ABSTRACT
Home visiting programs reach hundreds of thousands of families with young children annually and have been endorsed by the American Academy of Pediatrics (2009), the United States General Accounting Offi ce(1990), and the National Academy of Sciences (Chalk & King, 1998). In fi scal year 2009-10, 46 states and the District of Columbia had state-based home visiting systems, with state funding totaling at least $1.36 billion (Pew Center on the States, n.d.). Investment in home visiting is growing: the federal 2010 Patient Protection and Aff ordable Care Act authorized $1.5 billion over 5 years for home visiting expansion and evaluation.
