As a decentralized model, it is effective for rural settings. On a formal basis, families within a community commit time each month to care for children in crisis. Families may also carry a beeper and be on call for certain segments of the month. All providers are screened, licensed and trained. They receive a stipend to help offset expenses for food and necessary supplies.
Some providers serve programs as volunteers, while others are paid.
Besides family care home providers, the agency uses staff in the community to help with transportation, intake and other duties integral to the operation of the program. In-home crisis nursery programs provide some or all crisis nursery services within the family's home. Caring for the child within his or her home helps provide child care relief with minimal disruption of routine activities. Other in-home models provide temporary child care outside the home and parent support services within the home. These home-based services may include support counseling, activities to enhance parenting skills, or additional information according to individual family needs and assistance in accessing identified resources.