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Summary

Child First was a home visiting program for families with children from birth through age five in which caregivers who were experiencing challenges with their own mental health or their children’s behavior; it provided both care coordination services and a trauma-informed program aimed at promoting executive functioning and healthy family relationships. 

Care coordination involved a home visitor connecting families to available and relevant resources. The trauma-informed program component was implemented in the family's home by a licensed clinician. This component was most commonly Child-Parent Psychotherapy but could include other programs such as Circle of Security, as appropriate.

Families received twice-weekly touchpoints, either in-person or virtually, with a care coordinator and clinician during the first month of enrollment and weekly visits for the remainder of the program, which lasted eight months on average.

The program was implemented at nine Child First sites in Connecticut and one site in North Carolina.

Populations and employment barriers: Parents, At least a high school diploma or equivalent

Effectiveness rating and effect by outcome domain

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Outcome domain Term Effectiveness rating Effect in 2024 dollars and percentages Effect in standard deviations Sample size
Increase earnings Short-term Cannot assess support
Long-term Cannot assess support
Very long-term Cannot assess support
Increase employment Short-term Little evidence to assess support favorable 1% (in percentage points) 0.036 182
Long-term Cannot assess support
Very long-term Cannot assess support
Decrease benefit receipt Short-term Little evidence to assess support favorable $-14 per year -0.004 182
Long-term Cannot assess support
Very long-term Cannot assess support
Increase education and training All measurement periods Cannot assess support

Effectiveness ratings

  • Well- supported
  • Supported
  • Mixed support
  • Not supported
  • Insufficient evidence
  • Cannot assess support

Studies of this program

Study quality rating Study counts per rating
High High 1

Implementation details

Organizations implementing program

Child First

Local context

The providers and study sites were located in Connecticut and North Carolina. Child First also operated sites in Colorado, Florida, and Pennsylvania at the time of the study, but no study sites were in these locations.

Characteristics of research participants
Black or African American
20%
White, not Hispanic
44%
Another race
4%
Hispanic or Latino of any race
31%

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