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Building Better Training Through Home Visitor Feedback

Explore how feedback from home visiting professionals helps evolve trainings to strengthen the workforce and better support families.

Adrienne Matthias April 28, 2026
  • Family Engagement
  • Health and Development
  • Professional Development
  • Blog

The most effective professional development is shaped by those doing the work every day. Feedback from home visiting professionals is helping evolve training to better reflect real-world demands, strengthen the workforce, and ultimately better support the families they serve.

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At Start Early Washington, we’ve learned that the most effective professional development starts with listening. If we want training to truly support home visitors and supervisors, it has to reflect the realities of their day-to-day work.

Home visitors are balancing high caseloads, complex family needs, and significant administrative demands. Their time is limited, and their work is deeply relational. When they tell us something isn’t working, especially when it comes to training, we pay attention.

Home visitors are doing complex, human-centered work every day. Their feedback isn’t optional, it’s essential.

Adrienne Matthias, Start Early Washington Home Visiting Training Manager

One of the clearest messages we heard from the field was about time. Our perinatal mental health trainings offered valuable content, but was a significant time commitment and for those new to the field a challenge to integrate so much new information into practice. At the same time, more experienced home visitors were asking for opportunities to go deeper, not just revisit the basics.

That feedback led us to redesign the training. Instead of a single extended course, we created two options: a foundational training focused on building confidence with core tools, and a second, more advanced training for those ready to explore more complex situations. This shift allows us to meet people where they are, whether they are just starting out or building on years of experience.

But we also heard something just as important. Training alone is not enough.

Home visitors need space to reflect, ask questions, and apply what they are learning in real time. In response, we introduced extended learning opportunities that are more interactive and grounded in real-world practice. These sessions create space for discussion, problem-solving, and shared learning, not just information delivery.

We're not looking for one perfect model. We're building a range of learning experiences that meet people where they are.

Adrienne Matthias, Start Early Washington Home Visiting Training Manager

We are also rethinking how professional development is delivered. Not everyone learns best in the same format. Virtual options improve access, especially across a geographically diverse state, but they are not always the most engaging. In-person learning, peer connections, and ongoing coaching all play an important role. The goal is not one perfect model, but a range of options that meet different needs.

At the same time, we have to be realistic. Adding more requirements to an already stretched workforce is not the solution. Professional development must be intentional, relevant, and worth the time it takes away from serving families.

Home visiting is built on relationships, trust, and respect. Our approach to training should reflect those same values. Home visitors are a critical part of the relationship that supports families and young children. When we invest in their growth, confidence, and well-being, we strengthen the entire system.

Ultimately, supporting the workforce is not optional, it is essential to supporting families. When home visitors feel confident, prepared, and supported, the families they serve benefit. Listening to feedback is where that work begins, and acting on it is what makes it meaningful.

About the Author

Adrienne Matthias, Home Visiting and Training Manager, Start Early Washington

Adrienne Matthias

Home Visiting Training Manager, Start Early Washington

Adrienne brings over 20 years of working in early childhood to her role leading training across Start Early Washington’s Home Visiting practices.

More About Adrienne

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