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       STANDARD                KEY COMPONENTS           EVIDENCE-BASE       EVIDENCE MEETING STANDARD         MY PROGRAM ASSURES THIS BY
                                                                                    (EXAMPLES)
1. Program has              Initiate services          D.S. Gomby,          Defines target population
  community                  prenatally directly or     C.S. Larson,         Has plan and agreements in
  partnerships in            indirectly through         E.M. Lewit, and       place for reaching target
  place to identify the      partnership                R.E. Behrman,         population
  families in the           Identifies families most   “Promoting the       Monitors acceptance and
  target population          in need – strengths and    Emotional Well-       retention
  as applicable to           needs                      Being of             Tool to systematically assess
  program.                  System in place to         Children &            strengths and needs
                             reach families             Families:            Home visiting curricula
                                                        Building Services
                            Criteria for service                             addresses health-related
                                                        and Systems to
                             delivery                                         behaviors etc. in pregnancy
                                                        Support the
                            Coordinates/monitors       Healthy              Provides information,
                             provision of medical       Emotional             referrals and linkage to
                             care/medical home          Development of        available health care
                                                        Young Children:       resources and follows up.
                                                        An Action Guide      Monitors prenatal care and
                                                        for Policymakers;     well-child visits
                                                        Jane Knitzer;
                                                        2001;National
                                                        Center for
                                                        Children in
                                                        Poverty




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       STANDARD               KEY COMPONENTS           EVIDENCE-BASE       EVIDENCE MEETING STANDARD           MY PROGRAM ASSURES THIS BY
                                                                                   (EXAMPLES)
2. Program has a           At a minimum staff          Honig, A.S., &       Services are responsive to
  system for assuring      training should include:    Hirallah, A.          the needs of families and
  appropriate staff            Community-Based        (1998 June)           communities
  training, meeting            Family-Centered        Which counts         Home visitors receive
  the minimum                  Strength-Based         more for              ongoing training on culturally
  standards                    Governance &           excellence in         competent practices
  established by the            Administration         child care staff:    Program evaluates cultural
  Maryland Home                Program
                                                       years in service,     competence of all aspects of
                                                       education level,
  Visiting                      Management                                   its service delivery
                                                       or ECE
  Consortium, for              Culturally Competent                        Program has and implements
                                                       Coursework?
  orientation, core             Services               ERIC Document         system for assuring pre-
  competencies and             Staff Development
                                                       NO. ED421211          service delivery, role specific
  on-going training.           Staff                  D.S.Gomby,            and ongoing staff training
                                Caseloads/Selection    P.L.Cutross, and      and development
                                                       R.E. Behrman,        Home visiting staff receive
                                                       “Home Visiting:       training on domestic
                                                       Recent Program        violence, mental health
                                                       evaluations –         issues and substance abuse
                                                       Analysis and
                                                       Recommendation
                                                       s.” The Future of
                                                       Children 9
                                                       (Spring/Summer
                                                       1999):4-26
                                                       Bernstein,
                                                       Percansky, and
                                                       Wechsler (1994)




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       STANDARD                 KEY COMPONENTS          EVIDENCE-BASE       EVIDENCE MEETING STANDARD         MY PROGRAM ASSURES THIS BY
                                                                                    (EXAMPLES)
3. Program has a              The program has          A.K. Duggan,         Focus is on parent-child
  nationally                   comprehensive            E.C. McFarlane,       interaction and healthy child
  recognized                   guidelines and/or        M.M. Windham,         growth and development
  child/family                 proven curriculum that   C.A. Rohde, D.S.     Home visitors are trained in
  curriculum and/or            promotes positive        Salkever, L.          the implementation of
  guidelines that              parenting skills,        Fuddy, L. A.          curriculum and
  structure services           parent-child             Rosenberg, S.B.       developmental tool
  to provide age               interaction and          Buchbinder, and      Home visitor and family
                                                        C.C.J. Sia,
  appropriate child            knowledge of child                             collaborate to establish
                                                        “Evaluation of
  anticipatory                 development with                               services that are
                                                        Hawaii’s Healthy
  guidance, including          families                 Start Program,”
                                                                              individualized to respect
  social-emotional                                      The Future of
                                                                              family concerns and in
  health, with a focus                                                        accordance with the child’s
                                                        Children 9            developmental level
  on supporting the                                     (David and
  caregiver in the role                                                      All home visits include a
                                                        Lucille Packard
  as their child’s first                                                      parent-child activity
                                                        Foundation):
  teacher.                                                                   Provides information,
                                                        (Spring/Summer
                                                                              referrals and linkage to
                                                        1999): 66-90
                                                                              available health care
                                                        Healthy
                                                                              resources and follows up.
                                                        Emotional
                                                        Development of
                                                        Young Children:
                                                        An Action Guide
                                                        for Policymakers;
                                                        Jane Knitzer;
                                                        2001;National
                                                        Center for
                                                        Children in
                                                        Poverty




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       STANDARD                KEY COMPONENTS          EVIDENCE-BASE      EVIDENCE MEETING STANDARD          MY PROGRAM ASSURES THIS BY
                                                                                  (EXAMPLES)
4. Program ensures          Staff                     Bernstein,          Adequate staff and realistic
  that the home              Support/Supervision       Percansky, and       caseloads to allow for service
  visiting staff            Annual performance        Wechsler (1994)      planning and follow-up and
  receives individual        review                    Healthy Families     training
  supervision and                                      Montgomery          Home visitors receive
  support on a                                         Evaluation           individual and regular
  regular basis and at                                 Report – Year 5      supervision and support
  least an annual                                      (July 1, 2000 –
                                                       June 30, 2001);
  formal performance
                                                       Donna Klagholz,
  review.
                                                       Ph.D. &
                                                       Associates,
                                                       LLC))




5. Program ensures          Home visits are           Seitz et. Al.       Home visits include home
  that, at a minimum,        conducted in the home     (1985)               visitor, child and one or more
  monthly face-to-           to build the primary      Powell and           of parents or primary
  face contact and/or        learning environment      Grantham-            caregiver
  home visits are            of the family             MaGregor (1989)     Services vary in intensity and
  conducted with            Delivery of services to   O’Campo ,            frequency based on needs of
  defined criteria for       families is guided by     Patricia.            family
  increasing and             the Individual Family     Outcome             Services are responsive to
                             Support Plan and the      Evaluation           the needs of families and
  decreasing the
                             process of developing     Results,             communities
  intensity and
                             the plan uses family      Baltimore City
                                                                           Home visitors, materials and
  frequency of
                             support practices         Healthy Start,
  services based on                                                         services culturally reflective
                            Family-Centered           September 1997
  the family’s need.                                                        of population served
                            Strength-Based




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       STANDARD                KEY COMPONENTS          EVIDENCE-BASE         EVIDENCE MEETING STANDARD           MY PROGRAM ASSURES THIS BY
                                                                                     (EXAMPLES)
6. Program services         Delivery of is guided     D.S. Gomby, C.S.       Delivery of services to the
  are guided by a            by the Individual         Larson, E.M.            family is guided by the Family
                                                       Lewit, and R.E.
  plan and the               Family Support Plan                               Plan and the process of
                                                       Behrman, “Home
  process of                 and the process of
                                                       Visiting: Analysis
                                                                               developing the plan uses
  developing the plan        developing the plan                               family support practices
                                                       and
  includes family and        uses family support       Recommendations,       Plan includes long-term goal
  home visitor               practices:                ” The Future of         setting and decision-making
  collaboration to            Family-Centered         Children (David         as well as child health and
  identify family             Strength-Based          and Lucille             development and the parent-
                            Links to family           Packard                 child relationship
  goals, strengths,
  and necessary
                             planning services         Foundation): 3         Home visitor and supervisor
                            Services focus on         (winter 1993): 6-22     review progress at regular
  services and
                             supporting family                                 intervals
  supports. The plan                                   D.S.Gomby,
                             composition of each                              Home visitor, family and
  is culturally              child in ways that
                                                       P.L.Cutross, and
                                                                               supervisor collaborate to
  competent and              support child’s health
                                                       R.E. Behrman,
                                                       “Home Visiting:         update Plan at least quarterly
  reflects the family’s      and well-being            Recent Program         Supports one parent families
  interests and goals.      Services focus on         evaluations –           in involving non-resident
                             supporting family self-   Analysis and            parents in the child’s life and
                             sufficiency               Recommendations.        provides information to obtain
                                                       ” The Future of         financial contributions from
                                                       Children 9
                                                       (Spring/Summer
                                                                               non-resident parent
                                                       1999):4-26




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       STANDARD                KEY COMPONENTS          EVIDENCE-BASE         EVIDENCE MEETING STANDARD         MY PROGRAM ASSURES THIS BY
                                                                                     (EXAMPLES)
7. Home visitor             Services focus on        Kagan, S.L. &           Program curricula supports
  services support           supporting parents to    Neuman, M.J.             parent-child interaction and
                                                      (1997) Defining
  parents/caregivers         lay the foundation for                            activities to promote
                                                      and implementing
  to lay the                 reading and the other                             children’s cognitive and
                                                      school readiness:
  foundation for             identified domains of                             language development
                                                      Challenges for
  reading and                early learning,          families, early care    Program provides/gives
  address the other          development and          and education, and       family books and materials
  identified domains         school readiness         schools. In R.P.         for literacy activities (esp.
                            Curricula promotes       Weissberg, T.P.          low-income families)
  of early learning,
  development and
                             interaction and          Gullotta, R.L.          Home visitors regularly
                             language use between     Hampton, B.A.            include “dialogic” reading in
  school readiness.                                   Ryan & G. R.
                             children and adults                               parent-child activities
                            Services focus on        Adams (Eds.)
                                                                              Home visitors regularly
                             family literacy                                   inquire about the amount of
                                                                               parent-child reading
                                                                              Home visitors educate
                                                                               parents on the positive and
                                                                               negative influences of
                                                                               television.




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       STANDARD             KEY COMPONENTS        EVIDENCE-BASE   EVIDENCE MEETING STANDARD           MY PROGRAM ASSURES THIS BY
                                                                          (EXAMPLES)
  8. Home visitor       Services focus on       Gross, Brooks-    Program has guidelines for
  monitors child         supporting parent-child Gunn, Spiker,      administration of a
  development using      interaction, child      1992               standardized developmental
  a standardized         health and                                 screen/tool that specifies
  developmental          development and a                          how the tool is to be used
  screen at specified    home environment                           with all children participating
  intervals. Based on    that promotes                              in the program, unless
  family and home        development                                developmentally
                        The program monitors
  visitor identified                                                inappropriate.
  needs, home visitor    the development of                        Curricula promotes positive
  refers and links to    participating infants                      parenting skills and
  available resources    and children with a                        knowledge of child
  and follows-up with    standardized                               development
  all referrals to       developmental tool                        Activities to promote parent-
  ensure that services                                              child relationship at each
  are being received.                                               home visit
                                                                   Staff follow-up for children
                                                                    suspected of having a
                                                                    developmental delay




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       STANDARD                 KEY COMPONENTS         EVIDENCE-BASE   EVIDENCE MEETING STANDARD           MY PROGRAM ASSURES THIS BY
                                                                               (EXAMPLES)
9. Home visitor               Program services are   Liaw & Brooks-    Home visitors monitor
  assesses and                 linked and coordinated Gunn, 1993         immunization and well-child
  provides child               with other services                       visit status
  health and safety            needed by the family                     Provides education on
  parent education,           Links families to                         practices and home
  monitors and                 primary care providers                    maintenance to prevent lead
  documents prenatal          Coordinates/monitor                       exposure
  and well-child visits        immunization and well-                   Home visitors assist the
                               child visit status                        family in identifying a medical
  including
                              Staff caseloads ensure                    provider
  immunization and
  lead screening
                               that home visitors                       Provides education on
                               have adequate time to                     importance of developing
  status. Based on             spend with family to
  family and home                                                        healthy physical activity
                               meet their needs and                      practices in early childhood
  visitor identified           plan for future                          Provides information,
  needs, home visitor          activities                                referrals and linkage to
  refers and links to         Screens for lead                          available health and dental
  available resources          exposure                                  care resources and follows
  and follows-up with         Monitors completion of                    up.
  all referrals to             lead blood testing                       Assess and assists parents
  ensure that services        Monitors oral health                      in providing a safe
  are being received.          Provides or links to                      environment that encourages
                               needed resources.                         development
                              Links families to WIC,                   Home visitor and family
                               food stamps and                           collaborate to assess needs
                               breastfeeding support                     and the services which are
                              Assess and/or refers                      desired to help address
                               for home and vehicle                      needs
                               safety
                                                                        Home visitors trained on
                                                                         community resources and
                                                                         how to access – including
                                                                         MCHP
                                                                        All referrals are followed-up
                                                                         on to ensure that they were
                                                                         effective




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       STANDARD                KEY COMPONENTS          EVIDENCE-BASE        EVIDENCE MEETING STANDARD        MY PROGRAM ASSURES THIS BY
                                                                                    (EXAMPLES)



10. Home visitor            Program                   D.L.Olds, CR          Connections between
 plans with the              administrators, staff     Henderson, Jr.,        parents, schools and other
 family/caregiver to         and participants active   H.J. Kitzman, J.J.     programs to which a
 transition the              in community’s            Eckenrode, R.E.        family/child may transition
 family/child to a           network of service        Cole, and R. C.       Regular and planned staff
 quality early care          providers                 Tatelbaum,             meetings and trainings that
 and/or education           Program measures          “Prenatal and          includes all early childhood
 program.                    family retention          Infancy Home           and development programs
                            Home visitor plans and    Visitation by
                             documents in the          Nurses: Recent
                             Individual Family         Findings,” The
                             Support Plan for          Future of
                             transitioning with        Children 9
                             family/caregiver          (David and
                                                       Lucille Packard
                                                       Foundation):
                                                       (Spring/Summer
                                                       1999): 44-65




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