Implementing ParentChild+® Core Model

Implementation last updated: 2019

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

The National Center produces six manuals that provide the information needed for local sites to implement the ParentChild+ Core Model: Implementation Manual, Coordinator’s Manual, Home Visitor’s Manual, Management Information System Manual, Replication Guide, and Guide to the Training Videotapes.

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Service delivery forms

The following forms are used to collect information that is entered into the MIS:

  • Family Information Form: Completed for the child and family as they enter the program; this form captures baseline data for the program site’s records and for aggregate reporting at the end of the year.
  • Family Participation Form: Captures information about the family’s participation and administration of pre- and post-assessments for each cycle.
  • Family Referral Form: Captures information about referrals made for family members over the course of the program.
  • Family Follow-Up Information Form: Gathers information on the status of the child and parents after they complete the program, including the child’s school performance.
  • Replication Site Information Form: Completed at the start of each new program year, this form captures all the data on the program site and the number of families participating in the program for the year.
  • Staff Information Form: Gathers information on program site's staff.
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Assessment tools

The National Center requires that all ParentChild+ Core Model replication sites administer two assessments (Child’s Behavior Traits [CBT] and Parent and Child Together [PACT]) that were designed to assess children’s prosocial behavior and parent-child interaction. Both of these measures can also be administered by video recording and then having an independent evaluator code the recorded videos using the rating scale. Other assessments include the Ages and Stages Questionnaire (ASQ), Preschool Language Scales fifth edition (PLS-5), Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO), and the Peabody Picture Vocabulary Test (PPVT). In addition, program sites may use other assessments as required by particular states or funders. The National Center can provide training for program sites on integrating these assessments into model implementation.
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The National Center requires that ParentChild+ Core Model sites use its social-emotional and cognitive curriculum, which includes reading and play activities that are shared with families during the home visits. The curricular materials—the books, toys, and activities that form the basis of the curriculum—follow a developmental continuum. The National Center does not mandate the use of particular books and toys, to allow individual sites to adapt the curricular materials to families’ cultural and language needs. The National Center provides a model curriculum reflecting the toys, books, and activities that are most frequently used nationally.

The National Center provides training and detailed materials on the criteria that the books and toys must meet, which program sites must refer to as they put together their own developmentally appropriate list of books and educational toys. The National Center also provides extensive guidance on recommended curricular materials and provides replication sites with curriculum guide sheets for a wide range of books, toys, and activities. The guide sheets provide parents with suggestions for learning opportunities for each toy, book, or activity; questions and comments to use with their children related to the toy, book, or activity; strategies for dialogue (such as dialogic reading); strategies for prosocial behavior (such as systematic play); and enrichment activities (such as songs, rhymes, and finger plays). Site coordinators receive training in how to create guide sheets for any new materials they may choose to meet the language or cultural needs of their replication sites. Guide sheets developed by program site staff and alternate curricular materials are reviewed through the site certification process.

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Available languages

The ParentChild+ Core Model serves families speaking more than 50 different languages; the National Center works with program sites to ensure that almost all families are served by a home visitor who speaks their native language. In addition, site coordinators are trained in selecting books, toys, and materials that are culturally and linguistically appropriate for the families served by their site. Guide sheets are available in multiple languages from the National Center for many of the books and toys used by the program sites, and the National Center works with local program sites on translating and adapting the guide sheets into other languages as needed.

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Fidelity measurement

The National Center requires that all Core Model sites collect fidelity data. Sites collect data on the following fidelity indicators: (1) dosage (the number of visits offered and completed and the number of books and educational toys offered and provided to families); (2) practice (records documenting the session are required for every home visit completed); and (3) model implementation (all program sites are required to collect and submit an annual Key Elements Report to the National Center, which documents fidelity to the key elements of the model). Data is collected from provisionally certified and officially certified sites.
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Fidelity standards

The National Center requires program sites to adhere to the ParentChild+ Core Model Basic Requirements or Key Elements. The requirements include:

  • Families’ participation in the ParentChild+ Core Model is voluntary.
  • The program is provided at no cost to the families.
  • Children enter the program at approximately 2 years old (or as early as 16 months) and participate with a parent (or other primary caregiver) for two cycles.
  • Each family receives two home visits a week for two cycles over a one- to two-year period.
  • The program site offers 23 weeks of home visits (46 visits) each cycle to all participating families, for a total of 92 visits over the two cycles.
  • A parent (or other primary caregiver) must participate with the child and the home visitor in every home visit.
  • The model materials, a book, toy, or activity chosen based on the criteria established by the National Center, are given as gifts to the family each week.
  • The site coordinator is trained by the National Center, or by arrangement with the National Center, by a regional trainer certified by the National Center.
  • The site coordinator must have a college degree. At most program sites, the coordinator is a certified early childhood educator or social worker.
  • Each local site and/or its sponsoring agency must complete a proposed plan and replication agreement. These documents must be signed by the administrator overseeing the program site and submitted to the National Center.
  • The program site must provide the National Center with annual aggregate information on services provided, model implementation, and outcomes through the web-based MIS.
  • The site coordinator hires, trains, and supervises the site’s home visitors pursuant to the guidelines established by the National Center.
  • To maintain model integrity, quality, and outcomes, all replication sites must follow the ParentChild+ Core Model, according to the criteria set forth in the replication agreement, in the training manuals, and at the training institutes. Variations to fit local needs are acceptable only when reviewed and approved by the National Center. If a replication site is not in compliance with these criteria and/or has not signed a replication agreement, it is not permitted to use the ParentChild+ name or copyrighted materials.
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Implementation notes

The information contained on this page was last updated in August 2019. Recommended Further Reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by The Parent-Child Home Program National Center on February 7, 2019. HomVEE reserves the right to edit the profile for clarity and consistency.

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