Quality Considerations Across Levels of the Home Visiting System: A Literature and Measure Review

As the early childhood home visiting field seeks to bolster its collective impact, there is a recognized need to better define home visiting implementation quality and how should it be operationalized, promoted, and measured.

This literature and measure review is one of several reports developed through a partnership with Child Trends, under the direction of the Health Resources and Services Administration and the Administration for Children and Families. It captures aspects of implementation quality and related measures across multiple levels of the home visiting system:

• Federal, tribal, state, and community contexts
• Local implementing agency and home visiting program contexts
• Program service delivery contexts

The review included a range of literature and measures—peer-reviewed studies, meta-analyses, gray literature (e.g., evaluation reports, model briefs), and best practice standards used by home visiting models, state systems, and local programs. Findings are intended to span the entire implementation system and to apply across program models.