Health Access, Nurturing, Developmental Services


The H.A.N.D.S. Program is a voluntary home visitation program for expectant parents, which aims to create positive health and social outcomes through education and consultation.  The program started in 1999 with 952 families and today we are serving more than 12,000 families each year.  The home visits focus on basic care, social and emotional development, cues and communication, physical and brain development, as well as play and stimulation. Children receive developmental screening to ensure appropriate milestones are met.  Goals setting and childproofing homes for safety are also included. 


H.A.N.D.S believes


  • All Parents want to be good parents
  • All parents want their children to be healthy
  • All families have strengths
  • Families are responsible for their children
  • Families are the primary decision makers regarding their children


    Results of H.A.N.D.S.

    (HANDS participants compared to other parents not participating in the program)



  • HANDS families have a lower number of low birth weight babies
  • HANDS families have a lower number of very low birth weight babies
  • HANDS families have fewer premature births
  • HANDS families show lower case of physical abuse
  • HANDS families show lower case of neglect
  • HANDS families have higher 1 and 5 minute APGAR scores


    Why participate in HANDS? Parents are the most important people in a baby’s life and are the first and most important teachers a child will ever have.  Parenting is a very demanding job; an all parents have worries, question, and stress.  HANDS is here to support you!


    HANDS Employees:


    Caldwell County- Annie Prowell  (270) 365-6571


    Crittenden County- Jennifer Candelario, Lisa Holeman, and Leslie Stinnett (270) 965-5215


    Livingston County- Connie Owen (270) 928-2193


    Lyon County- Suzanne Rush (270) 388-9763


    Trigg County- Gala Young (270) 522-8121 ext 208


    Hands Supervisors:


    Jeanette (JT) Pyle- (270) 365-6571, ext. 7