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Title IV-E Prevention Service Clearinghouse

Title IV-E Prevention Services Clearinghouse was established in accordance with the Family First Prevention Services Act to rate programs and services as promising, supported, and well-supported practices. These services and programs must show effectiveness in mental health and substance abuse prevention and treatment services and in-home parent skill-based programs.

The Clearinghouse provides ratings and specific information on the programs, including outcomes associated with the practices. Thus far, the Clearinghouse has assigned ratings to the following programs that serve young children and/or pregnant or parenting youth.

Child First (formerly known as Child and Family Interagency Resource, Support, and Training/Child FIRST)

Supported. Child First is a home-based intervention that aims to promote healthy child and family development through a combination of psychotherapy and care coordination. Child First serves families with young children (prenatal through age 5 at entry) and targets families with children who experience social-emotional, behavioral, developmental, or learning problems. (Rating Detail)

Child-Parent Psychotherapy

Promising. CPP is an intensive therapy model serving children birth through age 5 years and their parents/caregivers. CPP aims to support family strengths and relationships, to help families heal and grow after stressful experiences, and to respect family and cultural values. (Rating Detail)

Family Spirit®

Promising. TFamily Spirit® is a culturally-tailored home visiting program designed for young American Indian mothers (ages 14-24) who enroll during the second trimester of pregnancy. The goal of Family Spirit® is to address intergenerational behavioral health problems and promote positive behavioral and emotional outcomes among mothers and children. The program uses a culturally informed, strengths-based approach for helping mothers develop positive parenting practices, strengthen their coping skills, and learn how to avoid coercive parenting behaviors and substance abuse. (Rating Detail)

Healthy Families America

Well supported. The goals of the program are to cultivate and strengthen nurturing parent-child relationships, promote healthy childhood growth and development, and enhance family functioning by reducing risk and building protective factors. (Rating Detail)

Homebuilders - Intensive Family Preservation and Reunification Services

Well supported. Homebuilders provides intensive, in-home counseling, skill building and support services for families who have children (0-18 years old) at imminent risk of out-of-home placement or who are in placement and cannot be reunified without intensive in-home services. (Rating Detail)

Incredible Years — Toddler Basic Program

Promising. IY is a group-based program designed for parents with toddlers (1 to 3 years). The program typically targets higher risk parents who need support forming secure attachments with their toddlers or addressing their toddlers’ behavior problems. It also helps parents create secure and safe environments for children, establish routines, use appropriate discipline, and reduce behavior problems. (Rating Detail)

Multidimensional Family Therapy

Supported. MDFT addresses the needs of adolescents and young adults with substance use, delinquency, mental health, and emotional problems. It also aims to improve parenting skills, parental functioning, family communication, attachment, and to reduce parenting stress. (Rating Detail)

Nurse Family Partnership

Well supported. The primary aims of NFP are to improve the health, relationships, and economic well-being of mothers and their children. Typically, nurses provide support related to individualized goal setting, preventative health practices, parenting skills, and educational and career planning. However, the content of the program can vary based on the needs and requests of the mother. (Rating Detail)

Parents as Teachers

Well supported. PAT aims to increase parent knowledge of early childhood development, improve parenting practices, promote early detection of developmental delays and health issues, prevent child abuse and neglect, and increase school readiness and success. (Rating Detail)

Parent-Child Interaction Therapy (PCIT)

Well supported. In PCIT, parents are coached by a trained therapist in behavior-management and relationship skills. PCIT is a program for two to seven-year old children and their parents or caregivers that aims to decrease externalizing child behavior problems, increase positive parenting behaviors, and improve the quality of the parent-child relationship. (Rating Detail)


Supported. SafeCare is an in-home behavioral parenting program that promotes positive parent-child interactions, informed caregiver response to childhood illness and injury, and a safe home environment. SafeCare is designed for parents and caregivers of children birth through five who are either at-risk for or have a history of child neglect and/or physical abuse. (Rating Detail)

Sobriety Treatment and Recovery Teams (START)

Promising. START serves families with at least one child under 6 years of age who are involved in the child welfare system and have a parent with substance use disorders (SUD). The goals of START are to prevent foster care placement, promote child safety and well-being, encourage parental SUD recovery, and improve family stability and self-sufficiency. (Rating Detail)

Triple P – Positive Parenting Program – Group (Level 4)

Promising. Triple P-Group is for parents who are interested in promoting their child's development or who are concerned about their child's behavior problems. Group sessions typically focus on topics such as positive parenting, helping children develop, managing misbehavior, and planning ahead. (Rating Detail)

Triple P – Positive Parenting Program – Online (Level 4) ("Triple P-Online")

Supported. Triple P-Online is designed to offer parents support for encouraging children’s positive behaviors; managing misbehaviors; and teaching children new skills. It serves families with children up to 12 years with significant social, emotional or behavioral problems. . (Rating Detail)

Triple P – Positive Parenting Program – Self-Directed (Level 4)

Promising. This is a self-help parenting intervention for families with children up to 12 years. Triple P Self-Directed is most suitable for families who live in rural or remote areas or who want help without direct contact with a practitioner. (Rating Detail)

Triple P – Positive Parenting Program – Standard (Level 4) (“Triple P-Standard”)

Promising. This is a parenting intervention for families with concerns about their child’s moderate to severe behavioral problem. As a part of Triple P-Standard, parents engage in one-on-one sessions with a practitioner. These sessions focus on promoting child development, managing misbehavior, and implementing planned activities and routines to encourage independent child play. (Rating Detail)