Pay For Success Contract for Home Visiting for First Time Moms

2023 NACo Achievement Award Winner

New Castle County, Del., DE

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About the Program

Category: Children and Youth (Best in Category)

Year: 2023

New Castle County implemented its first ever Pay for Success Contract for the expansion of Nurse Family Partnership, a home visiting program for first time vulnerable mothers. In order to serve more mothers in our County, we partnered with Social Finance, the Longwood Foundation and Children and Families first to create an outcomes-based contract with specific outcomes and payment goals imbedded into the contract itself. Specific outcomes include, increased enrollment and retention, programmatic outcomes like breastfeeding initiation, depression screenings, and immunizations, and data completeness. Taxpayer dollars are spent only when outcomes are met in order to ensure we are funding programs that work. New Castle County stays involved in the program throughout its life and works with stakeholders to adjust and change direction when needed. The goal is to get positive outcomes and incentivize partners to be nimble and adapt to our ever changing social environment.

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