Home Visiting Service Account

Washington State pioneered a unique approach to home visiting, with a public, private partnership between the Department of Children, Youth, and Families (formerly Department of Early Learning) and Thrive Washington. Thrive Washington is a key partner in building the statewide home visiting system. Jointly administered by DCYF and Thrive Washington, the Home Visiting Services Account (HVSA) brings together state, federal and private dollars to support a portfolio of high-quality proven and promising programs - and make sure they deliver results.

The HVSA was established by the Washington state legislature in 2010. Since then, it has grown from funding four grantees serving 120 children to 36 grantees with the capacity to serve 2,000 children statewide.

The HVSA only funds a portion of all of the early childhood home visiting that happens in Washington State. To better understand the full landscape of early childhood home visiting, DCYF periodically conducts a “Home Visiting Scan” to inventory home visiting programs around the state.

In 2012, the American Indian Health Commission (AIHC) for Washington State and the Department of Early Learning (DEL) established a partnership to ensure the inclusion of culturally appropriate home visiting and other critical early learning services were included in planning the state’s developing home visiting system. This effort focused on the significant disparities experienced by AI/AN mothers and babies.

In partnership with AIHC and with funding from the federal Maternal, Infant, and Early Childhood Home Visiting grant, an update to the original 2013 report was completed in 2017.

Home Visiting Assessment

To complement the Home Visiting Scan, the Washington State Department of Health recently completed a Home Visiting Needs Assessment – a tool that estimates need for home visiting services based on various population-based community indicators of risk. Previously DOH completed a similar home visiting needs assessment in 2011. The purpose of updating this Needs Assessment from the 2011 version is not to redistribute current funds, but rather to use for future planning. We also wanted to analyze communities at a smaller scale than the county level to support planning in smaller geographic areas. 

Recently, we were asked by the state legislature to provide an update letter on the status of the HVSA.

In addition, we were tasked by the legislature to lay out the process for a proposed expansion of home visiting across the state of Washington.

For more information, visit Thrive Washington Home Visiting Services Account.

A primary funding source of the home visiting program in Washington State is the federal Maternal, Infant Early Childhood Home Visiting Program, MIECHV. Since 2010, Washington has received several formula and competitive grants to both fund existing programs and expand the programs reach across the state. Read more

RISE Study

In partnership with Thrive Washington and SRI International, we have concluded the RISE Home Visiting Evaluation. This was a three-year study that ran from fall of 2013 to fall of 2016 and was designed to include both a process and an outcome evaluation.

The process evaluation answered the primary research question: How does the Implementation HUB develop to support high-quality home visiting services in Washington?

The outcome evaluation measured the impact of the HUB on three major outcomes: use of training and TA; model fidelity and implementation quality; and program staff competency and self-efficacy.

The primary research question was: How do the identified programs in Washington that receive support from the Implementation HUB differ from comparison programs in other states with regard to the three major outcomes

During fall of 2016 to fall of 2017, a follow-up evaluation occurred to collect an additional year of outcome data for the rural substudy. The rural substudy used mixed methods to learn more about the experiences of rural programs to answer the primary research question: What are the unique features of implementing evidence-based home visiting in rural communities?

More Information:

For questions, email home.visiting@del.wa.gov.