First Round Visits with State Administrators

OMB Control Number: _______
Expiration Date: ________
Length of time for instrument: 1.50 hours

ATTACHMENT 2: MIHOPE FIRST ROUND VISITS WITH STATE
ADMINISTRATORS

2/22/2012

OMB Control Number: _______
Expiration Date: ________

Draft AGENDA for Meeting with State Administrators
Thank you for taking time to meet with the MIHOPE study team. As a reminder, the U.S.
Department of Health and Human Services has contracted with MDRC to evaluate the federal
Maternal, Infant and Early Childhood Home Visiting program (MIECHV). We expect this
meeting to take one and a half hours. We will be using the meet to answer your questions about
the study and to learn more about your state and local program sites in order to help us choose
states and sites for the evaluation. As you may remember, the MIECHV legislation requires this
national evaluation and your state provided assurances about your willingness to participate in
the evaluation, if selected. All information provided in these discussions will be kept private to
the extent permitted by law.
Participants: (names of all those attending)
I. Introductions
II. Study overview and discussion
 Project description
 Research questions and Study design
 Benefits of participation
 Roles and responsibilities
 MIHOPE timeline
 Steps for site selection
III. Discussion of key state information
 State administrative records
 Sites that are likely to be suitable for the evaluation
 Next steps
Adjorn

MIHOPE_ Draft Agenda for Meeting with State Administrators

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Slide 1

Slide 2

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Project description and management for
MIHOPE
MIHOPE research questions and study design
Benefits of participation
Roles and responsibilities of participation
MIHOPE timeline
Stages for state/program site selection

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MIHOPE_ Site Presentation Slides

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Slide 3

Mother and Infant Home Visiting
Program Evaluation


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Large-scale evaluation of the effectiveness of
home visiting models supported by MIECHV
Includes 85 program sites in 12 states
nationwide
Focuses on models serving at-risk expectant
families and infants to 6 months

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Slide 4

Sponsored by: U.S. Department of Health and Human
Services, Administration for Children and Families,
Office of Planning Research and Evaluation (OPRE) and
Health Resources and Services Administration (HRSA)
Authorization: Maternal, Infant and Early Childhood
Home Visiting Program (MIECHV), Patient Protection and
Affordable Care Act of 2010

Project Team:
 MDRC
 James Bell Associates
 Johns Hopkins University
 Mathematica Policy Research

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Slide 5

MIHOPE is designed to answer three main
questions:
◦ How do local programs operate and who are the
families who participate?
◦ Do MIECHV services make a difference in the lives
of the families that are served?
◦ What are the costs of running a home-visiting
program?

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Slide 6

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Evidence-based models supported with
MIECHV funding
Models serving expectant families or those
with infants
Models selected for implementation by at
least 10 states
Models:
◦
◦
◦
◦

Early Head Start-Home Visiting
Healthy Families America
Nurse Family Partnership
Parents as Teachers

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Slide 7

Analysis

of state needs assessments

Effectiveness

study

o Reports variation in impacts for sites and
populations with different characteristics
o Incorporates study of health disparities and
outcomes
o Includes implementation study

Economic

evaluation
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Slide 8

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National recognition for your state and
MIECHV program
Builds strong evidence base to inform home
visiting policy decision making
Provides information on what differences
home visiting programs make
Funds to support staff participation in
research activities
Provides program and state feedback about
program participation
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Slide 9


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A lottery-like process to place individuals into
a program group and a comparison group
Increases the likelihood that groups have
similar characteristics on average before
treatment, so the differences over time in the
outcomes for the groups is more likely the
effect of the program services offered to the
program group
Allows you to measure the impacts (effects) on
outcomes for each group, not for individuals in
the groups

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Slide 10

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Fair and equitable way to determine who
receives program services
More reliable way to measure program effects
than statistical controls alone
Widely used in social service settings
Endorsed by:
◦
◦
◦
◦
◦

The Department of Health and Human Services
The Office of Management and Budget
The Department of Labor
The Department of Education
Other federal and private agencies

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Slide 11

Educational Attainment
Outcome (%)

ChalleNGe

Comparison

Difference

Has High School diploma or GED

71.8

55.5

16.2***

HS Diploma

30.3

26.6

3.7

GED

56.9

34.5

22.4***

34.9

18.8

16.1***

Earned any college credit

Employment in the Past 12 Months

Employed

88.4

84.5

3.9*

Earnings ($)

13,515

11,248

2,266***

Number of months employed

8.1

7.2

0.9***

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Slide 12

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Operating location that can recruit approx. 60
families in 12-15 months and provide
services to 30
Has more than 2 years experience offering
home visiting services
Is offering at least 1 of the 4 models selected
for evaluation
Would be willing to implement research
procedures

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Slide 13

States:
 Facilitate agency’s recruitment of program sites
 Help negotiate access to state administrative records for
purposes of the study
Programs:
 Recruit and enroll 60 couples (30 in the program group
and 30 in the comparison group)
 Staff and administration participate in interviews and
surveys
 Provide program records such as staffing, training, and
cost information
 Complete and submit program participation logs
 Facilitate home visits videotaped by research staff (9
families, 2 visits each)
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Slide 14

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Explain research design and provide training
on research procedures
Enroll program participants in the study and
collect consent forms
Collect data through surveys, interviews,
observations, and program and
administrative records
Provide funding to programs to offset costs
of research participation
Analyze data, provide results, and
disseminate information
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Slide 15

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Slide 16

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Meet with study team to learn more about the
evaluation and provide information
Discuss research design and reach agreement
on roles and responsibilities
Prepare for research enrollment and data
collection
Implement evaluation procedures
Study team monitors research procedures
and provides feedback
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Slide 17

Phase 1
 Site recruitment and selection: 2012
 Enroll families in the evaluation: mid
2012 through 2014
 Report to Congress on characteristics of
enrolled families: 2015
Phase 2 (date is tentative)
 Report on program impacts: 2017

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Slide 18

If you would like additional information about
logo

please contact us at:
[email protected]
[email protected]
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OMB Control Number: _______
Expiration Date: ________

DISCUSSION TOPICS ABOUT KEY SITE INFORMATION
Thank you for taking time to meet with the MIHOPE study team. As a reminder, the U.S.
Department of Health and Human Services has contracted with MDRC to evaluate the federal
Maternal, Infant and Early Childhood Home Visiting program (MIECHV). We expect this
meeting to take one and a half hours. We will be using the meet to answer your questions about
the study and to learn more about your state and local program sites in order to help us choose
states and sites for the evaluation. As you may remember, the MIECHV legislation requires this
national evaluation and your state provided assurances about your willingness to participate in
the evaluation, if selected. All information provided in these discussions will be kept private to
the extent permitted by law.

Discussion Topics about Key Site Information
Administrative Structure


Organizational structure of administering agency; governing boards; other programs
operating in same agency; how long organization and home visiting programs have been
in operation; expected stability of non-MIECHV funding



Service Delivery Structure; # home visitors; supervision; training; staff qualifications of
HVs; length of time HVs delivered model; staff turnover rate



Intensity of program services; duration; frequency of contact; rate of program attrition.



Ways MIECHV funds are being used; hiring new home visitors; expanding caseload of
existing home visitors

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Local context; alternative community services, specifically presence of other homevisiting programs or center-based programs.



Other evaluation activities going on at organization or within home visiting program



Timing of program model recertification



For EBHV sites: As grants end, are you continuing with MIECHV funds?

Recruitment and Enrollment Schedule


Target population; race/ethnicity; military; other special populations, such as teens, foster
kids, immigrant families etc.



Marketing and outreach; methods used to recruit; length of recruitment period; type of
referral sources; most common referral sources; any families that are exempted from
intake process (i.e. immediately get into program)

MIHOPE_ Topics for Discussion about Key Site Information

OMB Control Number: _______
Expiration Date: ________



Screening and intake process; any centralized activities; summary of number of families
and timing from applicant through intake; exceptions made to the intake process;
evidence of demand (waitlists, lotteries)

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Enrollment; total number enrolled; ways families are notified; referrals elsewhere if not
enrolled

Data Systems


Type of management information systems used at local program site (i.e. How are the
systems used? What goes in them and when?)

Other research feasibility questions


Concerns about the buy-in of local program referral sources?



Concerns about service contrast?

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Concerns about sufficient pool?



Concerns about random assignment?

MIHOPE_ Topics for Discussion about Key Site Information