Implementing Maternal Early Childhood Sustained Home-Visiting Program (MECSH) Meets HHS Criteria

Implementation last updated: 2020

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.

Estimated costs of implementation

Average cost per family

The average cost per family for the full program is $7,760 (2020 AUD), or approximately $5,138 (2020 USD). This includes staff salaries and materials.
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Labor costs

Nurse salaries vary by state, implementing agency, nurse experience, and location (urban versus rural). On average, salaries for full-time nurses are $100,953 (2020 USD). Salaries for 0.5 full-time equivalent nurse supervisors average $55,549 (2020 USD).

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Purchase of model or operating license

Initial licensing fees for support services range from $170,000 to $500,000 (2020 USD), depending on the supports and training needed. The lower fee range reflects the cost of support services for local- or county-level implementation of MECSH, whereas the higher range reflects the cost for statewide implementation of MECSH. A reduced fee can be negotiated for sites participating in research. A network license is available.

In addition to the licensing fee, the implementing agency must meet the costs for data systems, program materials, resources, equipment, vehicles, and an office location for the home visiting team.

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Cost of materials and forms

The Learning to Communicate Parent Handbook, which each parent receives, costs $25 (2020 AUD), or approximately $16.50 (2020 USD).

Core MECSH materials, including the MECSH manual and Learning to Communicate manual—which each nurse, nurse coordinator, and supervisor receives—cost $105 combined (2020 AUD), or approximately $70 (2020 USD).

Family Partnership Model resources, where required, cost $256 (2020 AUD) per nurse home visitor, or approximately $175 (2020 USD).

Costs associated with materials and forms for focus modules vary, depending on the modules selected (if any).

Licensed users can download manuals as well as assessment, service delivery, and fidelity forms free of charge.

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Cost of training and technical assistance

The costs of online and in-person training and technical assistance are included in the license’s support service fee.
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Infrastructure costs

The implementing agency must meet the costs of providing data systems to track fidelity. The online fidelity reporting data system is included in the license’s support service fee.
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Recruitment and retention costs

Clients are identified, assessed for eligibility, recruited, and retained through the care provided by the implementing agency’s maternal, child, and family health services systems.
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Implementation notes

The information contained on this page was last updated in July 2020. Recommended further reading lists the sources for this information. In addition, the information contained in this profile was reviewed for accuracy by Dr. Lynn Kemp at the Western Sydney University on February 21, 2020. HomVEE reserves the right to edit the profile for clarity and consistency.

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