Yo Your Yo Your ur Fa ur Fa Family Co Family Co ly Coun ly - - PDF document

Child Development Training part 1 1 12.21.07

Yo Your ur Fa Family Co ly Coun unts ts

A Multidisciplina A Multidisciplinary y Home Visiting P Home Visiting Program ram

Yo Your ur Fa Family Co ly Coun unts ts

A Multidisciplina A Multidisciplinary y Home Visiting P Home Visiting Program ram

Every Every Child Child Co Coun unts Family Family S Suppo pport Services rt Services Al Alame ameda C a County Pu Public Health blic Health Dep Departme rtment nt

Commiss Commission ion Meeting Meeting March 25 March 25, 2 , 2010 10 fa family suppor mily support services t services fa family suppor mily support services t services

Ba Bala lancing p ncing preve evention tion and targeted and targeted se service rvices… and di d direct rect services and sy d system stems cha s change ge

Your Family Counts: Your Family Counts: An historical An historical perspective perspective Your Family Counts: Your Family Counts: An historical An historical perspective perspective

2001 U 01 Univer ersa sal 1 l 1-3 3 Home me Visit Visits De Develop velopment of the S t of the Specialty ecialty Provider Provider Te Team am Recon Reconfiguratio iguration n – Birth o irth of YFC YFC

Child Development Training part 1 2 12.21.07

Who we are Who we are

Al Alame ameda C a County P PHD D – Famil amily He y Health alth Service Services

4 Public Health Nurses 4 Family Advocates

ECC Specialty ECC Specialty Provid Provider T er Team am

1.5 Lactation Consultants 1 Child Development Specialist 2.5 Mental Health Specialists

Your Family Counts Your Family Counts Your Family Counts Your Family Counts

2 week 2 week in intensiv ive, e, mult multid idis iscipl ciplin inar ary t train aining St Start arted s d serv rvin ing famil g families es September 22, 2008 September 22, 2008 Multidis idiscipl plin inary ary meetings - meetings - 3 t times/mo mes/mo On- On-goi

• ing tr

ng trai aini ning ng

Your Family Counts Your Family Counts Your Family Counts Your Family Counts

Child Development Training part 1 3 12.21.07

YFC Program Model YFC Program Model

Prenat Prenatal – al – Family ily Advoc Advocate te and and Me Mental He ntal Health alth Po Post stpart partum – – Lac actation Co Consultant nts, s, Pu Public blic Healt alth Nu Nurses, rses, Family Ad Family Advocates, vocates, Me Mental ntal Health, C Health, Child Develop ild Development t speciali specialists sts

2 birthing hospitals 2 high risk clinic

Targ Target services to prenatal and et services to prenatal and postnatal postnatal high risk c high risk clients ients at: at:

Each fam

Each family recei receives es at at leas east 3 v 3 visits ts

maximum length of care

maximum length of care is 12 is 12 mo months nths

YFC Program Model YFC Program Model

Pren Prenat atal/Pos al/Postpar tpartum Crit m Criteri eria

Homel

Homeless ss

Substance use

Substance use

Depr

Depres ession/ sion/mental ental ill illnes ess

Dome

Domestic Viol stic Violence ence

De

Devel velopmental Del pmental Delay

Im

Immi migrant grant

Grief or Feta

Grief or Fetal l loss History loss History

CP

CPS – S – cur urrent or rent or hi history

• ry

Lac

Lactation/F ation/Feed eeding Issu ing Issues es

NICU <

NICU < 48 hou 48 hours (unl s (unles ess H s Highl ghland NICU) NICU)

Who we Serve Who we Serve

Child Development Training part 1 4 12.21.07

YFC Program Model YFC Program Model

Pregnant and postpartum women screened for maternal depression - Edinburgh All families screened using the 4Ps Plus Newborn Behavioral Observation Tool All clients screened with ASQ twice before case closure at 6 months and at 12 months Life Skills Progression

Who we serve Who we serve

94 94 % (2 % (294 of 94 of 314) of 314) of f fami mili lies re refe ferr rred we were succe successf ssfully ully conta contacte ted

• Sept. 22, 2008 to Dec. 31, 2009

85% Postpartum Cases Served 15% Prenatal Cases Served

Families Enrolled Families Enrolled Race/Ethnicity Race/Ethnicity

4% Other 5% White 6% Multi-Race 9% Asian 25% African American 50% Hispanic

Language Language

3% Other 6% Asian Languages 33% Spanish 59% English

• Sept. 22, 2008 to Dec. 31, 2009

Child Development Training part 1 5 12.21.07

Who we Serve Who we Serve

44% 44% 55% 55% 67 67% 82% 82% Hist History of

• ry of, or cur

, or current ent domest domestic vi ic violence ence Housing Unstable Housing Unstable Hist History of

• ry of, or cur

, or current ent depression depression Probl Problems ms br breas eastfeed eedin ing At At t the t e time o me of en enro rollmen ent, t, famil families had on had one e

• r
• r mor

more ri risk f sk factor ctors: s:

• Sept. 22, 2008 to Dec. 31, 2009

Wher ere familie e families live live Wher ere familie e families live live

7% 7% San Leandro 12% 12% Hayward 71 71% Oakland

What we do What we do

Child Development Training part 1 6 12.21.07

What we do What we do Wh What w we do do Wh What w we do do

Build tru Build trust t

Determin rmine “f e “fami amily’ y’s n needs eeds” Id Identi tify the the cri crisis sup supports ts Focus o Focus on fam family’s strengths ly’s strengths Focus o Focus on the infant the infant Sup Suppor port na navi viga gatin ting sys systems

Me Medi-Cal al Othe Other ent entitl tlement pr ent programs ms (WIC, CC

(WIC, CCS, R S, Regional

• nal Center, etc.)

Center, etc.)

CP CPS

Wh What w we do do Wh What w we do do

Pa Parenti nting e educati ucation a n and suppor support Fostering relat Fostering relationsh

• nships

ips Fo Focu cusi sing o ng on Ch Child/Fa Family Deve Develo lopment pment As Assess sessin ing fin g financia ncial f l fitness tness Pro Promotin

• ting heath and

g heath and wellnes wellness Re Redu ducing iso isolatio ion Bu Buil ilding co ng commu mmunity ty

Child Development Training part 1 7 12.21.07

Fi First year Re rst year Results sults Fi First year Re rst year Results sults

Co Conne nnecti cting to g to communi community ty se services - es -Top Re

• p Referr

rrals: s:

Hea

Health Insu th Insurance nce

Food

• od and

and basi basic needs c needs

Housing /

Housing / Shelte Shelter

Me

Mental hea ntal health supp th support

• rt
• Sept. 22, 2008 to Dec. 31, 2009

50% 50% % of

• f ca

case ses he s held ld mor more tha than 3 mon 3 months hs 84% 84% % of

• f ca

case ses whe s where re 2 or 2 or mor more sta staff invo volve lved Up to Up to 50 50 # of face to fac # of face to face co contacts per fam ntacts per family ly

First Year results First Year results

99 99% Chil Child has d has heal health in th insuran rance 93 93% Chi Child up up to to d date te on i immuni mmuniza zati tion

• ns

97 97% Chil Child has d has medic medical home home

• Sept. 22, 2008 to Dec. 31, 2009

The Referral Said The Referral Said

Child Development Training part 1 8 12.21.07

Family Resilience Family Resilience What we Have learned What we Have learned

• Servi

Serving g much higher much higher risk than anticipated risk than anticipated

• Multid

Multidiscipli isciplinary ary team w team works rks

• Low dr

drop rate ( rate (6% c % compa mpared t ed to 22 22% % for 1 r 1- 3 program) 3 program)

more t more than an on

• ne pers

e person

• n who

who can can conn connect ect t to famil family more opt more options for famili

• ns for families

es

• Quality

Quality child care is child care is key fo for man r many families families

Off Offers rs res respit ite Gi Give ves chi s child othe

• ther wa

r ways of ys of engagin engaging with adults with adults

What we Have learned What we Have learned

• Id

Iden entif tifyin ing p program m su sustainability options stainability options

• Need to i

Need to identif tify “ “next ext step” step” for whe

• r when ca

case se is closed is closed

• Id

Iden entif tifyin ing co comm mmun unity ity/neig ighbo hborhood hood support pr rt progra rams

• Not en

t enough c gh community su ity suppo pport rts s for fathers fathers

Child Development Training part 1 9 12.21.07

Your Family Counts