Maternal, Infant and Early Childhood Homevisiting Grant Program - Purpose: Massachusetts Maternal, Infant, and Early Childhood Home Visiting (MA MIECHV) provides evidence-based home visiting (EBHV) services in 18 communities to improve family and child health and well-being. MA MIECHV priorities include delivering data-driven programming to families affected by substance use, housing instability, and trauma and improving service coordination within the early childhood system of care. Goal and Objectives: Through a racial equity and trauma-informed framework MA MIECHV goals aim to strengthen state Title V activities, enhance coordination of services within early childhood systems of care, and provide comprehensive supports to improve family outcomes. The objectives are to: 1) leverage MA MIECHV to achieve measurable progress on seven of the ten Title V priorities; 2) increase the percent of local implementing agencies (LIAs) that offer compensated family engagement and leadership opportunities; 3) collaborate with national, state and local partners to coordinate and streamline state initiatives and supports for families within the continuum of early childhood services; 4) elevate MA MIECHV’s visibility and seek opportunities to diversify funding; 5) increase the capacity of MA MIECHV LIAs; 6) recruit and retain qualified staff and increase the percent of LIAs with no staff vacancies; 7) strengthen LIA capacity to tailor services to priority populations and address the social determinants of health (SDOH); 8) increase the percent of referrals made during Welcome Family visits that were successfully connected to EBHV; 9) demonstrate equitable improvement in four of the six benchmark areas; 10) provide programmatic and fiscal subrecipient monitoring and technical assistance to LIAs; and 11) continue conducting evaluation through participation in a Coordinated State Evaluation focused family engagement and health equity. Methodology: With Fiscal Year (FY) 2023 funds, MA MIECHV will support 21 LIAs to implement Parents as Teachers, Healthy Families America, and Healthy Families Massachusetts in 18 communities: Boston, Brockton, Chelsea, Everett, Fall River, Fitchburg, Holyoke, Lawrence, Lowell, Lynn, New Bedford, North Adams, Pittsfield, Revere, Southbridge, Springfield, Webster, and Worcester. Priority populations include families affected by substance use, homelessness or housing instability, and involvement with the child welfare system. The proposed annual caseload is 1,574 for FY 2023 and 1,598 for FY 2024. Activities will include aligning programming and continuous quality improvement efforts with Title V priorities and MIECHV performance measures; supporting EBHV; supporting Welcome Family as a recruitment strategy to EBHV; strengthening family engagement activities; nurturing the home visiting work force and increasing salaries; incorporation of peer recovery coaching into EBHV; and collecting and analyzing data to examine early effects of home visiting. MA MIECHV will continue collaborate with state and community partners to strengthen referral networks and streamline supports for families within the continuum of early childhood services and address the SDOH.