Home Visiting Career Trajectories

In fall 2016, the Office of Planning, Research, and Evaluation in the Administration for Children and Families at US Department of Health and Human Services, in collaboration with the Health Resources and Services Administration, awarded the Urban Institute a contract to study the state of the home visiting workforce. The project examines the characteristics, qualifications, and career trajectories of home visiting staff and strategies to build a pipeline of qualified home visitors and supervisors.

The project includes two major components: (1) a national survey of the home visiting workforce, including home visitors, supervisors, and program managers, in local agencies receiving funding from the Maternal, Infant, and Early Childhood Home Visiting program; and (2) case studies in eight states involving semistructured interviews with program leaders and supervisory staff, as well as focus groups with home visitors. 

Home Visiting Career Trajectories: Final Report
This report summarizes survey findings and key themes from the case studies. The study findings highlight the factors that support home visitors in their roles and ways in which home visiting staff feel challenged. Together, the survey and case study findings provide insights into the experiences of this diverse and understudied workforce and point to strategies that could further strengthen them.

Findings from the Home Visiting Career Trajectories Study



For more information, contact project director Heather Sandstrom at HSandstrom@urban.org.