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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. As of June 2022, the Clearinghouse has reviewed 109 programs and services; 57 of these have been rated as promising, supported or well-supported.

The Clearinghouse provides a FAQ section on its website to help stakeholders understand and stay up-to-date on developments.

The following are selected programs that serve young children (and families with young children) and have been assigned ratings in the Clearinghouse.

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 Check-Up®

Well-Supported. The Family Check-Up® model is a brief, strengths-based intervention for families with children ages 2 through 17. The intervention aims to improve parenting skills and family management practices, with the goals of improving a range of emotional, behavioral and academic child outcomes. . (Rating Detail)

Family Spirit®

Promising. Family 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)

Intensive Care Coordination Using High Fidelity Wraparound (Wraparound)

Promising. Also known as High Fidelity Wraparound, this intervention uses an individualized, team-based, collaborative process to provide a coordinated set of services and supports. It is typically targeted toward children and youth birth to age 21 with complex emotional, behavioral, or mental health needs, and their families. (Rating Detail)

Iowa Parent Partner Approach

Promising. This program pairs “Parent Partners” with parents whose children (birth to 17 years old) have been removed from the home. It also pairs Parent Partners with parents who can only reside with their children under special conditions set by the courts. Parent Partners are parents who were formerly involved with the child welfare system and who have achieved reunification with their children. They are selected based upon their interpersonal skills, successes, and proven ability to overcome obstacles. (Rating Detail)


Well-Supported. Intercept® provides intensive in-home services to children birth through age 18 at risk of entry or re-entry into out-of-home placements or who are currently in out-of-home placements (e.g., foster care, residential facilities, or group homes). The program is designed to reduce foster care utilization by providing prevention services to children and their families of origin. For children already in foster care, Intercept® aims to reduce time spent in foster care by providing reunification services to children and their families of origin. (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)

Parents Anonymous®

Supported. This program seeks to enhance family functioning and parent/caregiver resilience to prevent and treat child maltreatment by offering groups for parents/caregivers and their children. Groups are guided by four core principles and therapeutic processes: mutual support, parent leadership, shared leadership®, and personal growth and change. Parents Anonymous® is designed for families with children ages birth to 18 who are experiencing difficulties related to mental health, substance use disorders, or challenging life situations. The program serves anyone in a parenting/caregiving role who is seeking support with parenting strategies. (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)

Trust-Based Relational Intervention® - Caregiver Training

Promising. Trust-Based Relational Intervention® Caregiver Training (TBRI-Caregiver Training) is an intervention for caregivers of children ages birth to age 17 who have faced abuse, neglect, and/or other trauma. This program is designed to be highly interactive and is delivered in-person by certified practitioners. The program uses an attachment-based and trauma-informed approach and aims to provide parents and caregivers with the tools needed to meet the needs of these children. (Rating Detail)