Detailed results for our Nurse-Family Partnership model in Los Angeles County, CA are presented here. You can find information about the following topics:

Baseline Demographics

Juvenile Arrests

Education

Health

A Closer Look: Vernon, Zip Code 90058

Financial Savings

We estimate approximately 66,000 births every year among women with income less than 200% of the Federal Poverty Level. Of these births we estimate approximately 26,000 are by first-time mothers. Assuming that 75% of these mother's participate in the program, we are left with a cohort of nearly 19,000 that participate over a two year period.

Nurse-Family Partnership would reduce the annual arrests among the women who participate. Specifically, 34 fewer felony arrests and 91 fewer misdemeanor arrests would be made annually over a ten year period following the program.

This also translates to 16 fewer jailings and 4 fewer incarcerations among participating mothers, annually.

The program would reduce the annual arrests among children who participate, as they age into adulthood. Specifically, 86 fewer felony arrests and 176 fewer misdemeanor arrests would be made when they are between the ages of 17 and 27.

This also translates to 16 fewer annual jailings and 4 fewer annual incarcerations among children of participating mothers, when they are between the ages of 17 and 27.

We estimate that 265 fewer mothers will participate in public assistance in the year following a birth as a result of the program, which corresponds to a 0.4 percentage point decrease among this population (from 18.9 percent to 18.5 percent).

This results in cost savings for the state. 

Implementation of this program is estimated to lead to 316 fewer instances of child abuse/neglect among children of participants, spread out over ages 5-17.

Research shows this results in massive savings to the state, through reduced welfare, health, and special education spending, as well as increases in productivity when this population begins working during adulthood.





This program also leads to 53 fewer very pre-term births among the participating population (lowering the overall rate from 1.40% to 1.36%).











Additionally, there would be 97 fewer instances of depression in childhood (lowering the overall rate from 4.08% to 4.01%).

The program would also lead to less substance use during pregnancy among the participants, by 1,304 overall (from 27.0% to 26.01%).

If the county invests in the program for one year (for one cohort of mothers and their children), the program begins to bring in steady positive returns in year three. During this year, net savings to the local and state governments are estimated to be -$44.8.0 million. For a cost of $114.4 million, the returns to state and local governments would be $0.61.

The majority of savings from the program, 64 percent in total, comes from outcomes associated with reducing child abuse/ neglect. The largest category are savings in health care costs (25%), most of which occur in childhood. Furthermore, there are savings additional taxes from increased productivity (22%) and less expenditure on special education (11%).

An additional 32% of the savings are through reductions in criminal incidents, for both the mother (13% ) and child (19%).

The remaining 4% of savings are through reduced public assistance, fewer very pre-term births, less childhood depression, and reduced substance use by mothers.