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MTB National Office

MTB-HV has been delivered to first-time young families in New Haven, Connecticut since 2002. This community-based program grew out of collaboration among the Yale Child Study Center, Yale School of Nursing, and two federally qualified health centers (FQHCs) located in under-resourced neighborhoods. Registered Nurses (RNs) and masters level mental health practitioners (typically Licensed Clinical Social Workers in the U.S.) are paired to provide intensive, interdisciplinary in-home health and mental health care, parenting support, and anticipatory guidance to young, typically first-time parents and their infants.

The first MTB Introductory Training Institute was offered in 2009, when a collaborative effort also began with the National Society for the Prevention of Cruelty to Children in the United Kingdom. This involved a replication of the MTB-HV clinical and research program across 3 UK sites, in Glasgow, Sheffield, and York. This full-scale replication included an independently run randomized controlled trial (RCT).

After rigorous testing in the New Haven community and two federally funded randomized controlled trials (RCTs), MTB-HV was designated by Home Visiting Evidence of Effectiveness (HomVEE) review as an “evidence-based early childhood home visiting service delivery model.” The criteria for this designation were established by the Department of Health and Human Services (DHHS). MTB-HV is one of fewer than 20 home visiting models nationwide with this designation, making it eligible for implementation via state funds through the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. Following this designation, a small-scale replication began in Miami, Florida in 2015 through the Young Parents Project at Florida State University.

The MTB National Office was established in 2016, with the aim of broadening the MTB-HV mission beyond direct service to include replication, training, and dissemination. MTB-HV implementation began in a single municipality in Denmark this same year, now being expanded across several more municipalities nationwide. In 2017, MTB-HV expanded in the U.S. with the start of two new MTB-HV teams serving families in Fairfield County, Connecticut through a collaborative replication with two agencies in Norwalk and Stamford. A new Connecticut team began serving families in New Haven County through Yale New Haven Hospital beginning in early 2020, thanks to a grant from the CT Office of Early Childhood.

MTB-HV clinicians have served over 150 economically marginalized and multi-ethnic families in New Haven since 2002, while over 250 families have been enrolled in research projects, and more than 500 additional families have been served through independent implementation agencies in the U.S. and Europe. In addition to direct service and research, intensive introductory training in the basic tenets of the MTB-HV model has been provided to well over 200 individuals. Over 800 people across the globe have participated in on-line training on topics aligned with MTB approaches as well. Webinars are now offered on a semi-monthly basis and can be scheduled for specific groups or organizations by request.

Please visit the links to the left to learn more about the MTB National Office and MTB-HV implementation, and be sure to visit the other sections of our site to learn more about training and consultation, as well as research and dissemination.

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