expectant mom supporting her belly

What We Do

TNFP is a free, voluntary program through which nurses partner with first-time mothers to improve prenatal care and provide one-on-one child development education and counseling. Families start the partnership with TNFP by their 28th week of pregnancy and can receive support until their child reaches 2 years of age.

TNFP is funded through:

  • Maternal Infant Early Childhood Home Visiting (MIECHV). MIECHV is a federal grant that supports the implementation of a combination of the following evidence-based home visiting models: Nurse-Family Partnership (NFP), Parents as Teachers (PAT), Home Instruction for Parents of Preschool Youngsters (HIPPY), and Healthy Families America (HFA). These funds support the coordination of local and state early childhood coalitions to build comprehensive early childhood systems. The unique Texas model uses both service and system-level strategies to improve broad child and family outcomes.
  • Healthy Outcomes through Prevention & Early Support (HOPES).  HOPES is an existing PEI program that provides a variety of innovative community-based initiatives and support for families with children 0-5 years of age.

Who We Serve

First -time, low income mothers and their families from before their 28th week of pregnancy through their child’s second birthday.

Map of Providers and Communities

Map of Texas, showing providers across the state. For a text version of TNFP providers, check the PEI Provider Directory.

*Denotes primary counties
For additional provider details, see the 2022 provider directory.

How We Measure Success

  • Children remain safe during services, within 1 year (96% in FY20) and 3 years.
  • Increase in parent/child interaction, ability to cope with parental stress.
  • Support positive health outcomes by addressing premature birth outcomes, attending well child visits, and support breastfeeding.

Program Data

  • Program Start Date: 2008
  • Target Number of Youth/Families Served Annually, FY22: 3,122
  • Average Number of Youth/ Families Served Per Month, FY21: pending
  • Counties Served: 53
  • Annual Budget for Community Contracts: $16,932,878
  • Total Number of Community Grantees: 16 grantees, 2 subgrantees
  • Average Grantee Budget: $1,058,305

TNFP Success Story

Hillcrest Nurse-Family Partnership Program (Brazoria County)

Hillcrest Nurse-Family Partnership program was serving a mother who needed wheelchair assistance and her eight-month-old infant. The family was severely impacted by the winter storm and lost running water for 10 days.

During the storm, the mother was able to locate enough water to mix baby formula, but not to bathe him. She reached out to Nurse-Family Partnership after the baby developed a severe rash from the baby wipes she used to give her child a bath.

Hillcrest immediately mobilized to address the family’s emergency needs. The next day, in part to Nurse-Family Partnership’s advocacy, water was restored in the apartment complex and the baby’s rash was resolved. Even after family normalcy resumed, the nurse home visitor continues to support the family in achieving their goals, which includes mom working towards completion of her associate degree.