Support Workforce Well-Being

Home visitors engage in demanding, deeply relational work, and their well-being is essential to the families they serve. This page shares briefs, tip sheets, videos, and toolkits on fostering safe and supportive working conditions, reducing administrative burden, and spreading evidence-informed practices that support well-being — including reflective supervision and caseload management. Whether you’re a supervisor building a healthier team culture or a state leader shaping workforce policy, these resources are designed to help you put well-being into practice. Browse the resources below to learn more. 

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By Miriam J. Landsman

The National Resource Center for Family Based Services (NRC) created this profile of Iowa’s family support workforce under sponsorship of the Iowa Department of Public Health (IDPH). The purpose was to gain a greater understanding of the family support workforce and its organizational contexts with the goal of strengthening the workforce and improving the quality of family support services. (author summary)

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By Center for Prevention Research and Development at the University of Illinois

The MIECHV and IDHS State Home Visiting Program Staff Survey is conducted each year by the Center for Prevention Research and Development (CPRD) at the University of Illinois in conjunction with the Illinois Department of Human Services, Division of Early Childhood (IDHS-DEC). (author summary)

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By Beth L. Green, Peggy Nygren, Mackenzie Burton, Amy Gordon, and Diane Reid

This final report details the results of a MIECHV Innovation Grant awarded to Washington and partner states in Region X (Alaska, Idaho and Oregon) to implement an innovative set of home visiting workforce supports and conduct an evaluation that would help improve these approaches.

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By Sandina Begic, Jennifer M. Weaver, and Theodore W. McDonald

The overarching goal of this study was to understand the context of home visitor secondary traumatic stress and burnout, and how this might affect intention to quit among home visitors, particularly focusing on potential risk factors and supportive strategies identified by the home visitors. All home visitors providing services in the state in which the research was conducted (N = 27) completed a structured interview and a quantitative survey at two time points, 6 months apart. Results indicated that more than two-thirds of the home visitors experienced either medium or high levels of secondary traumatic stress and burnout over the course of the study. Approximately one quarter of home visitors indicated thinking of leaving their present position. Qualitative data indicated that risk factors associated with burnout included those related to both direct and non-direct services. Risk factors associated with secondary traumatic stress included traumatic stress of families, inability to recognize one’s own experiences of secondary traumatic stress, and unhealthy work culture. In terms of protective factors, home visitors strongly emphasized the importance of having a supportive supervisor who they could trust and communicate with openly. (author abstract)

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By Alliance for the Advancement of Infant Mental Health

This document provides guidance for both the Supervisor/Consultant and the Supervisee/Consultee regarding best practices for entering into a reflective supervision/consultation (RSC)relationship that uses distance technology. This document should be used as a companion document to the Best Practice Guidelines for Reflective Supervision/Consultation. (author summary).

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By Jacqui Van Horn

The MIECHV Region X Innovation in Home Visiting Workforce Development Project developed a comprehensive and integrated system of trauma supports and refective practices for home visitors. Tis efort is intended to help reduce burnout and turnover of home visiting staf and to maintain the quality and impact of home visiting services in Alaska, Idaho, Oregon, and Washington. Te supports are tailored to the intensive work that home visitors do with families that are experiencing high rates of historical trauma and co-occurring mental health difculties, substance use disorders, and domestic violence. This guide has been developed as part of this project. (author summary)

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By Jenny Durand

This resource provides guidance around infant mental health (IMH) and reflective supervision.

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By Siobhan Maclean

In this webinar we look at methods to open and close a reflective supervision session. Bridget Caffrey joins us to discuss a new model of reflective supervision for the virtual world which we developed together at the University of Chester. Kelly and Emma take the student spotlight to talk about their social work journeys so far and Rossita Maclean live draws some of the journeys people describe in their social work career. (author summary)

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By Rapid Response – Virtual Home Visiting Collaborative

Join us as we review fundamentals of reflective supervision and how those relationship-based strategies have been transitioned to the virtual setting. Learn concrete strategies from program supervisors and managers to help keep staff engaged. (author summary)

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By Rapid Response – Virtual Home Visiting Collaborative

Working entirely virtual is providing opportunities for us to think of new ways of doing our work. This webinar discusses strategies on providing group reflective supervision virtually.(author summary)