Affiliation and the PAT Evidence-based Model

Parents as Teachers Affiliates are organizations whose home visiting program is designed to implement the Parents as Teachers model.

The Parents as Teachers evidence-based home visiting model is backed by nearly 40 years of independent research with proven outcomes on:

  • Increasing parent knowledge of early childhood development and improving parent practices
  • Providing early detection of developmental delays and health issues
  • Preventing child abuse and neglect
  • Increasing children’s school readiness and success
  • Improving maternal and child health

The Parents as Teachers model is highly rated on several national and international evidence-based clearinghouses. A more comprehensive list of model outcomes and recognitions can be found here.

Parents as Teachers Affiliates

About Our Affiliates

Parents as Teachers affiliates are family-focused organizations that have chosen our evidence-based model as one of the services they offer to families with small children. They can be found in 48 states as well as in Canada, Germany, Switzerland and the United Kingdom. Last year they impacted more than 99,000 families in the U.S. alone.

Our affiliates operate in a variety of settings including child care centers, school systems, nonprofits, government agencies, hospitals and health departments.

Who Affiliates Serve

What Affiliates Do

Affiliates provide monthly personal visits to families and group connections focused on parent-child interaction, development-centered parenting, and family well-being. They support parents throughout pregnancy until their children enter kindergarten. Affiliates provide health, hearing, vision and developmental screenings for eligible children using approved screening tools and methods. Parents as Teachers Affiliates also connect families to resources and help them overcome any barriers to accessing those resources.

Become A Parents As Teachers Affiliate

Parents as Teachers National Center goes the extra mile to provide a continuum of support for state home visiting leaders and Local Implementing Agencies (LIAs) interested in starting up a Parents as Teachers site. We offer startup program design support anchored by our unparalleled training and professional development experiences. We also provide ongoing technical assistance throughout the life of a program to ensure long-term success.

Learn More

Blue Ribbon Affiliates
To help ensure affiliates are achieving fidelity to the Parents as Teachers model and families are receiving the highest quality services possible – Parents as Teachers developed the Quality Endorsement and Improvement Process. Parents as Teachers affiliates are required to engage in the Quality Endorsement and Improvement Process in their fourth year of implementation and every five years thereafter.

To earn the Quality Endorsement, affiliates must complete a comprehensive self-study and review process that demonstrates they are meeting or exceeding the Parents as Teachers Essential Requirements, along with the PAT Quality Standards.

Programs that earn the Quality Endorsement are recognized by the national Parents as Teachers office as exemplary Blue Ribbon Affiliates, delivering high-quality services to children and families.

Blue Ribbon Affiliates

Tribal Home Visiting

Parents as Teachers uniquely addresses the distinct challenges facing American Indian and Alaska Native (AIAN) families by leveraging strengths of their communities. Our tribal affiliate programs are culturally specific, locally implemented and use community-based paraprofessionals, which support the local workforce development. The program honors cultural heritages, tribal teachings, practices, traditions, values, beliefs and incorporates diverse cultural strengths and language into every personal visit. 

Each Parents as Teachers tribal affiliate works with their tribal elders and leaders when starting-up and implementing a program. Programs are operated by Native staff and organizations. The Parents as Teachers  model program is often enhanced to use Native language, incorporating traditional arts crafts, storytelling and connecting families to tribal events.

Take a look at our 2021-2022 Tribal Programs here.

Tribal Program Footprint

Family And Child Education (FACE)

Family and Child Education (FACE) is a partnership between the federal Bureau of Indian Education, the National Center for Families Learning and Parents as Teachers National Center. FACE is a unique family program for American Indian families that matches highly trained, local, Native, professionals with families from pregnancy through their children’s first years of life.

Starting as early as pregnancy, FACE parent educators help assess family needs and community resources available to them, partner with parents to provide necessary tools to ensure the safety and the emotional and physical well-being of their children, connect families to community programs and resources that enhance stability. When children are age four, families in the program transition from Parents as Teachers home visiting and receive support via center-based care for their children to bolster family-school-community connections. Parents in the program also receive family literacy support to help families set goals and thrive in their own education and careers, long after the program ends.

Visit the FACE website here.

Read about FACE’s impact on American Indian families here.

Show Me Strong Families (SMSF)

About SMSF

In late 2014, Parents as Teachers National Center began providing direct home visiting services in the Normandy Schools Collaborative footprint through its Show Me Strong Families (SMSF) initiative. Since then, SMSF has served hundreds of families and children through personal visits in their homes and health and developmental screenings.

Parents as Teachers (PAT) Parent Educators work with families to promote parental resilience, knowledge of parenting and child development, and social and emotional competence of children to strengthen protective factors. As a result, parents report they feel less stressed, more motivated to try new parenting strategies, better able to understand their child’s development, more likely to read with their child, and that their relationship with their child is stronger.

Who We Serve

The SMSF Parents as Teachers program serves families living in some of the most under-resourced communities in the city of St. Louis and north St. Louis County. Ninety percent of the families served are African American and most are low income. Many are teen parents, homeless, and/or have low educational attainment. The vast majority of families served have two or more high needs characteristics such as substance abuse, a parent with a disability, domestic violence, mental health issues, or having an incarcerated parent. Many of the teens are living in shelters (homeless or domestic violence) or in transitional housing. Many of the caregivers served are dads or grandparents. Several Parent Educators are multilingual and all reflect the community served.

Lasting Impacts

Despite unimaginable stresses and challenges, these parents and caregivers demonstrate resilience, a commitment to their children’s welfare, a passion for being the best parents, and a love without comparison.

The Show Me Strong Families team of dedicated staff meet these families where they are: in the home, at the library, in the park, at the Early Childhood Center or wherever the family is most comfortable. The families, and SMSF Parent Educators and staff, do whatever is needed to ensure success.


For more information or to enroll in the program, please contact Ann Young, Director of Partnership and Community Engagement.


Quality Improvement

In order to become a Parents as Teachers affiliate, an organization must meet the Parents as Teachers model fidelity requirements, called Essential Requirements. These requirements cover affiliate leadership, staffing, services to families and evaluation.

Affiliate Requirements
Each year, affiliates report implementation and service data to confirm they are meeting or exceeding the minimum levels for each Essential Requirement. Parents as Teachers also has Quality Standards that provide a comprehensive blueprint for high-quality services delivery.

Together, the Essential Requirements and Quality Standards form the basis for the Parents as Teachers Quality Endorsement and Improvement Process (QEIP), which is the process that affiliates go through to demonstrate their commitment to high quality services and work to earn the Blue Ribbon designation.

Quality Endorsement Improvement Process
All Parents as Teachers affiliates complete the QEIP every five years. To earn the Blue Ribbon, affiliates must meet all of the Essential Requirements and complete a comprehensive self-study that demonstrates they are meeting at least 80% of the Quality Standards. The Blue Ribbon is good for up to five years, as long as the affiliate continues to meet the Essential Requirements each year.

Programs that earn the Blue Ribbon are recognized by the National Center as exemplary affiliates, delivering high-quality services to children and families.

Maternal, Infant, Early Childhood Home Visiting (MIECHV) and Tribal MIECHV

What is MIECHV?

The Federally funded, Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program enables states, territories, and tribal entities to develop and implement evidence-based, voluntary home visiting programs. The funding is administered by the Health Resources & Services Administration (HRSA) in partnership with the Administration for Children and Families (ACF) to states and tribes (Tribal MIECHV) and in a few cases, non-profit organizations. MIECHV funded programs focus on achieving positive outcomes with enrolled pregnant persons and families with children up to kindergarten living in communities at risk for experiencing poor maternal and/or child health outcomes.

Programs must implement services using an evidence-based home visiting model that meets the U.S. Department of Health & Human Services’ criteria for evidence of effectiveness as assessed by the Home Visiting Evidence of Effectiveness (HomeVEE) review process. The Parents as Teachers model meets the criteria for evidence of effectiveness determined by HomeVEE.


Implementing the Parents as Teachers model is a method of delivering parenting education and family support within the context of strengths-based relationships. The model and core curricula focus on developing relationships within the context of exploring parent-child interaction, development-centered parenting, and family well-being. In partnership with families, parent educators aim to build protective factors and enhance strengths, capabilities, and skills. Programs that adopt the Parents as Teachers model (also called Affiliates), are designed to serve a variety of families, not just first-time parents. Families enrolled include families across the developmental continuum from prenatal to kindergarten entry, teen parents, families with multiple children, and families across vast geographic regions.

Quick FAQs about Parents As Teachers and MEICHV

  • PAT is implemented with MIECHV funding in 35 states, 15 tribal communities, and the District of Columbia
  • Thirty-two percent of Parents as Teachers affiliates nationwide receive some MIECHV funding
  • Sixteen Tribal MIECHV Programs choose to implement the Parents as Teachers model

Parents as Teachers Partnership with States 

Parents as Teachers goes the extra mile to provide what Affiliates need; from initial preparation to ongoing guidance to reach state goals and ensure families get the support they need for child success. Parents as Teachers provides support for MIECHV state leads and LIAs (local implementing agencies) including use of a robust data system, Penelope, to manage MIECHV specific data.Robust system of support: local to national level

  • 22 state offices
  • 2 Regional Implementation Support Specialists
  • 10 National Office Implementation Support Specialists
  • Leadership staff dedicated to MIECHV
  • 4 Penelope Customer Support Specialists


For more information, contact Kerry Caverly, Senior Vice President/Chief Program Officer at Kerry.Caverly@Parentsasteachers.org or Tiedra Marshall, Director of Expansion at Tiedra.Marshall@Parentsasteachers.org