3
Manuscripts
Released in 1979 through 2011
1
Manuscript
Impact studies rated high or moderate quality
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Does not meet criteria established by the U.S. Department of Health and Human Services for an evidence-based home visiting model.
Does not meet criteria for an evidence-based home visiting model for Indigenous peoples and communities.
For more information about manuscripts, search the research database.
For more information on the criteria used to rate research, please see details of HomVEEʼs methods and standards.
3
Manuscripts
Released in 1979 through 2011
3
Manuscripts
Eligible for review
1
Manuscript
Impact studies rated high or moderate quality
To see details on each manuscript HomVEE reviewed in well-designed research, click on the manuscript counts in the table.
Favorable:
A finding showing a statistically significant impact on an outcome measure in a direction that is beneficial for children and parents.
No effect:
Findings are not statistically significant.
Unfavorable:
A finding showing a statistically significant impact on an outcome measure in a direction that may indicate potential harm to children and/or parents.
| Outcomes | Manuscripts | Favorable Findings | No Effects Findings | Unfavorable Findings |
|---|---|---|---|---|
| Child development and school readiness | View 1 Manuscript | 0 | 1 | 0 |
| Child health | View 1 Manuscript | 1 | 3 | 0 |
| Family economic self-sufficiency | Not measured | - | - | - |
| Linkages and referrals | Not measured | - | - | - |
| Maternal health | Not measured | - | - | - |
| Positive parenting practices | Not measured | - | - | - |
| Reductions in child maltreatment | Not measured | - | - | - |
| Reductions in juvenile delinquency, family violence, and crime | Not measured | - | - | - |
Well-designed impact studies about this model included participants with the following characteristics:
Race/Ethnicity
Maternal Education
Well-designed impact studies about this model were conducted in the following locations:
In this section:
Support Availability
Service Delivery
Model services, adaptions and enhancements, model intensity and length.
No information about the theoretical approach for the Resources, Education and Care in the Home (REACH) model was available.
REACH served infants born to low-income teenage mothers, mothers with limited or no prenatal care, infants and mothers discharged early from the hospital, and families with psychosocial problems. Most REACH families resided in densely populated, low-income communities with public housing units.
Highlights
REACH was a multiagency service model developed by faculty and staff of the University of Illinois at Chicago and developed and implemented in collaboration with the Chicago Department of Public Health (CDPH), the Chicago Visiting Nurses Association (VNA), and Westside Future, a community-based social service agency.
No information about technical assistance was available.
REACH included case management provided by a hospital-based registered nurse case manager who coordinated mothers’ contacts with participating REACH agencies, made referrals to social service organizations, and provided counseling.
The first home visit occurred two weeks after hospital discharge and was conducted by a two-person team that included a community health advocate (CHA) and the registered nurse case manager. Each mother received a physical and psychological assessment and each infant received a physical and developmental assessment. The team also completed an environmental assessment of the home and observed mother-child interaction. Families with no identified acute issues during the first home visit received three subsequent visits at the infant’s age of six to eight weeks, 4 months, and 8 months. A public health nurse or aide from the CDPH collected information on the infant’s health and development. A final visit occurred at 12 months, during which the two-person registered nurse case manager and CHA team returned and conducted a physical and developmental examination of the infant, reviewed family program records, and verified immunizations.
If problems were identified during the first home visit, the family was referred to VNA. VNA conducted a home visit within seven days to address the identified issues; these families did not receive a visit at six to eight weeks. After the issues had been addressed, the family was referred back to the nurse case manager for reassignment to the standard program schedule.
Telephone or mail contact was used to check the outcome of referrals, address concerns voiced by mothers, confirm appointments and follow up regarding missed appointments, verify immunization status, and verify the most recent address. Monthly newsletters mailed to mothers provided age-appropriate information and reminded them to contact staff if they planned to move.
No information was available about the curriculum used for this model.
REACH required home visits at the ages of two weeks; six to eight weeks; and 4, 8, and 12 months, with additional visits as necessary.
REACH has evolved into a program called REACH Futures, which gives the community health worker a greater role in service provision and interaction with the family as part of a nurse-managed team.
REACH was a multiagency model that used staff from several different organizations. Teams of registered nurses and community workers trained as CHAs conducted the first home visit. Subsequent visits were conducted by public health nurses or aides from the CDPH or by nurses from VNA.
VNA nursing staff specialized in home management of acute problems. CHAs were typically employed by a hospital and were usually recruited from the same or similar community areas as program participants.
No information on supervision requirements was available.
No information on pre-service staff training or ongoing professional development requirements was available.
REACH was implemented in collaboration with the CDPH, the Chicago VNA, and Westside Future, a community-based social service agency.
No information was available about whether the model specified any guidelines that implementing programs or home visitors were required to meet on an ongoing basis.
HomVEE requests input and feedback from the model developers on their profiles. The information in this implementation profile reflects feedback, if provided, from this model’s developer as of the above date. HomVEE reserves the right to edit the profile for clarity and consistency. 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. Model developers are encouraged to notify HomVEE of any changes to their contact information on this page.