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Assessing the need for evidence-based home visiting (EBHV): Experiences of EBHV grantees
Paulsell, Diane, July, 2010
(Brief 1). Princeton, NJ: Mathematica Policy Research.

The Maternal, Infant, and Early Childhood Home Visiting Program, authorized by Section 2951 of the Affordable Care Act of 2010 (P.L. 111-148), will provide $1.5 billion to states over five years to provide comprehensive, evidence-based home visiting services to improve a range of outcomes for families and children residing in at-risk communities (due to high rates of poverty, violence, poor health outcomes, and other factors). To receive the funds, each state must conduct a statewide needs assessment that (1) identifies at-risk communities, (2) assesses the state's capacity to provide substance abuse treatment and counseling, and (3) documents the quality and capacity of existing early childhood home visiting programs as well as gaps in these services. A number of the grantees participating in the Children's Bureau's Supporting Evidence-Based Home Visiting (EBHV) to Prevent Child Maltreatment grantee cluster prepared needs assessments to plan for implementing or expanding grant-related evidence-based home visiting services. This brief provides information about how grantees planned the assessments and collected the data, as well as facilitators and barriers to carrying out the assessments. It also describes lessons identified by grantees. (author abstract)

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The Atlantic Philanthropies' Disadvantaged Children and Youth program in Ireland and Northern Ireland: Overview of program evaluation findings: Final report
Paulsell, Diane, January 30, 2009
New York: Atlantic Philanthropies.

An evaluation of Disadvantaged Children and Youth, a program in Ireland and Northern Ireland to improve the lives of disadvantaged children by improving service delivery through evidence-based services and prevention and early intervention strategies, based on semistructured interviews with key informants and on a research and policy review

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Building a community-wide early learning system: East Yakima at baseline
Del Grosso, Patricia, 05 May, 2008
Princeton, NJ: Mathematica Policy Research.

Baseline findings from a multi-year implementation evaluation, one of four components in an overall evaluation, of the East Yakima Early Learning Initiative, part of a 10-year strategy to improve children's school readiness in Washington State, that examined the East Yakima community, the availability and quality of child care services there, the East Yakima Early Learning Initiative planning process, and the community's goals and expectations for East Yakima Early Learning Initiative implementation

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Building a community-wide early learning system: White Center at baseline
Paulsell, Diane, 05 May, 2008
Princeton, NJ: Mathematica Policy Research.

Baseline findings from a multi-year implementation evaluation, one of four components in an overall evaluation, of the White Center Early Learning Initiative (WCELI), part of a 10-year strategy to improve children's school readiness in Washington State, that examined the White Center community, the availability and quality of child care services there, the WCELI planning process, and the community's goals and expectations for WCELI implementation

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Building infrastructure to support home visiting to prevent child maltreatment: Two-year findings from the cross-site evaluation of the supporting evidence-based home visiting initiative
United States. Office on Child Abuse and Neglect, 12 August, 2011
Washington, DC: U.S. Office on Child Abuse and Neglect.

The Supporting Evidence-Based Home Visiting to Prevent Child Maltreatment (EBHV) initiative is designed to build knowledge about how to build the infrastructure and service delivery systems necessary to implement, scale-up, and sustain evidence-based home visiting program models as a strategy to prevent child maltreatment. The grantee cluster, funded by the Children's Bureau (CB) within the Administration for Children and Families (ACF) at the U.S. Department of Health and Human Services, includes 17 diverse grantees from 15 states. Each grantee selected one or more home visiting models it planned to implement for the first time in its state or community (new implementers) or to enhance, adapt for new target populations, or expand. To support the implementation of home visiting with fidelity to their evidence-based models and help ensure their long-term sustainability, the grantees are developing infrastructure such as identifying funding streams and establishing strategies for developing and supporting the home visiting workforce. The EBHV grantees must conduct local evaluations to assess implementation, outcomes, and costs associated with their selected home visiting models. The national cross-site evaluation, conducted by Mathematica Policy Research and its partner, Chapin Hall at the University of Chicago, is designed to identify successful strategies for building infrastructure to implement or support the grantee-selected home visiting models (Koball et al. 2009). This report describes cross-site findings from the first two years of the initiative (fiscal years 2008-2010), including the planning period and early implementation of the grantee-selected home visiting models. The report primarily addresses four questions: 1. What was the state or local context with respect to home visiting as EBHV grantees planned and implemented their projects? 2. What partnerships did grantees form to support planning and early implementation of new home visiting programs? 3. What infrastructure was needed to implement home visiting program models in the early stages of the EBHV grant? 4. How did EBHV grantees and their associated home visiting implementing agencies (IAs) prepare for and implement new home visiting programs? (author abstract)

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Building their futures: How Early Head Start programs are enhancing the lives of infants and toddlers in low-income families
United States. Administration for Children and Families, 2001
Washington, DC: U.S. Department of Health and Human Services.

An interim report of the random assignment, impact evaluation of the Early Head Start Research and Evaluation project, analyzing child and family outcomes through the first two years of children's lives.

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Building their futures: How Early Head Start programs are enhancing the lives of infants and toddlers in low-income families: Volume I. Technical report
United States. Administration for Children and Families, 2001
Washington, DC: U.S. Department of Health and Human Services.

An evaluation of the effectiveness of Early Head Start programs in improving children's outcomes, based on a national assessment of 3,000 children at 17 sites

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A compilation of initiatives to support home-based child care
United States. Administration for Children and Families. Office of Planning, Research and Evaluation, March 31, 2010
Washington, DC: U.S. Administration for Children and Families, Office of Planning, Research and Evaluation.

A compilation of profiles of 96 initiatives that target and support home-based child care

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The effectiveness of Early Head Start for 3-year-old children and their parents: Lessons for policy and programs
Love, John M., 2005
Developmental Psychology, 41(6), 885-901

A summary of the evaluated impacts of Early Head Start on child and parent outcomes near the end of program participation

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The Enhanced Home Visiting Pilot Project: How Early Head Start programs are reaching out to kith and kin caregivers: Final interim report
Paulsell, Diane, 2006
Princeton, NJ: Mathematica Policy Research.

A preliminary descriptive evaluation of the Enhanced Home Visiting Pilot Project, analyzing participant characteristics and program design as they affect the extension of home visitation services to relatives and non-relatives caring for infants and toddlers enrolled in home-based Early Head Start programs

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Evaluating infrastructure development in complex home visiting systems
Hargreaves, Margaret B., June, 2013
American Journal of Evaluation, 34(2), 147-169

In recent years, increased focus on the effectiveness and accountability of prevention and intervention programs has led to greater government funding for the implementation and spread of evidence-based health and human service delivery models. In particular, attention has been paid to programs that require significant infrastructure investment and systems change to support large scale replication. For conceptual and methodological reasons, such systems change initiatives can be a challenge to evaluate. To overcome these challenges, this article outlines a mixed methods approach to systems change evaluation and offers a case study of how this approach has been used to evaluate the development of system infrastructure supporting the implementation, spread, and sustainability of evidence-based home visiting projects. The approach combined systems concepts (boundaries, relationships, perspectives, ecological levels, and dynamics) and qualitative methods (project site visits, telephone interviews, reviews of project documents and logic models) with quantitative methods (a web-based partner survey) to directly measure the projects' system properties and contextual dynamics, and to assess how these factors were associated with the projects' infrastructure development. In the case study, the projects worked at four ecological levels (organization, community, state, and national) to build eight types of infrastructure (planning, collaboration, operations, workforce development, fiscal capacity, community and political support, communications, and evaluation). The evaluation found that the size of the projects' partner networks was not as important as the quality of their collaboration or their sharing of common goals in the projects' infrastructure development. (author abstract)

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Evidence-based home visiting systems evaluation update: Infrastructure-building plans and activities in 2011
United States. Office on Child Abuse and Neglect, 07 December, 2012
Washington, DC: U.S. Office on Child Abuse and Neglect.

This report provides a snapshot of subcontractors' plans for achieving their targeted outcomes and the EBHV goals and their actual infrastructure-building activities in year 3 of the initiative, roughly at the midpoint of implementation. EBHV subcontractors are operating in complex, dynamic, and unpredictable environments. As they adapt to these changing conditions, their plans and activities change, potentially altering the initiative's outcomes. Tracking these changing conditions and the evolution of subcontractors' plans and activities as they adapt can provide a rich picture of how complex system interventions operate over time and provide lessons and guidance for how to build infrastructure capacity that supports implementation with fidelity, scale-up, and sustainability of EBHV programs. This brief snapshot adds to earlier work by the cross-site evaluation team that documented subcontractor plans at the end of a one-year planning period and infrastructure-building activities during the planning and early implementation period. The report addresses two main research questions at approximately the midpoint of the funding period: 1. What EBHV initiative goals did subcontractors expect to achieve, and how did they plan to do so? What people and institutions did they expect to engage at each infrastructure level? What infrastructure-building strategies did they expect to implement? What infrastructure-building short-term results and long-term outcomes did they expect to achieve? 2. In what types of infrastructure-building activities did subcontractors actually engage? How were subcontractors' activities influenced by economic and other contextual factors? How did infrastructure-building activities change over time? What were subcontractors' perceived successes in progressing toward their targeted infrastructure-building outcomes and the EBHV goals? What challenges and barriers impeded subcontractors' progress toward their targeted infrastructure-building outcomes and the EBHV goals? (author abstract)

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Family-sensitive caregiving: A key component of quality in early care and education arrangements
Bromer, Juliet, 2011
In M. Zaslow, I. Martinez-Beck, K. Tout, & T. Halle (Eds.), Quality measurement in early childhood settings (pp. 161-190). Baltimore: Paul H. Brookes

A presentation of a model for the assessment of early childhood education and care providers' attitudes towards, knowledge about, and practices with families with young children

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Implementation of the National Reporting System in Migrant/Seasonal Head Start programs: Year two update: Final report
United States. Administration for Children and Families. Office of Planning, Research and Evaluation, November, 2007
Princeton, NJ: Mathematica Policy Research.

A study providing findings for Migrant/Seasonal Head Start programs in the second year of the Head Start Quality Assurance Study, which examined Head Start programs' experiences implementing the Head Start National Reporting System (NRS), including: the quality of their administration of the NRS Child Assessment; their approaches to training staff to conduct the NRS Child Assessment; their use of NRS results for program improvement; and program staff perspectives of the NRS, all based on site visits to a sample of eight Migrant/Seasonal Head Start programs

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Kansas and Missouri Early Head Start programs: Kansas City, Kansas, and Sedalia, Missouri
Paulsell, Diane, 2003
Zero to Three, 23(4), 17-26

An overview of two Early Head Start programs, Project EAGLE, in Kansas City, Kansas and the Children’s Therapy Center, in Sedalia, Missouri, by reviewing the programs’ partnerships with community child care providers, implementation successes and challenges of these partnerships, and lessons learned

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Leading the way: Characteristics and early experiences of selected Early Head Start programs: Volume I: Cross-site perspectives
United States. Administration on Children, Youth, and Families, December 1999
Washington, DC: U.S. Administration on Children, Youth, and Families.

A description of the characteristics and early implementation experiences of the 17 research programs participating in the National Early Head Start Research and Evaluation Project in fall 1997, with a focus on similarities and differences across programs in the characteristics of the families they serve, their goals and expected outcomes, the services they offer, and their early challenges and successes

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Leading the Way: Characteristics and Early Experiences of Selected Early Head Start Programs: Volume III: Program Implementation
United States. Administration on Children, Youth, and Families, December 2000
Washington, DC: U.S. Administration on Children, Youth, and Families.

An analysis of the levels of implementation and child care quality achieved in the early stages of the evolution of 17 programs participating in the National Early Head Start Research and Evaluation Project in fall 1997 in terms of the revised Head Start Program Performance Standards

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Leading the way: Characteristics and early experiences of selected Early Head Start programs: Volume II: Program Profiles
United States. Administration on Children, Youth, and Families, December 1999
Washington, DC: U.S. Administration on Children, Youth, and Families.

A detailed overview of each of the 17 center-based, home-based, and mixed approach programs participating in the National Early Head Start Research and Evaluation Project in fall 1997, with information about enrollment, services, program improvement efforts, and local research studies

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Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start: Vol. I. Final technical report
United States. Administration for Children and Families, 2002
Washington, DC: U.S. Department of Health and Human Services.

A report of the findings from the Early Head Start Research and Evaluation project, a large-scale, random-assignment evaluation of the impact of Early Head Start programs on the development of infants and toddlers, and the parenting and family development of low-income families across the US

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Making replication work: Building infrastructure to implement, scale-up, and sustain evidence-based early childhood home visiting programs with fidelity
United States. Office on Child Abuse and Neglect, January, 2014
Washington, DC: U.S. Office on Child Abuse and Neglect.

Mathematica Policy Research and its partner, Chapin Hall at the University of Chicago, conducted a national cross-site evaluation of the EBHV initiative. Using a mixed-methods approach, the national cross-site evaluation was designed to (1) examine the degree to which system change occurred, (2) document the fidelity with which the program models were implemented, and (3) identify implementation strategies and challenges. Ultimately, the evaluation examined the degree to which building infrastructure capacity influenced whether the EBHV subcontractors were able to achieve their EBHV goals related to implementation with fidelity, scale-up, and sustainability. The evaluation also examined whether progress achieving these goals was influenced by the quality of the collaboration among partners, the extent to which partners worked together, and the degree to which partners' respective goals were in alignment. This final evaluation report brings together findings from all years of the EBHV initiative, drawing on interim reports and briefings and updating results with analyses of data collected through the initiative's first four years of implementation (fall 2009 through spring 2013). Throughout the initiative, the national cross-site evaluation gathered data from many sources, including reviews of the subcontractor's applications and progress reports, several rounds of telephone interviews and two rounds of site visits with the EBHV subcontractors, baseline and followup surveys of the EBHV subcontractors and their partners, and data on staff and participant characteristics and service delivery from the implementing agencies (IAs) identified by the subcontractors. The primary data sources for this report include: (1) site visits conducted to the 17 EBHV subcontractors between February and April 2012; (2) data on staff and participant characteristics and service delivery from October 1, 2009, through June 30, 2012; and (3) a web-based survey of key partners fielded in February 2013. (author abstract)

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Oral health promotion, prevention, & treatment strategies for Head Start families: Early findings from the Oral Health Initiative evaluation: Vol. I. Final interim report
United States. Administration for Children and Families. Office of Planning, Research and Evaluation, September 05, 2007
Washington, DC: U.S. Administration for Children and Families, Office of Planning, Research and Evaluation.

Interim findings from a two-year implementation evaluation of the Head Start Oral Health Initiative, which provided grants to Head Start programs to design and implement oral health promotion strategies, based on 1) interviews with program directors, 2) a web-based record-keeping system for grantees, and 3) site visits. This volume is based on data from the first two sources

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Oral health promotion, prevention, & treatment strategies for Head Start families: Early findings from the Oral Health Initiative evaluation: Vol. II. Site profiles
United States. Administration for Children and Families. Office of Planning, Research and Evaluation, September 05, 2007
Washington, DC: U.S. Administration for Children and Families, Office of Planning, Research and Evaluation.

Interim findings from a two-year implementation evaluation of the Head Start Oral Health Initiative, which provided grants to Head Start programs to design and implement oral health promotion strategies, based on 1) interviews with program directors, 2) a web-based record-keeping system for grantees, and 3) site visits. This volume is based on data from the first source

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Partnerships for quality: Improving infant-toddler child care for low-income families
United States. Child Care Bureau, 2002
Washington, DC: Zero to Three.

A study of collaborations to increase access to high-quality child care for low-income families

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Pathways to quality and full implementation in Early Head Start programs
United States. Administration for Children and Families, 2002
Washington, DC: U.S. Department of Health and Human Services.

A report characterizing the development of Early Head Start programs over the first four years of the program's existence.

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A profile of kindergarten readiness in East Yakima: Fall 2007
Boller, Kimberley, 02 July, 2008
Princeton, NJ: Mathematica Policy Research.

The first year of analyses from a multi-year kindergarten readiness study, one of four components in an overall evaluation, of the East Yakima Early Learning Initiative, part of a 10-year strategy to improve children's school readiness in Washington State, that describe the school readiness and family characteristics of children entering kindergarten in fall 2007 in East Yakima, Washington, based on parent interviews, home observations, direct child assessments, and teacher reports of children's skills and behavior

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Research Connections is supported by grant #90YE0104 from the Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. The contents are solely the responsibility of the National Center for Children in Poverty and the Inter-university Consortium for Political and Social Research and do not necessarily represent the official views of the Office of Planning, Research and Evaluation, the Administration for Children and Families, or the U.S. Department of Health and Human Services.

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