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Improving connections to early childhood systems of care via a universal home visiting program in Massachusetts

Author

Listed:
  • Kotake, Chie
  • Fauth, Rebecca C.
  • Stetler, Katie
  • Goldberg, Jessica L.
  • Silva, Christine F.
  • Manning, Susan E.

Abstract

Welcome Family is a universal, short-term nurse home visiting program designed to promote optimal maternal and infant physical and mental well-being and provide an entry point into the early childhood system of care to all families with newborns up to 8 weeks old living in defined communities in Massachusetts. The present study examines whether: 1) Welcome Family meets its goal of successfully connecting families to two early childhood programs—evidence-based home visiting (EBHV) and early intervention (EI)—relative to families with similar background experiences who do not participate in Welcome Family, and 2) whether these impacts are conditional on families’ race and ethnicity and their primary language—two characteristics that are related to structural racism and health inequities. The study used coarsened exact matching (CEM) based on birth certificate data to match Welcome Family participants who enrolled during 2013–2017 to mothers and their infants living in the home visiting catchment areas who did not receive home visiting during the study period. Primary study outcomes included enrollment in any EBHV program supported by the Massachusetts Maternal, Infant, and Early Childhood Home Visiting (MA MIECHV) program up to age 1 year, measured using MA MIECHV home visiting program data, and EI service receipt for children aged up to age 3 years, measured using EI program data. Impacts were assessed by fitting weighted regression models adjusted for preterm birth, maternal depression, and substance use. Mothers’ race, ethnicity, and language were included in the model as moderators of Welcome Family impacts on enrollment in EBHV and EI. Welcome Family participants (n = 3,866) had more than double the odds of EBHV enrollments up to age 1 and had 1.39 greater odds of receiving EI individualized family service plans (IFSPs) up to age 3 relative to the comparison group (n = 46,561). Mothers’ primary language moderated Welcome Family impacts on EBHV enrollments. Universal, short-term programs such as Welcome Family may be an effective method of ensuring families who could benefit from more intensive early childhood services are identified, engaged, and enrolled.

Suggested Citation

  • Kotake, Chie & Fauth, Rebecca C. & Stetler, Katie & Goldberg, Jessica L. & Silva, Christine F. & Manning, Susan E., 2023. "Improving connections to early childhood systems of care via a universal home visiting program in Massachusetts," Children and Youth Services Review, Elsevier, vol. 150(C).
    • Handle: RePEc:eee:cysrev:v:150:y:2023:i:c:s0190740923001901
    DOI: 10.1016/j.childyouth.2023.106995
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    References listed on IDEAS

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    1. Tina J. Kauh & Jen’nan Ghazal Read & A. J. Scheitler, 2021. "The Critical Role of Racial/Ethnic Data Disaggregation for Health Equity," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(1), pages 1-7, February.
    2. Garcia, Antonio R. & Circo, Elizabeth & DeNard, Christina & Hernandez, Natalie, 2015. "Barriers and facilitators to delivering effective mental health practice strategies for youth and families served by the child welfare system," Children and Youth Services Review, Elsevier, vol. 52(C), pages 110-122.
    3. Dodge, K.A. & Goodman, W.B. & Murphy, R.A. & O'Donnell, K. & Sato, J. & Guptill, S., 2014. "Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 136-143.
    4. Kotelchuck, M., 1994. "The Adequacy of Prenatal Care Utilization Index: Its US distribution and association with low birthweight," American Journal of Public Health, American Public Health Association, vol. 84(9), pages 1486-1489.
    5. Iacus, Stefano & King, Gary & Porro, Giuseppe, 2009. "cem: Software for Coarsened Exact Matching," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 30(i09).
    6. Matthew Blackwell & Stefano Iacus & Gary King & Giuseppe Porro, 2009. "cem: Coarsened exact matching in Stata," Stata Journal, StataCorp LLC, vol. 9(4), pages 524-546, December.
    7. Jones Harden, Brenda & Denmark, Nicole & Saul, Dale, 2010. "Understanding the needs of staff in Head Start programs: The characteristics, perceptions, and experiences of home visitors," Children and Youth Services Review, Elsevier, vol. 32(3), pages 371-379, March.
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