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.

For additional provider details, see the Fiscal Year 2021 PEI 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, FY21: 4,392
  • Average Number of Youth/ Families Served Per Month, FY20: 2,770
  • Counties Served: 24
  • Annual Budget for Community Contracts: $19,657,324
  • Total Number of Community Grantees/ Sub-grantees: 20 Grantees 16 Sub-grantees
  • Average Grantee Budget: $982,866

THV Success Story

Children’s Advocacy Center of Greater West Texas, Tom Green County

Six years ago, the Nurse Family Partnership (NFP) program had a client who passed away during childbirth. The child, Dina, survived and the father, Sam, has been caring for her. Sam completed the NFP home visits and graduated from the program when Dina turned two years old. During that time, he started dating Konstantina who grew to love Dina and joined in some of the home visits toward the end of that two year period. Four years later we received a referral from our clinic for a client pregnant with her first child, Konstantina. Due to her unique name we realized immediately it was the same woman who helped care for Dina so many years ago. She had married Sam and they were preparing for their first child together. Konstantina was excited to be able to participate in NFP, as was the father.