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Summary

Child First was a home visiting program for families with children from birth through age 5 where caregivers were experiencing challenges with their own mental health or their children’s behavior problems; it provided both care coordination and a trauma-informed intervention aimed at promoting executive functioning and healthy family relationships. 

Child First was a home visiting program for families with children from birth through age 5 where caregivers were experiencing challenges with their own mental health or their children’s behavior problems; it provided both care coordination and a trauma-informed intervention aimed at promoting executive functioning and healthy family relationships. Care coordination involved a home visitor connecting families to available and relevant resources. The trauma-informed intervention component, most commonly Child-Parent Psychotherapy, aimed at promoting healthy family relationships and promoting executive functioning.

Families received twice-weekly touchpoints, either in-person or virtually, with a care coordinator and clinician during the first month of enrollment and weekly visits for the remainder of the intervention, which lasted 8 months on average.

The program was evaluated at nine Child First sites in Connecticut and one site in North Carolina.

101031-Study of Child First
Populations and employment barriers: At least a high school diploma or equivalent, Parents

Effectiveness rating and effect by outcome domain

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Outcome domain Term Effectiveness rating Effect in 2024 dollars and percentages Effect in standard deviations Sample size
Increase earnings Short-term No evidence to assess support
Long-term No evidence to assess support
Very long-term No evidence to assess support
Increase employment Short-term Little evidence to assess support favorable 1% (in percentage points) 0.036 182
Long-term No evidence to assess support
Very long-term No evidence to assess support
Decrease benefit receipt Short-term Little evidence to assess support favorable $-14 per year -0.004 182
Long-term No evidence to assess support
Very long-term No evidence to assess support
Increase education and training All measurement periods No evidence to assess support
* This intervention was assessed as supported for this domain, meaning it achieved one or more statistically significant, favorable effects. However, the intervention has an average effect size that is unfavorable because the average includes all effects in this domain - both statistically significant and favorable effects and statistically insignificant but unfavorable effects.

Effectiveness rating key:

  • Well-supported Well-supported   
  • Supported  Supported   
  • Not supported  Not supported   
  • Mixed support  Mixed support   
  • Insufficient evidence  Insufficient evidence   
  • No evidence  No evidence
Effectiveness rating terms?

Studies of this intervention

Study quality rating Study counts per rating
High High 1
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Implementation details

Organizations implementing intervention

The Child First organization delivered the program.

The information contained here reflects how the intervention was implemented at the time of the evaluation.

Local context

The providers and study sites were located in Connecticut and North Carolina. Child First also operated sites in Colorado, Florida, and Pennsylvania at the time of the study, but no study sites were in these locations.

Characteristics of research participants
Black or African American
20%
White, not Hispanic
44%
Another race
4%
Hispanic or Latino of any race
31%

The race and ethnicity categories may sum to more than 100 percent if the authors reported race and ethnicity separately; in these cases, we report the category White, rather than White, not Hispanic.

State(s) where implemented

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Canada

The Pathways Clearinghouse refers to interventions by the names used in study reports or manuscripts. Some intervention names may use language that is not consistent with our style guide, preferences, or the terminology we use to describe populations.