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Family Support Home Visiting

Why it Matters

Supporting families with children during their early years with home visiting services can reduce the economic burden on taxpayers. By improving maternal and child health, increasing child safety and reducing maltreatment, promoting child neurodevelopment and school readiness, and increasing father engagement and family self-sufficiency, we can reduce downstream costs associated with maltreatment and other trauma early in life.

  • The long-term treatment and costs associated with child trauma is exponentially more expensive than supporting families short-term with home visiting
  • Existing evidence-based programs need increased support to prepare the future generation for success and save taxpayer dollars
  • Parents are a child’s first teacher. Family Support Home Visiting ensures children are cognitively and socio-emotionally prepared for pre-K and school
  • Studies have shown that parents, infants and kids receiving family support home visiting are healthier, safer, and more resilient
  • Home visiting support has been shown to engage fathers more in co-parenting, resulting in more supportive and engaged fathers and long-term family benefits

What is Home Visiting?

These life-altering services transform the trajectory for Texas families with young children and help support parents as they experience challenges every parent faces. Whether a first-time mom, a family experiencing economic hardship, new fathers, young parents, or a single parent, family support home visiting services can help provide a foundation during the earliest and most critical years of a child's development, setting children and parents up for a life of health, education, and success.

Through mentorship and coaching of trained nurses, parent educators, family support providers or other early childhood professionals, parents are able to learn new skills we often take for granted - in the safety and comfort of their home. By removing barriers - physically and emotionally - parents and their children can focus on being engaged and ready to learn. The power of home visiting is in the approach of meeting families where they are.

Joshua's Story

Video property of the Texas HHSC Texas Home Visiting Program

Benefits of Family Support Home Visiting

5 Core Benefits of Home Visiting

  • Children are safer
  • Moms and babies are healthier
  • Children are more prepared for school
  • Families are more self-sufficient
  • Saves both lives and money

Decades of research has repeatedly demonstrated the positive impact a variety of home visiting programs have across the lives of parents and their children. By building healthy, trusting, and long-lasting relationships, "home visitors" are able to connect and refer families to a much larger network of resources and services such as access to high-quality child or respite care, mental health services or concrete resources. As a result, the benefits are both immediate and long-lasting, changing the future for families and the communities in which they live and work.


Home Visiting as a Child Abuse Prevention Strategy

While home visiting is not a silver bullet and cannot prevent all horrific incidences of child abuse in our state, it is one of the only proven inoculations protecting families from child maltreatment. The following outcomes have been seen across a number of programs:

  • 28 to 48% Fewer children who are victims of abuse1
  • 44% Fewer out-of-home (typically foster care) placements2
  • 26% Reduction of children who are re-abused by age six3
  • 35% Fewer visits to the ER due to abuse4
Additional Impact:5
  • 83% Increase in mother's labor force participation (by child age 4)
  • 18% Reduction of first premature births
  • 50% Reduction of low-birth weight babies
  • 50% Reduction in language delays shortly before a child's 2nd birthday
  • 20% Reduction of months on welfare
  • 53% Reduction in child arrests at age 15

Worth the Investment

Our children and families are worth the investment in home visiting. Children are our most valuable and precious resource - and our future. Children are our future workforce, future leaders and caregivers. And children should be provided the opportunity to reach his or her potential to thrive. Family Support Home Visiting programs also save the state, country, and taxpayers money. For every dollar invested in evidence-based programs, they can provide a return on investment ranging from $1.18 to $14.65 (source) by reducing and averting many costly social issues like child abuse, juvenile delinquency and Medicaid costs while increasing revenue from gainful employment.


Impact in Texas: Facts and Figures

Currently, there are over a dozen different home visiting programs reaching an estimated 23,000 children and families every year in Texas. But we have over HALF A MILLION families with young children that qualify and could benefit from services. We are currently reaching just 10% of our most-vulnerable families (source).

Additional Home Visiting Resources

Research and Evaluation

Cost-Effectiveness and ROI

Policy and Advocacy


1 Olds, D. L., Eckenrode, J., Henderson, C. R., Kitzman, H., Powers, J., Cole, R., . . . Luckey, D. (1997). Long-term effects of home visitation on maternal life course and child abuse and neglect. Fifteen-year follow-up of a randomized trial. Journal of the American Medical Association, 278(8), 637-643.
Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P system population trial. Prevention Science, 10(1), 1-12.
2 Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P system population trial. Prevention Science, 10(1), 1-12.
3 Chaffin, M., Hecht, D., Bard, D., Silovsky, J. F., & Beasley, W. H. (2012). A statewide trial of the SafeCare home-based services model with parents in child protective services. Pediatrics, 129(3), 509-515.
4 Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P system population trial. Prevention Science, 10(1), 1-12.

Our Mission

Our mission is to protect Texas children from the trauma of abuse and neglect and empower families to thrive through education, research, and advocacy. Our vision is that all children are safe, nurtured, and resilient. Learn more about the work we do. You can help protect Texas children from abuse & neglect. Find out how you can help.

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