Healthy Families America [Home Visiting for Child Well-Being] (HFA)

Scientific Rating:
Well-Supported by Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Healthy Families America [Home Visiting for Child Well-Being] (HFA) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Healthy Families America [Home Visiting for Child Well-Being] (HFA) as listed below:

The HFA model is supported by 12 research-based critical elements and a series of corresponding best practice standards. At the time a provider seeks to affiliate with HFA, they are required to submit an implementation plan that discusses how they intend to carry out model requirements. It is not unusual at this stage for sites to be uncertain of some areas, and a structured consultation phone call occurs to help the organization determine its level of readiness to begin implementation. Prior to implementation, HFA sites are also provided a copy of the HFA Site Development Guide.

Formal Support for Implementation

There is formal support available for implementation of Healthy Families America [Home Visiting for Child Well-Being] (HFA) as listed below:

The HFA National Office provides ongoing implementation support, including a 3-day in-person Implementation Training that focuses intensely on what is expected to deliver HFA services in accordance with the HFA Best Practice Standards. Technical assistance (provided both in-person and remotely), staff training, and periodic accreditation site visits to measure each site’s ability to implement the model with fidelity are also components of the formal implementation support offered to sites. The National Office also provides CQI guidance as needed on how to address best practice standards not in adherence. Some materials are available at the HFA website:

Fidelity Measures

There are fidelity measures for Healthy Families America [Home Visiting for Child Well-Being] (HFA) as listed below:

HFA requires implementing sites to utilize the HFA Best Practice Standards and to demonstrate fidelity to the standards through periodic accreditation site visits. The HFA Best Practice Standards serve as both the guide to model implementation, as described above, and as the tool used to measure adherence to model requirements. There are 152 standards and each is coupled with a set of rating indicators to assess the site’s current degree of fidelity to the model. All HFA affiliated sites are required to complete a self-study that illustrates current site policy and practice, and an outside, objective peer review team uses this in conjunction with a multi-day site visit to determine the site’s rating (of exceeding, meeting or not yet meeting) for each standard.

Implementation Guides or Manuals

There are implementation guides or manuals for Healthy Families America [Home Visiting for Child Well-Being] (HFA) as listed below:

HFA has a Site Development Guide and State Systems Development Guide that are accessible via the HFA website. The HFA Best Practice Standards is an extensive model-specific implementation document provided to all HFA affiliated sites. HFA Site Development Guide: Comprehensive planning guide to support prospective sites and new sites. Provides expert guidance and practical tips related to community planning, organizational infrastructure, budgeting, staffing, local advocacy, etc. The HFA State Systems Development Guide provides similar guidance as the site development guide but is geared toward state leaders who want to strengthen state-level infrastructure to support HFA home visiting in their state. The HFA Best Practice Standards is the go-to document for purposes of understanding the required elements of model implementation and expectations related to all aspects of policy and practice.

Research on How to Implement the Program

Research has not been conducted on how to implement Healthy Families America [Home Visiting for Child Well-Being] (HFA).