Tribal Home Visiting In Action 2020 - 2023

Publication Date: September 27, 2024
 
 
The Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) Program supports the development of healthy American Indian and Alaska Native (AI/AN) children and families through coordinated, culturally relevant, and evidence-based home-visiting strategies.
From 2020 to 2023, twenty-three Tribal MIECHV Program grantees expanded home-visiting services in urban and rural tribal communities. 1,600+ families are served annual and 75,000 home visits to families occur.
TMIECHV grantees respond to community needs by increasing the number of home visits. There were 17,129 home visits and 744.7 home visits per grantee in 2020. There were 19,297 home visits and 839 home visits per grantee in 2021. There were 18,795 home visits and 817.2 home visits per grantee in 2022. There were 19,532 home visits and 887.8 home visits per grantee in 2023.
TMIECHV grantees provide evidence-based home visiting programs at recommended levels of intensity. There were 1,606 households served in 2020, with 94% of the families receiving recommended home visits. There were 1,658 households served in 2021, with 92% of the families receiving recommended home visits. There were 1,668 households served in 2022, with 99% of the families receiving recommended home visits. There were 1,644 households served in 2023, with 100% of the families receiving recommended home visits.
TMIECHV grantees provide evidence-based home visiting programs that reflect important policy goals and achieve meaningful results. After four years of implementation, TMIECHV grantees demonstrated improvement across seventeen different performance measures. These include:
Regarding substance abuse screening, from 2020 to 2023, the percent of primary caregivers enrolled in home visiting who were screened for substance abuse using a validated tool within 3 months of enrollment and at least annually thereafter increased from 72% to 87%. Regarding child injury prevention, from 2020 to 2023, the percentage of primary caregivers enrolled in home visiting who were provided with training on prevention of infant and child injuries during the reporting period increased from 73% go 87%. Regarding intimate partner violence screening, from 2020 to 2023, the percentage of primary caregivers enrolled in HV who were screened for intimate partner violence using a validated tool within 6 months of enrollment and at least annually thereafter increased from 71% go 87%.
The success of the TMIECHV program supported an increase in funds allocated to tribal populations, from 3% to 6%, in order to reach more families in AI/AN communities. This boost in funding will have a significant impact on grant recipients and TMIECHV is excited to witness the excellent work our Tribal partners will undertake in the future to support healthier outcomes for Native children and families.

The Tribal Maternal, Infant, and Early Childhood Home Visiting (TMIECHV) program provides grants to tribal organizations to develop, implement, and evaluate home visiting programs in American Indian and Alaska Native communities. The Tribal Home Visiting Program is funded by a three percent set-aside from the larger MIECHV program. Tribal Home Visiting grants are awarded to Indian tribes, consortia of tribes, tribal organizations, and urban Indian organizations.