
Staff ratio requirements
HS specialists had a caseload of approximately 100 families.
Implementation notes
The information contained on this page was last updated in August 2015.