A registered nurse visited participants at home during pregnancy and their child’s infancy. The nurse promoted healthy prenatal behaviors, parent–child interactions, and practices to encourage the child’s emotional and cognitive development. The nurse helped participants address barriers that prevented them from completing education and finding work. Mothers also received free transportation to and from scheduled prenatal care appointments. After the child was born, the child received developmental screening and referral services when they were 6, 12, and 24 months old.

Twenty-four grantees offered the RExO program, including national nonprofits, faith-based community organizations, community health organizations, and local or regional nonprofits. The exact bundle of services each grantee provided varied significantly. In all programs, case managers coordinated service delivery and supported participants. Most grantees offered group mentoring for participants, and a smaller subset offered individual mentoring.

ATIM case managers helped participants develop training plans to help them achieve their employment and career advancement goals. ATIM provided access to trainings, including basic skills training, occupational training focused on manufacturing and safety, and on-the-job training. Manufacturing safety training modules lasted 1 to 12 weeks, and participants could receive on-the-job training during internships lasting about 3 to 4 weeks. On average, participants completed the program in five months.

Eligible families had spent at least one week in an emergency homeless shelter, had at least one child age 15 or younger, and had sufficient income to pay their share of rent or had the ability to seek employment. They received subsidized housing in agency-controlled housing units, along with intensive case management. Families paid 30 percent of their unadjusted monthly income toward housing costs.