Service Coordination in Early Childhood Home Visiting: a Multiple-Case Study

• DOI: 10.1007/s11121-023-01558-6
• Publication Date: 2023-06-27T22:01:11Z
• Authors: Leeya Correll; Allison West; Anne K. Duggan; Kelsey Gruss; Cynthia S. Minkovitz
• Keywords: House Calls; Parents; Parenting; 4. Education; Child, Preschool; Preventive Health Services; Humans; 10. No inequality; Home Care Services; Article; 3. Good health

Abstract Early childhood home visiting is a preventive service delivery strategy that aims to promote child and parent health, positive parenting, development school readiness, family economic self-sufficiency. To meet families’ needs, programs provide combination of direct services, referrals linkages community-based services. Service coordination therefore critical component visiting’s role within the early system care. This multiple-case study describes facilitators barriers coordination, as identified by program staff families. We interviewed managers, supervisors, visitors, families from four local in eastern USA with diverse contextual characteristics showed evidence having strong coordination. Using methodology, we analyzed data understand key for each case identify describe common themes across cases. Facilitators included interagency relationships collaboration; culture teamwork; dedicated, well-connected staff; supervision; trusting families; warm handoffs. Barriers were limited availability accessibility resources, perceived stigma among other providers, ambivalence toward some Home emphasized at multiple levels are fundamental complex, time- labor-intensive. Coalitions bring together stakeholder groups state can meaningful support