Nurse-Family Partnership

Local governments can invest in this strategy using State and Local Fiscal Recovery Funds (SLFRF) from the American Rescue Plan Act (ARPA).

  • This strategy can help promote healthy childhood environments and address social determinants of health. The U.S. Department of Treasury has indicated that strategies that help achieve these outcomes are eligible for the use of Fiscal Recovery Funds.
  • Investments in this strategy are SLFRF-eligible as long as they are made in qualified census tracts or are designed to assist populations or communities disproportionately impacted by COVID-19.

Program overview

  • Provides home visits by registered nurses to low-income first-time mothers, beginning during pregnancy and continuing through the child’s second birthday
  • One-on-one visits in client homes, beginning with 60- to 90-minute visits with pregnant mothers early in their pregnancy
  • National nonprofit organization provides information, support, and specialized training to network partners across the country to implement nurse-family partnerships

Evidence and impacts


Ranked as having the highest level of evidence by the California Evidence-Based Clearinghouse for Child Welfare, County Health Rankings and Roadmaps, Blueprints for Healthy Youth Development, Social Programs That Work, the Substance Abuse and Mental Health Services Administration, the National Institute of Justice

  • Outcomes observed in at least one of the trials of the program:
  • 48% reduction in child abuse and neglect
  • 56% fewer emergency room visits for accidents and poisonings
  • 50% lower rate of delay in language development in children age 21 months
  • 67% fewer behavioral/intellectual problems at age 6
  • 79% reduction of preterm deliveries by women who smoke
  • 32% fewer subsequent pregnancies
  • 82% increase in months employed

Best practices in implementation

  • Note: This content is under review
  • Dedicated nurse supervising and nurse training teams ensure that recruited nurse practitioners have adequate support.
  • A key goal of the program is to ensure trust and relationship building between nurses and clients. When clients feel comfortable sharing their goals and concerns, they receive a greater benefit from the program.
  • Partnerships with states, local governments, and research universities allow for rigorous evidence-based evaluations through which benefits can be measured.