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 (99% in FY21) 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, FY23: 3,097
  • Average Number of Youth/ Families Served Per Month, FY21: pending
  • Counties Served: 53
  • Annual Budget for Community Contracts: $16,002,878
  • Total Number of Community Grantees: 16 grantees, 2 subgrantees
  • Average Grantee Budget: $1,000,180

TNFP Success Story

Hillcrest Texas Nurse Family Partnership (McLennan County)

Dani, a 19-year old mother, was very engaged in Hillcrest’s Nurse Family Partnership program, taking steps to secure her and her baby’s safety and future. Her baby is 11 months old now. While in the program and caring for her baby, the young mother worked hard on her goal to become a Certified Medical Assistant as well.  Dani underwent significant challenges and persisted with the support of her Nurse Home Visitor and other providers. She also struggled with intimate partner violence and had to take difficult steps to ensure her baby’s safety.

She has recently completed relationship counseling and mental health counseling through a local mental health provider as well. The Nurse Home Visitor who has been working with this young mother since before her baby was born has watched this young mother grow and achieve goals in the face of incredible obstacles.

Despite these odds, Dani has completed her testing and is now a Certified Medical Assistant – all while caring for and nurturing her baby during her critical first year.