Inputs

Activities

Outputs

 

Staff

  • 14 Home Visitors
  • 5 Supervisors
  • 2 Assessment Workers
  • 1 Program Manager
  • 3 Administrative Staff
  • 3 Data Entry

 

 

Volunteers

  • 5 Board of Directors
  • 1 Mentor

 

 

2008 Program Participants

  • Family Connections -1,687
  • Dearborn County -348 or (21% of all clients)
  • Franklin County - 222 or (13% of all clients)
  • Jennings County - 571 or (34% of all clients)
  • Ohio County -38 or         (2% of all clients)
  • Ripley County - 420 or (25% of all clients)
  • Switzerland County - 88 or (5% of all clients)

 

 

1997-2007 Program Participants

·         Family Connections-6,303

·         Dearborn County-1,564

·         Franklin County - 1,103

·         Jennings County - 2,728

·         Ohio County-238

·         Ripley County - 6,423

·         Switzerland County - 458

 

 

Program Cost

$900 to serve one client per year

 

 

Funding

Actual Resources

  • State Grants  $913,092
  • UWGC           $4,896
  • Grants           $62,291
  • Contributions $27,207

 

 

Projected Resources

  • State Grants $1,172,793
  • United Way   $6,000
  • Grants           $50,952
  • Contributions  $108,000
  • City/County Match $15,000  

 

 

Proposed Resources

  • UWGC     $15,000

 

 

 

Funders

Ohio County Community Foundation

Ripley County Community Foundation

Switzerland County Community Foundation

Rising Sun Regional Foundation

March of Dimes

Ripley Co. LCC

Jennings Co. D & A Task Force

John A. Hillenbrand Foundation

United Way

Ripley County

Franklin County

 

Collaborations

  • Step Ahead (includes 40 Developmental Assets)

·         Local Offices of Family and Children

·         Local WIC offices

·         Physicians

·         Hospitals

·         Prenatal clinics

·         Heart House (homeless shelter)

·         Domestic violence shelters

·         First Steps providers

·         Local CAP agencies (SIEOC, OVO)

·         Schools

 

1) Eligibility assessment completed anytime during pregnancy or by the 75th day of the birth of the child.

 

2) Eligibility determination is made based on a score through the validated rater reliable Kempe Family Stress Checklist.

The Kempe Family Stress Checklist is the assessment toll required by Healthy Families Indiana to assess the needs of all families. The Kempe assesses for the presence of factors including increased risk for child maltreatment or other poor childhood outcomes.

 

3) Home-based services that include:

  • Focus for the first 3-6 months will be basic childcare including; infant/child development, bathing, nutrition, and activities to do with the baby.
  • Promoting positive parent/child interaction and bonding
  • Use of parent child interaction curriculum
  • Child’s health care needs
  • Linkage to medical provider/medical home
  • Immunizations – acceptable rate is 90%
  • Family’s health care needs
  • Financial management
  • Linkage to community resources
  • Transportation issues/needs
  • Appropriate relationship issues
  • Assessment issues

 

4) Tools for assessing child development needs:

Individual Family Support Plan (IFSP) – is used as a guide for services through the use of curriculum, literature, and referrals to community resources.

 

Denver II Development Screen – Monitors healthy growth for the child and insures proper referrals to such programs as First Steps when a child demonstrates delays or fails on the Denver II. The Denver II is completed at 3, 6, and 12 months, and every 6 months after year one up through age three on the child of focus. The Denver II is then completed yearly after age three.

 

H.O.M.E. Inventory – used to assist in evaluating the impact of a child’s surroundings on later cognitive growth.

Community Life Skills Scale (CLSS) & Difficult Life Circumstances (DLC) – Both the CLSS and DLC are used to measure the existence of chronic family problems and the family’s ability to negotiate in the community.

 

5) Curriculum

Indiana Healthy Families uses curricula and other appropriate materials that are representative of our target population, and considers the culture, race, ethnic and linguistic make of families. Curriculum included, but not limited to; PIPE, Help at Home, San Angelo, Resource Mother, Middle of the Night, Great Beginnings, First Steps with Your Baby, Parenting the First Year, Gymboree, Partners for a Healthy Baby, Prenatal Curriculum, and Growing Child.   

 

6) Training for Family Support Specialist

  • 130 initial required hours
  • Ongoing in-service training (30 hours per year)
  • Advanced training for supervisors
  • CPR and First Aid certification required

 

 

7) Clinical Supervision

Indiana Healthy Families believes that regular, ongoing, effective supervision is essential to promote skill development and provide professional support to staff.  Supervision also holds staff accountable for the quality of their work.

The supervisor provides a minimum of 1.5 hours of individual face-to-face weekly supervision for each Family Support Specialist (FSS).

During the course of scheduled supervision time, the supervisor and FSS review each client and include in the review the initial assessment, IFSP, home visit records, PCI activities, health/growth and development issues, level changes and upcoming screenings and/or tools (Denver, CLS, DLC, HOME, Safety Assessment, etc.) that are due or that have been completed. This discussion aids the supervisor and FSS in evaluating the progress of the family. 

Clinical supervision becomes the springboard for the discussion between the FSS and supervisor regarding the family and the issues and needs that have been identified, as well as successes and progress the family has achieved. 

 

 

 

 

8) Quality Assurance

To insure that families are receiving best practice, the supervisor is required to do Quality Assurance Calls/Shadowing on a specific number of families on their FSS staff:

·         Supervisors do quality assurance calls on new employees at the end of the 90-day introductory period.

·         15% of the FSS’s total caseload is contacted

·         Supervisors do quality assurance calls on all FSS staff one time every six months on 50% of the caseload or a minimum of 10 clients, whichever number is great or more frequently as determined by the supervisor and program manager. 

·         All new employees are shadowed a minimum of three (3) times within their first 90 days of employment

·         Supervisors shadow all new sign on visits with new employees until they reach 75%

·         Supervisors shadow sign on visits with established staff that fall below 75% and who exhibit a pattern of low sign rate as detected by reports, supervision, etc.

 

9) Graduation from Program

·         Graduation from the program occurs when the target child has reached at least three (3) years of age, has been on Level IV for at least three months, the family has maintained stability in the home for a minimum of three (3) months, the child of focus is in a stable and nurturing environment that may include pre-school, Head Start, or childcare, the child’s growth and development are age appropriate, immunizations are current, and the family agrees to end services. 

·         If the supervisor and FSS determine the participant is eligible for graduation, they fill out a Graduation Level Form and submit this to Data Entry for entry into the DATATUDE system.

·         The participant, FSS, and supervisor decide what type of graduation ceremony will take place. This may include a presentation at a Group function, at an Advisory Council meeting or privately.

·         Some participants will never qualify to graduate from the program for a variety of reasons.  These participants will receive a certificate of participation but no formal graduation procedure.

 

 

2008 Data & Statistics

 

782 positive assessments

 

Family Connections presents the new parents with a “Welcome Baby” gift bag during the assessment, containing items that may link the family to a community resource, or an item for the new parent or baby.

 

$10 Wal-Mart Gift Certificate for each family who participates in the initial assessment.

 

4,670 Referrals to Community Resources

 

5,133 Home Visits

 

95% of Home Visits completed on time

 

97% of children have a medical

home.

 

96% of children keeping well check visits

 

93% of families have a medical home.

 

94% of immunizations on time.

 

90% of Denver II development screens on time.

 

98% of parents are in work or school.

 

 

42 substantiated child abuse cases.  (1997-2007)

 

97% retention rate of participants.

 

 

 

Outcomes

Performance Measures

Justification for

Performance Targets

Research

Data Collection Source &

Data Collection Method

Initial:

Child will have a medical home, which includes regular well checks.

Initial:

Of 1,687 program participants, (90% or 1,518) will have a medical home.

 

(1.2.3, 1.2.23)

Initial:

Early initiation of health care services helps prevent long-term health related problems, including those that result in educational difficulties.Another reason for home visitors to build bridges from families to health care providers is that health status affects other life areas. Health status affects education because health problems, such as hunger, poor vision or hearing, high levels of lead in the blood, or dental problems, interfere with learning. The health of children affects their parents' employability and the resulting income. (Shearer, 1994)

 

Initial:

Research shows that families enrolled in Healthy Families America are healthier and use medical services more

appropriately than comparable members of the general population. Among reported findings in this area, 94% to

100% of participating children and 86% to 96% of parents were linked to a primary medical provider. (PCA America, 2002)

Initial:

All data about the participants we serve are tracked by the FSS and entered into the HVTIS/DATATUDE central database.

 

 

The documentation for doctor visits and well checks are tracked by the FSS and supervisor and discussed during weekly supervision.

 

Intermediate:

Child will receive required immunizations.

Intermediate:

Of 1,687 program participants, (90% or 1,518) will receive required immunizations.

 

(1.2.4, 1.2.25)

Intermediate:

Because Healthy

Families America programs typically serve low-income families with multiple challenges, the program’s ability to motivate parents to access timely well-baby care is impressive.

(PCA America, 2002)

Intermediate:

Of 13 studies measuring this outcome, immunization rates ranged from a low of 73% to a high of 100% (only three programs reported rates below 90%). Studies that included comparison data found immunization rates

among program participants to be consistently higher than rates among comparison groups. (PCA America, 2002)

Intermediate:

All data about the participants we serve are tracked by the FSS and entered into the HVTIS/DATATUDE central database.

 

The documentation for immunizations are tracked by the FSS and supervisor and discussed during weekly supervision.

Longer-term:

Child will demonstrate normal development in motor, language, and social development skills

Longer-term:

Of 1,687 program participants, (80% or 1,350) will score in the normal range of child development.

 

(1.2.1, 1.2.2, 1.2.22)

 

Longer-term:

This monitors healthy growth for the child and insures proper referrals to such programs as First Steps when a child demonstrates delays or fails on the Denver. (HFA)

 

Longer-term:

Normal child development is a key outcome for home visitation in that normal early development is highly predictive of social, emotional, and cognitive functioning throughout childhood and into adulthood. (Ramey & Ramey, 1998)

Longer-term:

Denver II Developmental Screen.

The Denver II screen is conducted by a certified Family Support Specialist.

 

 

(888) 689-6363     202 N. Gaslight Drive  P.O. Box 766  Versailles, IN 47042

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