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Process Evaluation of the New Mexico Maternal, Infant, and Early Childhood Home Visiting Competitive Development Grant

Process Evaluation of the New Mexico Maternal, Infant, and Early Childhood Home Visiting Competitive Development Grant

Matthew Chinman
Sarah B. Hunter
Jill S. Cannon
M. Rebecca Kilburn
Melody Harvey
Mollie Rudnick
Copyright Date: 2014
Published by: RAND Corporation
Pages: 162
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  • Book Info
    Process Evaluation of the New Mexico Maternal, Infant, and Early Childhood Home Visiting Competitive Development Grant
    Book Description:

    This report describes the evaluation of the New Mexico Home Visiting Competitive Development Grant, which aimed to pilot test the use of implementation supports to improve the development and implementation of home visiting in high-need communities. It documents significant challenges in meeting grant goals, including use of the proposed implementation supports, initiation of home visiting programs, and building effective community coalitions.

    eISBN: 978-0-8330-8980-9
    Subjects: Public Health, Health Sciences, Sociology

Table of Contents

  1. Front Matter
    (pp. i-i)
  2. Preface
    (pp. ii-ii)
  3. Table of Contents
    (pp. iii-vii)
  4. Figures
    (pp. viii-viii)
  5. Tables
    (pp. ix-ix)
  6. Executive Summary
    (pp. x-xvii)
  7. Acknowledgements
    (pp. xviii-xviii)
  8. Abbreviations
    (pp. xix-xix)
  9. 1. Introduction
    (pp. 1-18)

    New Mexico’s standings in the annual KIDS COUNT state-by-state rankings of child well-being indicators dropped from 49th in 2012 to 50th in 2013 (New Mexico Voices for Children, 2014). New Mexico has not ranked higher than 40th in the KIDS COUNT rankings since they commenced in 1990 (Annie E. Casey Foundation, 2014). These outcomes have led legislators and foundations to promote more expenditures for children’s well-being.

    One strategy that has been shown to improve child well-being is home visits by health, social service, and other trained providers. Rigorous evaluations show that home visiting can produce favorable and statistically significant impacts...

  10. 2. Methods
    (pp. 19-32)

    This project sought to deliver GTO/ECHO supports that improve community capacityunder the theory that it would lead to improved family outcomes. Figure 2.1 is a logic model showing the inputs into the HVCDG that include the participating communities, the state-contracted GTO facilitation team, GTO training and consultation from RAND, CDD UNM T/TA services, CYFD support, and project funding to support direct services along with the associated evaluation activities.

    Both activities and participation were considered important outputs, and took place at multiple levels, including the state, local communities, individual organizations, and home visiting providers. Activities (and corresponding participation) included statelevel...

  11. 3. Findings
    (pp. 33-48)

    Each community undertook activities related to the formation and implementation of a coalition centered on early childhood issues. Details about coalition development and activities in each of the four communities from April 2012 through November 15, 2013, are available in Appendixes D through G. While the coalitions were positively received in their communities, their progress varied across sites, as did the quality of their plans. Future viability of the coalitions was uncertain due to the anticipated lack of continued funding and staff to support their work after the HVCDG ends.

    New Mexico required each site to establish a coalition, and...

  12. 4. Conclusions and Policy Recommendations
    (pp. 49-57)

    The goal of the HVCDG in New Mexico was to improve the lives of children and families in a select group of high-need communities, as well as across the state, by building capacity for implementing home visiting programming through the GTO and ECHO approaches. The State, along with the selected sites, has experienced a number of contracting and administrative delays. When continued MIECHV funding was uncertain, the State funded the second year from its general budget, so that almost half the funds from the original MIECHV grant that were initially allocated for direct services were repurposed for home visiting infrastructure...

  13. References
    (pp. 58-67)
  14. Appendix A: The GTO Activity Monitoring Tool
    (pp. 68-70)
  15. Appendix B: The Plan Quality Index (PQI)
    (pp. 71-71)
  16. Appendix C: Continuum of Care Draft List
    (pp. 72-73)
  17. Appendix D: Luna County Site Summary
    (pp. 74-91)
  18. Appendix E: Quay County Site Summary
    (pp. 92-111)
  19. Appendix F: McKinley County Site Summary
    (pp. 112-126)
  20. Appendix G: South Valley Site Summary
    (pp. 127-138)