Nov 14, 2016, 1:31 PM, Posted by Martha Davis
While providing information about services helped immeasurably, I think the biggest benefit for families and frazzled new parents was knowing that someone was there for them. This reassurance helped alleviate their mental stress so they were better able to focus on supporting their families.
Research shows that home visits are effective in supporting all families
While my firsthand experiences as a home visitor ignited my passion for this issue, evidence on the impact of home visiting solidifies my belief in its role to positively influence the lives of all families.
Home visits play an integral role in preventing adverse childhood experiences (ACEs), which can harm developing brains and increase lifelong risk many chronic diseases and other serious problems, including exposure to violence. ACEs are disturbingly widespread—nearly 64% of adults have at least one. And they don’t just impact low-income families. In fact, the groundbreaking study that first revealed the far-reaching impact of ACEs found they were common, regardless of ethnicity or education levels.
Home visting prevents ACEs by providing parents and caregivers with the tools, support, and knowledge they need to create a positive, trusting environment at home and establish a secure and sturdy bond with their kids. These positive early experiences can help mitigate the impact of difficulties when they do occur and help build resilience among children. Evidence demonstrates that home visiting yields positive impacts for children and families across a range of outcome areas including the following:
- Eighty-one percent of visitation programs yielded improvements in maternal and children’s health, including a 48 percent reductions in child abuse and neglect.
- Eighty-five percent of children in families that received home visits reached Kindergarten “ready for school.”
- Parents were much more likely to earn a high school diploma or GED.
- Support is especially critical during the first few years of life, when young minds are developing and building the neural connections that will serve children throughout their lives.
A safe and healthy environment during childhood forms the foundation for a lifetime of physical and mental well-being and healthy relationships.
Making home visiting universal
We know home visits are a prime example of what a Culture of Health looks like in action: Communities helping to bring families the tools they need to provide children with a healthy start to life—no matter where they live or how much money they earn.
With the strong case for home visiting, RWJF believes it should be available to everyone. Universality would remove any stigma and promote health equity, because unaddressed disparities during the earliest years can lead to intensified health problems and widening social, educational, and economic gaps.
But achieving the goal of universality requires a culture-shift—a change in mindset that acknowledges the importance of the early years and recognizes that all parents need and deserve support. Imagine if home visits were expected in the same way that we expect clean water and electricity to reach all homes in all neighborhoods. Our culture considers these basic utilities essential drivers of health and well-being, and rightfully so! Home visits could be no different.
Viewing home visits as a basic need immediately changes the narrative. Instead of asking “should we do this?” the question becomes “how should do we do this? How do we make home visiting part of our culture and how can we build an infrastructure capable of reaching everyone?”
As a starting point, involving new partners who are intimately familiar with the given needs of a community can help ensure that we’re reaching more families. Civil rights organizations and other community advocates would make ideal partners, to ensure that visitation programs are equitable and culturally sensitive.
We also know that rural areas have pressing needs and require special attention. Several indicators show that rural women and children are at higher risk for a range of adverse health outcomes than their urban counterparts. We need partners to help us devise innovative solutions for reaching these families and addressing their needs.
I am confident that we can change the way our leaders think about home visits and the importance of the early years. If we achieve universality, we will take a significant step toward building a Culture of Health for everyone in the United States.