Maternal Early Childhood Sustained Home-Visiting Program (MECSH) Staffing and Supervision

In all three studies, registered nurses with additional training in child and family nursing implemented MECSH. One study also reported that the program was supported by a social worker, a perinatal psychiatrist, and other health and child welfare professionals.

Two of the three studies discussed the home visitors’ experience. In one study, the nurses had between 5 and 15 years of experience as a community child and family health nurse and all were trained in establishing trusting partnerships with families. The other study reported that all the home visitors had at least 9 years of nursing experience and most of them had more than 5 years of experience in community-based nursing. All were also trained on establishing trusting partnerships with families.

One study reported nurses received training in the MECSH model. None of the studies provided details on staff training or information on supervision.

One of the studies reported that each home visitor could manage a caseload of 25 families at any given time.