Maternal Early Childhood Sustained Home-Visiting Program (MECSH) Staff Ratio Requirements

Full-time nurse home visitors manage a caseload of up to 30 families. Part-time home visitors and those with a higher proportion of families with very complex needs, or with families in rural areas that require additional travel time, have smaller caseloads. Caseloads should include a mix of families at varying program stages. The developer suggests 6 prenatal families, 6 families with children 0 to 6 months old, 6 families with children 6 to 12 months old, and 12 families with children older than 12 months.