Maternal, Infant, and Early Childhood Home Visiting legislation permits states to fund "promising practices"--with the understanding that these models will have a rigorous evaluation component. This article describes an innovative, low cost paraprofessional home visiting model developed in Pennsylvania by the Maternity Care Coalition. In collaboration with academic partners, the program examined several important outcome measures: Clients experienced a significant reduction in depressive symptoms over the course of their participation, as measured by the Edinburgh Postnatal Depression Scale; and clients adopted target health behaviors more often than did women in comparable community samples.