A National Resource to Support Excellence in Community Action
Last Revised: Mar 18, 2011 - Initial Posting: Sep 19, 2007

The Fayette County Community Action Agency serves as a site for the Nurse-Family Partnership to help low-income first-time mothers achieve positive outcomes for themselves, their baby, and their family.


National Nurse-Family Partnership ProgramThe Fayette County Community Action Agency (FCCAA) established the Nurse-Family Partnership (NFP) Program to offer guidance and support to low-income first-time mothers.  The FCCAA NFP program is affiliated with the National NFP Program that provides support to sites in 43 states.

As described in its mission statement, NFP works to empower first-time mothers living in poverty to successfully change their lives and the lives of their children through evidence-based nurse home visiting.

Enrollment in NFP should begin as early in the pregnancy as possible, at least by the 28th week.  A registered nurse conducts home visits at least every two weeks during pregnancy up until the baby is 21 months old.  Visits are then conducted monthly for the next three months through the baby’s second birthday when participation in the program ends.

A Family Assessment is completed based on six domains:  Personal Health, Environmental Health, Life Course Development, Maternal Role, Family and Friends, Health and Human Services.  Services are provided that focus on the mother’s personal health, parenting skills, and life course development.  Efforts occur to identify the mother’s strengths and to build on successes.

The program follows research-based program guidelines.  Extensive information and resources are offered through the National NFP Office and other groups that highlight the NFP initiative:

The National NFP Office offers support to organizations that may be interested in becoming an NFP site.  Funding for FCCAA’s NFP program includes through TANF and a Pennsylvania Commission on Crime and Delinquency grant.  Local NFP sites have also developed funding support through state and local government general funds, Medicaid, MCH Title V Block Grants, locally obtained grants and charitable foundations.


FCCAA has enrolled over 400 first-time mothers in the NFP program.  An NFP participant was the recipient of a 2008 Self-Sufficiency Award presented by the Community Action Association of Pennsyvania - news article.

Extensive data has been compiled documenting the success of the National NFP program.  Various proven outcomes include:

  • 79% reduction in child abuse & neglect
  • 83% increase in labor force participation
  • 56% reduction in emergency room visits
  • 30 month reduction in welfare use
  • 44% reduction in maternal behavioral problems due to substance abuse
  • 69% fewer arrests among low-income, unmarried mothers
  • 56% fewer arrests among NFP children of low-income, unmarried mothers
  • 81% fewer convictions among NFP children of low-income, unmarried mothers

Additional outcomes include:Improved prenatal health

  • Fewer childhood injuries
  • Fewer subsequent pregnancies
  • Increased intervals between births
  • Increased maternal employment
  • Improved school readiness

An NFP Cost Benefit Overview has been summarized from Benefits and Costs for Prevention and Early Intervention Programs compiled by Washington State Institute for Public Policy.  Additional outcomes are reflected in the article Home Visitation Program Benefits New Mothers from the OB/GYN News.

FCCAA was honored by the Community Action Partnership as a recipient of the 2004 Award for Excellence in Community Action, a national award designed after the Malcolm Baldrige Award.


James Stark, Executive Director

Tammy Knouse, Customer Service Manager