The Crucial Role of Home Visiting During COVID-19:

Supporting Young Children and Families

ome visiting has long served an essential role in addressing the

needs of young children by connecting families to programs,
supports, and services. Home visitors — typically nurses, social
workers, or community health workers supported by local, state,
or federal funding — build relationships that extend beyond
parenting and child development. During the COVID-19
pandemic, the need for home visiting — and pivoting to
accommodate virtual home visits — is even more critical as
families face new or expanding challenges, like domestic
violence, substance use, or mental health needs — all issues
that surge during crises.

An Increase in Demand
State leaders in New York, Rhode Island, Vermont, and
Washington — all participants in Aligning Early Childhood and
Medicaid, a national initiative led by the Center for Health Care
Strategies with support from the Robert Wood Johnson
Foundation — have seen the demand for home visiting increase
since the pandemic began in March. Staff initially worried that
visits would decline once they shifted to virtual visits, but the
opposite has proven true. There has been an uptick in visit
frequency, a decline in no-show rates, and previously
disengaged families are back in touch with their home visitors.
Vermont even has an increase in new enrollments since some
families feel less intimidated by an initial phone call or video chat
as opposed to an in-person session.

Key Roles of Home Visiting During COVID-19

The increased demand for home visiting validates the value that
home visitors provide to families during COVID-19.  Below are
key roles that virtual home visitors are serving:

1. Meeting basic needs

The demand for basic needs, like diapers, wipes, and food, has
skyrocketed. Home visitors are trained to be nimble in supporting
parenting practices while simultaneously addressing challenges
around food insecurity or housing instability. Staff is connected
to local networks and comfortable working in crisis situations. In
Rhode Island, staff regularly drop off supplies and ensure that
families have food and formula. One home visitor left a bag of
food on the doorstep of a young family, reporting that the
children “cried with joy” because they finally had food they liked.

2. Providing a sense of normalcy

For single-parent families, the home visitor might be the only

adult that they interact with in a given day, providing an
emotional break during a time that is even more stressful than
usual. Home visitors set up routines in the home, especially
when parents are juggling the needs of school-age children,
infants, household responsibilities, and employment. In Vermont,
one home visitor dropped off pretzel mix to a family, then met
them online to make pretzels together virtually while pointing out
the developmental learning opportunities. Another home visitor
learned that a family could not leave the house because they did
not own a car seat. After searching Amazon, local hospitals, and
WIC offices, the home visitor was able to get one from a local
nonprofit; the mother was overwhelmed with gratitude upon
seeing the seat on her stoop.
3. Supporting prenatal care

Prenatal visits are being delayed, rescheduled, or rerouted to

new providers because of COVID-19. Furthermore, there
is increased fear of giving birth in hospitals. Home visitors play a
crucial role in educating families about safe birth plans,
advocating for their prenatal visits, and providing support
throughout the pregnancy and post-birth. In New York, one first-
time mother was in her last month of pregnancy, and mistakenly
thought that she did not have to go back to the doctor for four
weeks. When the home visitor found out, she reached out to the
mother-to-be to clarify and learned that in the meantime she had
gone to the emergency department (ED), been diagnosed with a
urinary tract infection, and was unable to get the prescription
filled. She had since returned home and was experiencing
severe back pain. The home visitor coached the woman to return
to the ED, get the needed treatment, and see her OB/GYN
regularly.  The woman has since delivered a healthy baby boy,
in part thanks to the home visitor who supported her.

4. Mitigating domestic violence

Domestic violence has increased worldwide during COVID-19 —

home visitors are on the frontlines to identify and support
families experiencing it. In New York, home visitors are trained to
first ask the parent if they are comfortable speaking before
continuing with a scheduled session. In one instance, a mother
asked to reschedule when her partner would not be home. She
was later supported to move to a domestic violence shelter.
Home visitors are skilled at navigating these sensitive issues and
provide critical support at a time when families are isolated and
no one else is conducting in-home visits to recognize the signs
of domestic violence.
5. Addressing racial disparities

The U.S. health care system is riddled with racial disparities. A

Black woman is 243 percent more likely to die from pregnancy-
or childbirth-related causes than a white woman.
Additionally, African Americans have the highest infant mortality
rate of any racial or ethnic group in the U.S. These outcomes of
structural injustices are exacerbated during a pandemic when
access to care, information, and support is limited. Home visiting
is an evidence-based program recommended to address racial
disparities because of its culturally responsive, community-driven
approach. Health equity requires that every baby starts life with
equal opportunity.

Opportunities to Support Home Visiting During Covid-

19
The essential services provided by home visiting are not without
challenges. Quickly pivoting to virtual sessions, securing
sufficient resources, and reaching vulnerable families require
new capabilities. Below are a few of the challenges to home
visiting during COVID-19 and how states and providers are
partnering to address them:

1. Provide access to technology

While broadband resources have been directed to families of K-

12 students to support distance learning, the need for internet
access for families with young children is largely being
overlooked. One COVID-19 study of over 1,300 home visiting
programs found that over half the families did not have access to
the internet or a device to have a virtual visit. Advocacy for
increased technological capacity for this demographic is
underway but did not make it into recent federal legislation
through the CARES Act or otherwise. Leaders of home visiting
programs also articulated end-of-month challenges when
government-issued phones run out of minutes. It is essential to
bridge the digital divide to combat structural inequalities. Rhode
Island created a guide for residents that details options for
temporary free Internet/data allowances during COVID-19. Post-
pandemic, technology needs to be embraced beyond a crisis-
driven solution, but also as a complement to in-person services
during healthy times.

2. Support home visitors

One strength of home visiting is that the staff often come from
the same communities as the families they serve and share
similar lived experiences. However, during a pandemic, this
means that many staff are experiencing similar health hardships,
family grief, economic strain, and childcare struggles. Leaders of
home visiting programs in Rhode Island expressed the need for
reflective practice and supervision during these unprecedented
times. They said it has become easier to authentically ask a
home visitor about their own personal challenges, and some
teams speak less about their caseloads and more about their
staff’s social-emotional needs during check-ins.

3. Include fathers

Before the pandemic, fatherhood programs were already limited

and under-funded. Now, some of these programs have had to
close. Shelter-in-place requirements can also disrupt fragile
father-child relationships by preventing opportunities for
consistent engagement. Virtual home visits could play a
transformative role to include fathers in their child’s
development, both during and after the crisis. In Washington,
there is a particular focus on how to provide greater support to
non-custodial fathers during COVID-19.
Invest and Scale What Works in Home Visiting
Hunger, housing insecurity, racism, and parental struggles have
always been urgent issues for many families living in poverty. 
However, COVID-19 has also destabilized families who were
previously secure. People from every walk of life now
understand the delicate line that separates comfort from crisis.
The visibility of these issues and surge in need compels the
government to invest and innovate. Relationships are at the core
of any high-quality program, and young children need stable,
healthy environments to thrive. This critical moment in history
can be used to strengthen programs, policies, and practices that
connect America’s most at-risk children and families to
resources and opportunities through home visiting.

*Blog post lead author Daniela Lewy, EdLD, MPH, serves as a consultant to the Aligning Early Childhood and
Medicaid initiative. Dr. Lewy is the former executive director of the Virginia Governor’s Children’s Cabinet,
which worked across four secretariats, 19 state agencies, and over 150 programs, connecting local
communities to state-level supports to address education inequities, health disparities, and poverty.

home visitation deped new normal

15 czerwca 2021

DepEd faces challenges amid ‘new normal’. The Department of Education (DepEd)
on Wednesday announced that it is already addressing challenges in the basic
education through the Learning Continuity Plan (LCP), which will be in effect by the
time school year 2020-2021 opens on 24 August. In a statement, Education Secretary
Leonor Briones said ... 6 Comments. Academia.edu is a platform for academics to
share research papers. by Ma'am Vi. That is basically making us teachers visit our
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VISITATION RESIDENCY VERIFICATION FORM Name of Student: Name of
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WHLP. The DepEd is also planning to train parents and guardians who will supervise
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RESIDENCY VERIFICATION FORM Name of Student: Name of School: Parent
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Date of Home Visit: Name of Person. The responsibility is thrown back to advisers
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more. These problems include teaching the learners where it is difficult for teachers to
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our students and their family background. Attached here is sample letter to the
principal asking for permission to conduct home visitation. The Inter-Agency Task
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to release an updated report on the number of personnel with COVID-19. “Kahit
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New Normal System of Education ... Teachers find time to visit their learners to
monitor their reading progress in English and Filipino. The Department of Education
(DepEd) on Wednesday announced that it is already addressing challenges in the basic
education through the Learning Continuity Plan (LCP), which will be in effect by the
time school year 2020-2021 opens on 24 August.