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.