§ 23-13.7-2. Home-visiting system components.
(a) The Rhode Island department of health shall coordinate the system of early childhood
home-visiting services in Rhode Island and shall work with the department of human
services and department of children, youth and families to identify effective, evidence-based,
home-visiting models that meet the needs of vulnerable families with young children.
(b) The Rhode Island department of health shall implement a statewide home-visiting system
that uses evidence-based models proven to improve child and family outcomes. Evidence-based,
home-visiting programs must follow with fidelity a program model with comprehensive
standards that ensure high-quality service delivery, use research-based curricula,
and have demonstrated significant positive outcomes in at least two (2) of the following
areas:
(1) Improved prenatal, maternal, infant, or child health outcomes;
(2) Improved safety and reduced child maltreatment and injury;
(3) Improved family economic security and self-sufficiency;
(4) Enhanced early childhood development (social-emotional, language, cognitive, physical)
to improve children's readiness to succeed in school.
(c) The Rhode Island department of health shall implement a system to identify and refer
families prenatally, or as early after the birth of a child as possible, to voluntary,
evidence-based, home-visiting programs. The referral system shall prioritize families
for services based on risk factors known to impair child development, including:
(1) Adolescent parent(s);
(2) History of prenatal drug or alcohol abuse;
(3) History of child maltreatment, domestic abuse, or other types of violence;
(4) Incarcerated parent(s);
(5) Reduced parental cognitive functioning or significant disability;
(6) Insufficient financial resources to meet family needs;
(7) History of homelessness; or
(8) Other risk factors as determined by the department.
(d) The Rhode Island department of health shall issue a state home-visiting report due
annually by March 1 of each year that outlines the components of the state's family
home-visiting system that shall be made publicly available on the department's website.
The report shall include:
(1) The number of families served by each evidence-based model; and
(2) Demographic data on families served; and
(3) Duration of participation of families; and
(4) Cross-departmental coordination; and
(5) Outcomes related to prenatal, maternal, infant and child health, child maltreatment,
family economic security, and child development and school readiness; and
(6) An annual estimate of the number of children born to Rhode Island families who face
significant risk factors known to impair child development, and a plan including the
fiscal costs and benefits to gradually expand access to the existing evidence-based,
family home-visiting programs in Rhode Island to all vulnerable families.
(e) State appropriations for this purpose shall be combined with federal dollars to fund
the expansion of evidence-based, home-visiting programs, with the goal of offering
the program to all the state's pregnant and parenting teens; families with a history
of involvement with the child welfare system; and other vulnerable families.