Promoting Maternal and Child Health, One Home Visit at A Time T - - PowerPoint PPT Presentation

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Jan 06, 2023 24 likes •252 views

Promoting Maternal and Child Health, One Home Visit at A Time T eresa Kelly , LCSW, ACSW Lesley Schwartz, LCSW, ACSW Project Director Manager of Research and Evaluation teresa.m.kelly@illinois.gov lesley .schwartz@illinois.gov Strong

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Promoting Maternal and Child Health, One Home Visit at A Time

T eresa Kelly , LCSW, ACSW Project Director teresa.m.kelly@illinois.gov Lesley Schwartz, LCSW, ACSW Manager of Research and Evaluation lesley .schwartz@illinois.gov Strong Foundations Partnership Governor’s Office of Early Childhood Development

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What is Home Visiting?

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 Home visiting is a voluntary service that

matches parents with trained professionals to provide evidence-based family support and parent coaching during pregnancy and throughout their child’s early years of life. Through partnering with home visitors, families learn how to improve their family’s health and provide better opportunities for their children. For more information go to igrowillinois.org.

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The Illinois Home Visiting Systems Goal

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Illinois has long valued evidence-based home visiting programs as an effective and efficient strategy for improving the life trajectory of expectant and new families who are at risk for poor health, educational, economic and social outcomes by improving maternal and child health, reducing the risk of child abuse and neglect, improving self-sufficiency and increasing children’s readiness for school.

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What a Home Visitor Does on a Home Visit

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 Check in on how the mother and baby are doing;

assess if there is anything stressful going on or if there is a celebratory moment

 Conduct developmental screens and make referrals as

necessary; support breast feeding

 Perform activities with mother and baby to support

increased parent child attachment

 Screen for maternal depression, intimate partner

violence, substance and tobacco use

 Discuss post partum contraception, birth spacing, safe

sleep

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What Makes Home Visiting Unique?

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 We go where the families are  We are voluntary  We work to build trust and relationships  We are intensive – meeting weekly or bi-weekly with the

parent and child

 Visits are 60 – 90 minutes long and usually on the floor with

the parent and child

 We work to retain the family until the child is 5 years old.  If possible, we provide doulas to those who are pregnant on

ur caseloads

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Who does Home Visiting Serve?

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 Low income  

Pregnant women under 21 years of age History of child abuse/neglect or interactions with child welfare services

 History of substance abuse or needs substance abuse treatment    

Users of tobacco products in the home Have, or have children with, low student achievement Child or children with developmental delays or disabilities Families that are or have served in the US Armed Forces

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What are the Benefits of Home Visiting?

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National and Illinois-specific research studies show that high-quality evidence-based home visiting programs result in myriad positive outcomes for children and their families, including the following:

 Increasing rates of breastfeeding, immunization, well-child visit, and

developmental screenings;

 Promoting language development and school readiness;  Improving rates of high school graduation; and  Increased rates of talking, reading and positive interactions between

parent and child. I

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Benefits of Home Visiting in Illinois

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In Illinois, data have consistently indicated that home visiting services are having a significant impact in:

 Increasing breastfeeding rates,  Increasing inter-partum intervals (particularly among

teen parents),

 Helping families establish medical homes  Ensuring that children are routinely screened for

potential developmental delays.

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Evidence Based Home Visiting in Illinois

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 In 2009, the U.S. Office of Planning Research, and

Evaluation at the Administration for Children and Families at the Department of Health and Human Services (DHHS) contracted with Mathematica to conduct the Home Visiting Evidence of Effectiveness (HomVEE) project, a systematic review of home visiting research that identifies effective program models

 The most common evidence based models used in

Illinois are: Parents as Teacher, Healthy Families America, and Early Head Start-Home Based.

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Why is home visiting in the spotlight now?

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 The research is in-Home Visiting works!  Illinois had early conversations with a freshman senator

about the importance of investing in early childhood and he took that to the White house.

 It was perfect convergence of political interest and

research coming together.

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The Illinois Home Visiting System

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 There are almost 300 home visiting programs throughout

Illinois.

 Virtually all programs use evidence based models, those

who are not, are being moved using an evidence based model.

 The 4 largest funders of home visiting in Illinois:

 Illinois State Board of Education  MIECHV  Chicago Public School  Illinois Department of Human Services  Head Start/Early Head Start- Home Based

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The “Black Box” of Home Visiting

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 Home Visitor: “We’re not there to tell her what to do or fix

her problem, so we’ve learned to ask ‘Well, what you have you tried, what do you think works, what would you like to try?’ They’re always in the front seat, and should always feel like they’re the expert in their lives.”

 Parent: “[My home visitor] tries to get me to answer my own

question. …She'll keep asking questions, and eventually I'll

address my own concerns. I'll say , ‘What, how did you do that?’…[And] when I have concerns that I can't just get on the phone and call somebody , I can think in my mind, ‘Okay , let's walk through this. Let's do what we do at our visits.’ It's nice to have that idea in the back of my head that I can get through this on my own.”

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The Affordable Health Care Act Makes Home Visiting Part

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f Health

 Originally

, in 2010 MIECHV was part of the ACA and the benchmarks the program was charged with collecting was associated with maternal and child health.

 Initially

, MIECHV had to collect 7 benchmark areas with 36

constructs. Illinois had one of the most rigorous evaluations.

As of October 1, 2016, HRSA reduced the constructs to 19 and standardized them across the nation.

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Benchmark Areas (6)

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 Improved maternal and newborn health  Prevention of child injuries, child abuse, neglect, or

maltreatment, and reduction of emergency department visits

 Improvement in school readiness and achievement  Reduction in crime or domestic violence  Improvements in family economic self-sufficiency  Improvements in the coordination and referrals for

ther community resources and supports

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Constructs (19)

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 Preterm Birth  Breastfeeding (6 mos)  Depressions screening and

completed referral

 Well child Visits  Postpartum Care  T

bacco Cessations Referrals

 Safe Sleep  Child Injury  Child Maltreatment  Parent-Child Interaction  Early Language and Literacy

Activities

 Developmental Screening and

completed referral

 Behavioral Concerns  IPV Screening and referral  Primary Caregiver Education  Continuity of Insurance

Coverage

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Partnering with Title V Nurses and Public Health Nurses

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 In keeping with the grant requirements Illinois MIECHV

partnered with Title V Nurses to help support MIECHV home visiting programs

 The nurses complete annual sites visits in which they review

files, observe home visits and interview program staff and then provide feedback and support to programs in regards how health related goals are integrated into programs.

 The nurses also provide specialized training in topics such

as Breastfeeding, Family Planning, and Immunizations.

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Eligibility Criteria

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 Is the family pregnant or parenting children 5 years or

younger (Required)?

 Does the family receive Medicare, WIC, T

ANF or SNAP Benefits?

 Does the family have social or medical risk factors

(homeless, chronic medical conditions, etc.? If the answer is yes, the family may be eligible for services.

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How to Refer a Family

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 Southside

Cluster; (Englewood/ West Englewood/ Greater Grand Crossing in Chicago)

 Cicero  Elgin  Rockford  Macon County  Vermilion County  Peoria  Stephenson/Jo Davies

Counties

 Kankakee County; East St.

Louis

 Mid-Central Cluster

(McLean, Piatt and Dewitt Counties)

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How to Refer a Family

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 If you are not located in the Coordinated Intake areas

listed previously:  Check out our website and do a search

http://igrowillinois.org/

 Call or email Kathy Staten at OECD at and we will

make the connection Katherine.staten@illinois.gov 312-814-6741

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“We have so much to do, a long way to go but a lot to build from”

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~ Diana Rauner, PhD President, Ounce of Prevention and First Lady of Illinois (Jan 2017)

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