In March 2020, home visiting services in California quickly shifted from an in-person format to an almost entirely virtual setting to meet new public health requirements put in place as a result of the COVID-19 pandemic. This impacted the more than 15,000 families[1] across the state who receive home visiting services through programs administered by the California departments of Public Health (CDPH) and Social Services (CDSS), as well as individual First 5 county commissions.[2] While some home visiting models had been exploring the addition of a virtual component to home visiting service delivery,[3] the pandemic required nearly all home visitors in California—and across the country[4]—to make this change at once.


[1] National Home Visiting Resource Center (2019), 2019 Home Visiting Yearbook: California. Retrieved from in September 2020. The NHVRC data only include data from evidence-based models, which do not capture the entirety of home visiting in California.

[2] Home visiting programs administered in California include evidence based and home-grown models; this study addresses a range of home visiting models, not just those funded by MIECHV.

[3] Parents as Teachers National Center. (March 18, 2020). National Nonprofit Organization Turns to Telehealth to Help Mitigate Coronavirus Outbreak. Retrieved from in September 2020.

[4] O’Neill, K., Korfmacher, J., Zagaja, C., and Duggan, A. for the Home Visiting Applied Research Collaborative. (April 10, 2020). COVID19’s Early Impact on Home Visiting. First report from a national HARC-Beat survey of local home visiting programs.