Oklahoma’s CBFRS model was developed to improve the health and development outcomes of mothers and their infants. The model targeted first-time mothers and was designed to provide an intensive level of service through weekly and biweekly visits. Based on research suggesting that home visiting provided by professionals as opposed to paraprofessionals might provide more positive impacts, the model developers decided to use professionals in the field of child development to provide the home visits.
Implementing Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program
Implementation support is not currently available for the model as reviewed.
Model implementation summary last updated: 2012
The information in this implementation report 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 manuscripts 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. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.
The Child Abuse Prevention and Treatment Act amendments of 1996 allocated funding for state Community-Based Family Resource and Support (CBFRS) programs designed to reduce the incidence of child abuse and neglect through a wide range of services. Oklahoma used CBFRS funding to implement a home visiting program for first-time mothers.
The model was designed to enhance maternal and child health and development. Specifically the program sought to positively affect mothers’ parenting knowledge and skill, use of community services, family planning, household safety, and child immunization. The program also aimed to increase mothers’ knowledge of the effects of second-hand smoke on their children and decrease the number of cigarettes smoked.
Oklahoma’s CBFRS program provided home visitation to participants prenatally through the child’s first birthday. The content and the intensity of the program varied depending upon the stage of the intervention and the age of the child.
Model intensity and length
The program was designed to be initiated before 28 weeks gestation and continue to the child’s first birthday. The frequency of the home visits varied based upon the program phase. During pregnancy, participants were visited weekly the first month of the program, followed by biweekly visits until the child’s birth for a total of eight prenatal visits. After the child’s birth, home visits occurred weekly during the first three months of the child’s life and biweekly for the next three months, for a total of 18 visits. Between six months and one year, biweekly visits continued for the remainder of the program for a total of 12 visits. Each visit was about an hour in length.