Blueprints Program Rating: Promising
A two-generation home visitation program which works to heal and protect young children and their families from the devastating effects of chronic stress and trauma. It provides psychotherapeutic services and intensive care coordination, while building adult reflective and executive capacity, to prevent or diminish serious emotional disturbance, developmental and learning disabilities, and abuse and neglect among young children.
Child First sites are expected to participate in local early childhood and other collaboratives so that Child First is well integrated into the array of available services and families receive the most needed and appropriates services.
While philanthropy is an important source of start-up funding, regional and state networks should seek public funding streams, especially in health, child welfare, and early childhood sustainability. At this point in time, the major funding streams for Child First appear to be Medicaid (Rehabilitation Option, EPSDT, Managed Care, waivers), MIECHV and other federal grant programs, and state budgets especially Child Welfare. Social Impact Bonds (Pay for Success) are a funding option that could be explored given Child First two-generation outcomes and the cost savings that could be realized by jurisdictions/states.
Allocating State or Local General Funds
- In Connecticut, CT Department of Children and Families and Start-up funding from the Early Childhood Cabinet (State Department of Education).
- In Florida, funding through the Children’s Services Council of Palm Beach County (funded primarily through local property taxes).
Maximizing Federal Funds
- Child First is an evidenced-based model designated by the Health Resources and Services Administration (HRSA) and eligible for funding under the Maternal Infant and Early Childhood Home Visiting (MIECHV) program. Connecticut has utilized this funding for Child First expansion.
- Child First has been funded by Project LAUNCH and other SAMHSA grants (e.g., Early Childhood System of Care grant).
- Child First has been funded by Medicaid in Bridgeport, CT and is being considered for expansion to other CT locations. It is anticipated that it will be included in the North Carolina Medicaid Managed Care plan.
Foundation Grants and Public-Private Partnerships
- National foundations including the Robert Wood Johnson Foundation.
- State, regional, and local foundations such as the CT Health Foundation, Children’s Fund of CT, William C. Graustein Memorial Fund, various community foundations (Fairfield County Community Foundation; New Haven Community Foundation, CT Community Foundation, Hartford Foundation for Public Giving), United Ways across CT, and Family Foundations such as the Grossman Family Foundation and the William C. Bullitt Foundation.