Funding Opportunity Title and Number: Rigorous Evaluations of Existing Child Abuse Prevention Programs HHS-2009-ACF-ACYF-CA-0055
Healthy Families America (Program) -- Evaluation, Family social work -- Oregon, Social work with children -- Oregon, Child abuse -- Oregon -- Prevention
Objectives. This study was designed to achieve several specific objectives: (1) to conduct a large-scale randomized study of the impact of the Healthy Families Oregon (HFO) program, a home visitation program using the Healthy Families America model, on child welfare system involvement, access to self-sufficiency resources, and use of preventive and other medical services; (2) to conduct a comprehensive and detailed cost-benefit study of the HFO program; and (3) to develop and disseminate a web-based tool to support home visiting program managers, funders, and others to better understand and develop readiness for conducting program cost analysis and cost-benefit research.
Approach. 2,727 eligible first-time parents were randomly assigned to receive the HFO program or a community services-as-usual control group. The research team obtained 2 years of postenrollment follow-up data on all study participants from Oregon’s child welfare system, selfsufficiency services, and medical assistance programs. Additionally, a 1-year post-enrollment telephone interview was conducted with a random sample of 803 study participants (403 program, 400 control). Analyses were also conducted to examine whether program impacts varied for subgroups of families with different demographic and baseline risk characteristics, and to explore the relationship of program fidelity and dosage to outcomes. Finally, a detailed program cost analysis was conducted and administrative data outcomes were used in a cost-benefit analysis.
Green, Beth L.; Tarte, Jerod; Sanders, Mary Beth; and Waller, Mark S., "Testing the Effectiveness of Healthy Start-Healthy Families Oregon: Outcomes and Cost-Benefits" (2016). Child Abuse & Neglect Prevention. 2.