Family Check-Up - Toddler
Blueprints Program Rating: Promising
The toddler version of the Family Check-Up (FCU) aims to prevent conduct problems among at-risk toddlers by improving the quality of parenting and increasing and maintaining parents' use of Positive Behavior Support.
As a short-term intervention that assesses parenting skills and family relationships and offers parent education, The Family Check-Up toddler program can be supported by funding streams directed at supporting at-risk families, preventing child abuse, and promoting healthy social and emotional development. Medicaid is also a potential funding stream under the Early Periodic Screening Diagnosis and Testing (EPSTD) category of services.
Allocating State or Local General Funds
Some states allocate state and/or local dollars to support prevention programs, and child trust funds and could allocate dollars toward Family Check-Up through these funding streams.
Maximizing Federal Funds
Entitlements: As a health promotion intervention, Family Check-Up can potentially be funded by Medicaid. Whether Family Check-Up can be billed to Medicaid depends on the state Medicaid plan and whether the service is delivered by a Medicaid-eligible provider.
- Maternal, Infant, and Early Childhood Home Visiting Grants - The Affordable Care Act allocated $1.5 billion over five years to support evidence-based home visiting programs. Funds flow to a state agency designated by the governor to administer the program, which then assesses needs and administers funds to local communities. The Family Check-Up program is an approved model for funding under this grant if services are delivered through home visits.
- Title V Maternal and Child Health Block Grant which funds public health activities aimed at supporting healthy pregnancy and early childhood.
- Title IV-B Child Welfare Services grant which can be used to fund child abuse prevention activities and services aimed at keeping children in their homes.
- IDEA funds for Infants with Disabilities which supports early intervention services for infants with disabilities.
- Child Care Development Block Grant which is one of the major funding streams supporting child care and can be used for the Family Check-Up program when it is implemented as part of a comprehensive early care and education model.
- Temporary Assistance for Needy Families which is the core funding stream dedicated to providing income support for low income families and can also be used fairly flexibly by states to support four key goals, including assisting needy families so children can be cared for in their own homes.
Discretionary Grants: There are many federal discretionary grants supporting early care and education that can potentially support Family Check-Up, including programs within SAMSHA, the Children's Bureau and The Head Start Bureau within DHHS.
Foundation Grants and Public-Private Partnerships
Private and corporate foundations can be important partners in Family Check-Up, particularly to help to cover start-up costs and to fill gaps in public funding support for the program.
Generating New Revenue
Traditional fundraising efforts by nonprofit agencies can help to generate support for the program. Agencies could also implement a fee for service model to support Family Check-Up intervention sessions.