Accelerating the Expansion of Home Visiting Services Under the Family First Prevention Services Act

The Family First Prevention Services Act of 2018 (Family First) was intended to redirect a portion of federal child welfare funding to early intervention and prevention. Six years later, multiple barriers still stand in the way of expanding families’ access to support services such as voluntary home visiting. Key challenges include building cross-agency agreements, navigating administrative practices, and aligning funding streams. The goal of this paper is to expedite the expansion of home visiting services under Family First by elevating strategies developed by states to address financing system misalignment between child welfare and home visiting. In many cases, use of Family First resources to support home visiting requires braiding funds to cover start-up costs, adapting child welfare vendor contracts and payment approaches to account for variability in services and cover the full cost of providing home visits, and collaboration between agencies that may not be accustomed to communicating with each other and working together. We hope this paper enables additional states to expand home visiting more rapidly to more families, promoting safer, happier, and healthier lives together