expecting mom, talking with a home visitor

What We Do

THV is a free, voluntary program through which early childhood and health professionals regularly visit the homes of pregnant women and families with children under 6 years of age. Through the use of evidence-based models, the program supports positive child health and development outcomes, increases family self-sufficiency, and creates communities where children and families can thrive.

THV includes a broader set of funding that allows communities to select the model best suited for their community. THV is funded through:

  • Texas Nurse Family Partnership (TNFP). TNFP is a model where a nurse regularly visits the home of first time mothers or families with children under age two. Families start TNFP by their 28th week of pregnancy and can receive supports until the child reaches two years of age. Currently TNFP is the only model directly funded by the Texas legislature.
  • 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). Additionally these funds support the coordination of local and state early childhood coalitions to build comprehensive early childhood systems. The unique Texas model utilizes both service and system-level strategies to improve broad child and family outcomes.
  • Healthy Outcomes through Prevention & Early Support (HOPES). HOPES is 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

Expecting parents, parents, and caregivers of pre-kindergarten children who need help getting school-ready, raising multiple children, or getting back together after being apart.

For additional information, see the Updated Texas Maternal, Infant, and Early Childhood Home Visit Needs Assessment.

Map of Providers and Communities

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

*denotes primary counties
‡ funded through Maternal, Infant and Early Childhood Home Visiting (MIECHV)
For additional provider details, see the 2022 provider directory.

How We Measure Success

  • Children remain safe during services, within 1 year (98.3% 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: 2012
  • Target Number of Youth/Families Served Annually, FY22: 5,700
  • Average Number of Youth/ Families Served Per Month, FY21: pending
  • Counties Served: 20 Primary Counties
  • Annual Budget for Community Contracts: $20,536,076
  • Total Number of Community Grantees: 20 Grantees, 26 Subgrantees
  • Average Grantee Budget: $1,026,804

THV Success Story

Easter Seals (Tarrant County)

The Easter Seals Program began serving families through a combined program model utilizing Pathways Early Autism Intervention and the Parents as Teachers model. The first family served through the new program identified that they were struggling to support and understand the many needs of their child. The family’s assigned social worker partnered with the parents to teach them various parenting strategies including, but not limited to, following the child’s lead, removing demands, and engaging in playful interaction.

The parents sent their worker a video to showcase all the progress their family was making. They stated that through the strategies they learned through the program they learned so much about their child and were experiencing less overall stress.