Extensive research has shown that home visiting parental education programs improve child and family outcomes, and they save money for states and taxpayers. Now, the next generation of research is deepening understanding of those program elements that are essential to success, ways to improve existing models, and factors to consider in tailoring…

Defining quality and designing a quality assessment measure for home visitation programs is a complex and multifaceted undertaking. This article summarizes the process used to create the Home Visitation Program Quality Rating Tool (HVPQRT) and identifies next steps for its development. The HVPQRT measures both structural and dynamic features of…

Although some home visiting programs have proven effective with the families they serve, no program has yet demonstrated broader impact on an entire county or state population. This article describes the Durham Connects program, which aims to achieve broad county-level effects by coalescing community agencies to serve early-intervention goals…

It is a common assumption that mothers who have had previous births would participate less fully and have poorer outcomes from early home visitation programs than would first-time mothers. The authors conducted a qualitative and quantitative study to test that assumption by measuring three aspects of participation: time in the program, the number…

A growing body of evidence suggests that involving families in home visiting services promotes positive experiences during the initial years of a child's life; however less is known about whether or not the benefits continue to accrue after a child enters school. This article describes the results of a study examining the effectiveness of an…

Variations in dosage, content, and family engagement with Early Head Start (EHS) home visiting services were examined for families participating in the EHS Research and Evaluation Project. Families were grouped by characteristics of maternal age, maternal ethnicity, and level of family risk. All home visiting variables were related differentially…

The authors describe the research and evaluation activities connected to the new Maternal, Infant and Early Childhood Home Visiting program. The goal of these activities is to provide information on federal, state, and local efforts to strengthen programs by providing much needed knowledge on the best ways to support the implementation of home…

The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program is part of The Patient Protection and Affordable Care Act and provides $1.5 billion over 5 years to states, territories, and tribes with the goal of delivering evidence-based home visiting services as part of a high-quality, comprehensive early childhood system that promotes…

The MOM Program is an innovative home visiting program whose aim is to empower low-income urban mothers to obtain health and early intervention services for their children. The authors discuss a recent evaluation of the MOM program which sought to examine maternal involvement in the program. The results raise important questions and call for…

The author explores the reflective components of observation, listening, wondering, and response. Together, these components invite parents to discover who their babies are as well as to understand the importance of nurturing relationships, past and present, to development, growth, and change. Of equal interest, reflective practice offers Infant…

This article begins with a review of research providing evidence that social-emotional competence is a key component of school readiness and that the foundations for social-emotional competence are laid down in the earliest years. We go on to review effective practices and specific interventions that have been found to strengthen children's…

Since the National Education Goals Panel was convened in 1991, school readiness for all children has remained a high priority across our nation. The Foundations of Learning Framework is a tool to understand what it means for a child to be "ready." Preparation for educational success requires two key ingredients--relationships and play. In the…

Gaping disparities in educational achievement exist at kindergarten entry. Research indicates that school readiness requires a holistic approach directed by the pivotal question: What will allow babies to become successful learners? By understanding the real-life situations of babies and their families in the context of their communities and…

Prenatally and in infants and toddlers, the brain is being constructed as a foundation for all later learning. Positive early experiences contribute to the formation of a brain that is capable, early in infancy, of utilizing and strengthening the basic processes of learning. Throughout a lifetime, a person will repeatedly use these approaches to…

Contrary to the concept of school readiness as achieving a particular set of attributes considered essential for educational success, this article is grounded in the assumption that all children are ready to learn, but what they are expected to learn varies widely from one cultural setting and historic period to another. The authors challenge the…