Inventory of Evidence-Based Practices (EBPs) for Healthy Start Programs
Evidence-based practices include actions, activities, strategies, or approaches that improve the health of women, before, during, and after pregnancy in order to improve birth outcomes and give infants up to age two years a healthy start. Also included in the collection are informational materials and tools that make it easier to implement evidence-based practices. To search by title, use the main search box located at the top of this page.
This brief looks at common acceptability, availability, and accessibility barriers to mental and substance use disorder (behavioral health) treatment and services in rural communities and presents ways telehealth can help surmount some of these barriers. The term telehealth refers to using internet and communications technologies, such as videoconferencing, chat, and text messaging, to provide health information and treatments in real time.
Topics:
Alcohol/Drug Services Case Management/Care Coordination Depression
Approaches:
Strengthen Family Resilience
Benchmarks:
Perinatal Depression Follow Up Perinatal Depression Screening
Evidence Rating:
II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.
This technical package represents a select group of evidence-based strategies and approaches to help programs, communities and states sharpen their focus on prevention activities with the greatest potential to prevent intimate partner violence (IPV) and its consequences across the lifespan. These strategies include teaching safe and healthy relationship skills; engaging influential adults and peers; disrupting the developmental pathways toward IPV; creating protective environments; strengthening economic supports for families; and supporting survivors to increase safety and lessen harms. Commitment, cooperation, and leadership from numerous sectors, including public health, education, justice, health care, social services, business and labor, and government can bring about the successful implementation of this package.
Topics:
Intimate Partner Violence Life Course Model Parenting Education Partner Involvement
Approaches:
Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Intimate Partner Violence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
Moms2B provides weekly education and support sessions for expectant mothers to promote healthy lifestyle choices and link women with support services. Topics covered include: breastfeeding, child development, family planning, goal setting, prenatal labor and delivery, maternal-infant health, positive parenting, reproductive health, and safe sleep. Moms2B is provided free of charge, with transportation assistance, on-site childcare and a hot, healthy meal. Ohio State University and community social service organizations support Moms2B participants with ongoing access to healthcare providers, lactation counselors, social workers, parenting educators and community health workers. The Moms2B program is based on an evidence-based pilot curriculum shown to increase breastfeeding and improve infant health.
Topics:
Breastfeeding Nutrition Parenting Education Prenatal Care and Education Reproductive Life Planning/Family Planning Safe Sleep
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Initiating Breastfeeding Reproductive Life Plan Safe Sleep
Evidence Rating:
II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.
Failure to address IPV among women who use alcohol or other drugs has been found to increase the likelihood of continued drug use, relapse, attrition from drug treatment and a host of other negative physical and mental health consequences. WINGS is a single-session intervention that aims to address a critical gap in IPV services for women by identifying women in the community at risk of IPV, enabling them to develop social support and safety planning skills to reduce their risks for IPV and linking them to IPV-related services and substance use treatment. The intervention may be delivered in-person or via a computerized self-paced version.
Topics:
Alcohol/Drug Services Intimate Partner Violence
Approaches:
Strengthen Family Resilience
Benchmarks:
Intimate Partner Violence
Evidence Rating:
II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.
Family Spirit is an evidence-based early childhood home-visiting program designed for and by American Indian communities. Family Spirit combines the use of paraprofessionals from the community as home visitors and a culturally focused, strengths-based curriculum as a core strategy to support young families. From pregnancy through the child’s 3rd birthday, parents gain knowledge and skills to promote healthy development and positive lifestyles for themselves and their children. Family Spirit addresses intergenerational behavioral health problems, optimizes local cultural assets, and overcomes deficits in the professional health care workforce in low resource communities. Evidence from three randomized controlled trials has documented important results including: increased parenting knowledge and involvement; decreased maternal depression; increased home safety; decreased emotional and behavioral problems of mothers; and decreased emotional and behavioral problems of children. The Family Spirit curriculum modules cover: Prenatal Care, Infant Care, Your Growing Child, Toddler Care, My Family and Me, and Healthy Living.
Topics:
Alcohol/Drug Services Breastfeeding Depression Home Visiting Parenting Education Partner Involvement Prenatal Care and Education Reproductive Life Planning/Family Planning Socio-emotional Development for Children
Approaches:
Improve Women's Health Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Prenatal Involvement Initiating Breastfeeding Perinatal Depression Follow Up Perinatal Depression Screening Reproductive Life Plan Safe Sleep Smoking Abstinence Sustaining Breastfeeding
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
The Nurturing Parenting Programs are a family-centered trauma-informed initiative designed to build nurturing parenting skills as an alternative to abusive and neglecting parenting and child-rearing practices. The long term goals are to prevent recidivism in families receiving social services, lower the rate of teenage pregnancies, reduce the rate of juvenile delinquency and alcohol abuse, and stop the intergenerational cycle of child abuse by teaching positive parenting behaviors.
Lessons can be delivered in home setting, group setting, or combination. Nurturing Parents offer targeted programs for prenatal families, parents of babies and toddlers, parents of older children, Spanish speaking parents, parents of children with health challenges, teen parents, military parents, parents in substance abuse treatment and recovery, and more.
Topics:
Parenting Education Socio-emotional Development for Children
Approaches:
Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Intimate Partner Violence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
PAT aims to increase parent knowledge of early childhood development and improve parenting practices, provide early detection of developmental delays and health issues, prevent child abuse and neglect, and increase children’s school readiness and school success. The PAT model consists of one-on-one home visits, group connections/meetings, health and developmental screenings for children, and a resource network for parents. Program lasts for at least two years, beginning as early as pregnancy and ending at the child’s 3rd birthday or at kindergarten entry.
Topics:
Home Visiting Parenting Education Socio-emotional Development for Children
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Reading to Child Daily Well Child Visits
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
The Nurse Family Partnership program provides home visits by registered nurses to first-time mothers, beginning during pregnancy and continuing through the child’s second birthday. The program aims to: improve pregnancy outcomes by promoting health-related behaviors; improve child health, development, and safety by promoting competent caregiving; and enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment. Secondary goals include providing links with needed health and social services, and promoting supportive social relationships.
Topics:
Home Visiting Parenting Education Reproductive Life Planning/Family Planning Socio-emotional Development for Children
Approaches:
Improve Women's Health
Benchmarks:
Reproductive Life Plan
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
Developed by USDA to use the WIC Loving Support promotional campaign in a peer counseling setting. Peer counselors receive training on how to support prenatal and breastfeeding mothers in WIC programs at home over the telephone. Peer counselors may provide clinic-based counseling, make post-partum visits, lead prenatal breastfeeding classes and postpartum support groups, and/or provide one-on-one support in the hospital setting.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
Evidence-based home visitation case-management model for mothers who abuse alcohol and/or drugs during their pregnancies. PCAP’s goals are to assist substance-abusing pregnant women and mothers in obtaining treatment for substance abuse and staying in recovery, to ensure that children are in safe and stable home environments and are connected to health care, to connect mothers to community resources, and to prevent future births of alcohol and drug-affected infants. Piloted in Washington State, PCAP has been replicated in 7 states, and across Canada and New Zealand.
Topics:
Alcohol/Drug Services Case Management/Care Coordination Home Visiting
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Well Child Visits Well Woman Visits
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
Calling 1-800-QUIT-NOW will connect you directly to your state quitline. All states have quitlines in place with trained coaches who provide information and help with tobacco cessation. Specific services and hours of operation vary from state to state.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
