The FACT Study


Home visiting programs often target services to families that are economically disadvantaged or otherwise at risk of poor outcomes. These families are also diverse in terms of their demographics, social and cultural backgrounds, ecological contexts, and baseline functioning. Successful outcomes require greater knowledge of the families that receive these services and the professionals that serve them.

The Families and Children Thriving (FACT) Study aims to understand the implications of adverse experiences over the life course and across generations, and how resilience unfolds in the face of adversity. This study is a statewide longitudinal investigation into the health and well-being of at-risk children and families that have received home visiting services. We are gathering multiple waves of survey data to assess child and caregiver outcomes across domains, including physical health, mental health, and social functioning.

The project examines family engagement in home visiting, including client attitudes toward, perceptions of, and emotional investment in their services and service providers. We collected supporting data from home visitors and other program staff to better understand family engagement and therapeutic alliance. Program personnel also complete assessments about their (a) history of adversity, (b) current levels of stress, burnout and secondary traumatic stress, (c) perceptions of the workplace and job satisfaction, and (d) health and well-being.


Colleen Janczewski
Madeline McAteer
Joshua Mersky


U.S. Department of Health and Human Services, Health Resources and Services Administration
Award Nos. 1 D89MC282590100; X10MC295120100; X10MC31179010


U.S. Department of Health and Human Services, Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program

Wisconsin Department of Children and Families

Wisconsin Department of Health Services



Client & Staff Surveys

Childhood Experiences Survey – Youth Version

Childhood Experiences Survey – Adult Version

Adult Experiences Survey

All Current Projects