Evaluation of paraprofessional home visiting services for children with special needs and their families

This study evaluated the impact of supportive paraprofessional home visiting on mothers and their young children who had or were at risk for developmental disabilities and who were at risk for receiving inadequate parenting. Families were randomly assigned to intervention and comparison groups. Upon exit, mothers in the intervention group rated services as more helpful and demonstrated moderately better mental health than did mothers in the comparison group. Children in the intervention group were more likely to have received an Individualized Family Service Plan. The two groups did not differ in the quality of their home environments, service utilization, or child outcomes. The results of these findings are discussed in terms of the need for direct training of parents and the characteristics of families who can benefit most from the services that paraprofessionals provide.