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Our Initiatives

Home Visiting

Home visiting programs provide in-home health education and social services to pregnant and newly delivered women. Home visiting programs in Baltimore are implemented by community-based organizations and the Baltimore City Health Department. Clients are matched with a home visiting program best suited for them based on their risk level, place of residence, and other factors.

BHB has spearheaded an initiative to transition all home visiting programs in Baltimore City to evidence-based models of care. Several national home visiting models have been proven to improve birth outcomes, increase intervals between pregnancies, supoprt maternal self-sufficiency, and reduce child abuse. The Pew Charitable Trusts lauded Baltimore for this successful transition. 

In Baltimore CIty, home visiting programs use one or more of the following evidence-based models:

  • Nurse-Family Partnership (NFP) for low-income first-time pregnant women;

  • Healthy Families American (HFA):

    • HFA Enhanced, staffed by Nurses and Social Workers, for pregnant women who have had a poor outcome in a previous pregnancy;

    • HFA Traditional, staffed by highly trained paraprofessionals, for pregnant women with psychosocial risk factors;

    • HFA HOPE, a program for women who have had a fetal or infant loss, staffed by peers;

  • Early Head Start, a home and center based program for pregnant women and children from birth through age 3; and, 

  • Healthy Start, the federal model of using paraprofessionals to provide case management, including home visiting. 

BHB has created a vulnerability index that identifies risk factors for poor birth outcomes and triages perinatal women to the most appropriate home visiting model. Click here to see the vulnerability index pdf.


Resources

Baltimore City Prenatal Risk Assessment (PRA) Webinar

Home Visiting Flyer for Clients

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Sponsored by the Office of Mayor Stephanie Rawlings-Blake,
Baltimore City Health Department,
The Family League of Baltimore, and
CareFirst BlueCross BlueShield