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Improving Outcomes for Families Experiencing Intimate Partner Violence Through Precision Home Visiting

Statement of Problem

More and more, policymakers are turning to early childhood home visiting as the singular strategy to effectively serve young families in high-risk communities. However, families engaged in home visiting often face complex social issues and require clinical, therapeutic and other social services beyond the typical scope of evidence-based home visiting programming. 

The need to more concretely define what successful service coordination looks like between home visiting programs and other service providers, as well as measure the impact of that coordination on family outcomes, is a national home visiting research priority and one well-aligned with the concept of precision home visiting. This concept focuses on what program components work best for groups of families in particular contexts. A precision home visiting approach goes beyond traditionally used subgroup characteristics—such as race, gender, and economic status—to include strengths, needs and past experiences.

In Pennsylvania, and acutely within Philadelphia, a critically important subgroup of home-visited families is those experiencing intimate partner violence (IPV). Children in families impacted by IPV are at significantly increased risk of safety concerns, including child abuse and neglect. From a home visiting perspective, IPV negatively impacts client engagement in the program and the outcomes that the program can achieve. As the evaluators of the federal Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) expansion in Pennsylvania, we heard firsthand about the unique issues facing families, and how IPV is detrimental to their engagement in the program. 

At this time, it is unclear how coordinated the system of services are within our community to most effectively support home-visited families experiencing IPV.  


Improving Outcomes for Families Experiencing Intimate Partner Violence Through Precision Home Visiting


These research findings will be used help develop an intervention to more clearly define, integrate and strengthen the role of home visiting agencies within the greater network of local supports for families experiencing IPV.

Next Steps

We are working with our advisory group to further define components of our pilot intervention, resource needs, and evaluation metrics, with the goal of launching the pilot in Spring 2023. We are also focusing the final project year on a dissemination plan to share our findings widely. This will include a range of academic and policy publications directed at social service, early childhood, policy and research audiences. We are excited for the opportunity to apply our learnings on what is needed to strengthen the network of available supports and improve client outcomes for families with young children experiencing IPV. 

This project page was last updated in December 2022.

Suggested Citation

Children's Hospital of Philadelphia, PolicyLab. Improving Outcomes for Families Experiencing Intimate Partner Violence Through Precision Home Visiting [Online]. Available at: [Accessed: plug in date accessed here]. 

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