Data and Findings

Statewide Data Collection Standardized Home Visiting Measures
In FY 2017, more than 70 evidence-based home visiting programs are providing services to at-risk families in Maryland. The Maryland Home Visiting Accountability Act of 2012 mandates that all home visiting programs funded through state or federal monies report on standard measures, represented in the table below. While each program collects data specific to its funder or program model, the mandated standard measures will allow Maryland to view the impact of statewide home visiting efforts through a single lens.
 
For the initial statewide data collection effort, home visiting data was compiled and analyzed for the period of July 1, 2014 - June 30, 2015. The report on standardized home visiting measures was submitted to the Governor and the Joint Commission on Children, Youth and Families in December of 2016. Click here to access the FY15 Report.
 
Domain and Standardized Home Visiting Measures Approved by the Children's Cabinet:
 
Child Health
      Percent of enrolled children who have received well-child check-ups according to the schedule recommended by the American Academy of Pediatrics.
 
Maternal Mental Health
1.    Percent of enrolled mothers screened for mental health concerns.
2.    Percent of identified mothers referred for mental health services.
3.    Percent of referred mothers received supplemental mental health services.
4.    Percent of enrolled mothers whose stress levels are scored over the clinical cutoff for parenting stress according to the Parenting Stress Index.
 
Typical Child Development
1.    Percent of enrolled children whose development is scored at “typical” according to the Ages and Stages Questionnaire (ASQ-3)
2.    Percent of enrolled children whose socio-emotional development is scored as “typical” according to the Ages and Stages Questionnaire: Socio-emotional (ASQ-SE)
 
Children’s Special Needs
      Percent of enrolled children referred to Part C/Early Intervention services for special needs.
 
Relationships
1.    Percent of mothers with improved parenting behaviors and parent-child relationship.
2.    Percent of mothers who screened positive for domestic violence at 36 weeks.
3.    Of the mothers who screened positive for DV at 36 weeks, the percent who have completed safety plans within 24 hours of screening.
 
Maryland Home Visiting Evaluation
 
As part of the MIECHV Program expansion through the Affordable Care Act, funding is allocated for research and evaluation. States are required to carry out research activities to increase knowledge about the implementation and effectiveness of home visiting programs.
 
The Maryland Department of Health (MDH) is contracted with experienced researchers at the University of Maryland and Johns Hopkins University to evaluate home visiting programs statewide. These researchers have decades of experience in designing and testing strategies to advance the field of home visiting.
 
The Maryland Home Visiting Evaluation aims to describe current home visiting practices, explain variation across sites, develop innovative ways to improve implementation, and advocate for policy recommendations to improve the health of at-risk families. The evaluation focuses on three central components of home visiting practice:
  1. Recruiting and enrolling families;
  2. Addressing sensitive issues (mental health, substance use, and domestic violence); and
  3. Coordinating with healthcare providers.
Over the past year, the evaluation has focused on focal areas #2 and #3. In focal area #2, the evaluation team conducted a randomized trial of the Home Visiting Training Certificate Program to describe training impact on home visitor communication competencies and skills. Next steps include analyzing data to determine the training’s immediate and long-term outcomes. In focal area #3, the evaluation team conducted interviews with healthcare providers and home visiting programs to learn about the current state of coordination in Maryland. Next steps include piloting a user-friendly system for home visiting programs and medical practices to communicate pertinent information with one another.
 
Future evaluation activities include an innovative partnership with New Jersey home visiting to improve practices around the family goal plan.
 
As the team completes each phase of the evaluation, research briefs will be available.
 
 
 
For information about other home visiting research, visit the Home Visiting Applied Research Collaborative.
 
For more information about home visiting in Maryland or the MIECHV grant, please call 410-767-6753.
 
Please contact Laina Gagliardi at lgaglia1@jhu.edu or 443-287-5128 for specific evaluation questions.
 
 
June 2017
 
Maternal, Infant, and Early Childhood Home Visiting Program Links
For more information about this grant, please call 410-767-6753