Date post: | 13-Jan-2016 |
Category: |
Documents |
Upload: | candace-harvey |
View: | 214 times |
Download: | 0 times |
EOHHS / EOE Home VisitingReadiness Cabinet
August 23, 2010
2
Component of Patient Protection and Affordable Care Act signed March 2010
Goals: Respond to the diverse needs of children and
families in communities at risk Improve health and development outcomes
through evidence-based home visiting programs Part of the Dept. of Health and Human Services’
effort to establish comprehensive continuum of services for pregnant women, parenting families, and children birth to 8 years
Creation of Maternal, Infant, Early Childhood Home Visiting Program
3
Supports state-based maternal, infant and early childhood home visiting grant program administered by DHHS by amending Title V of the Social Security Act
FY2010: $100 MFY2011: $250 MFY2010: $350 MFY2013: $400 MFY2014: $400 M
$1.5 B in Funding Over 5 Years
4
In FY2010, MA will receive $1,096,728
$500,000 awarded on July 15, 2010 for initial Needs Assessment completion planning for implementing evidence-based home
visiting program
Can access remaining $596,728 after the full Needs Assessment is submitted and approved
Massachusetts’ Share
5
1 Improvements in prenatal, maternal, and newborn health, including improved pregnancy outcomes
2 Improvements in child health and development
3 Improvements in child school readiness including improvements in cognitive, language, social-emotional, and physical development indicators
4 Improvements in the prevention of child injuries and maltreatment
5 Improvements in parenting skills
6 Reductions in crime or domestic violence
7 Improvements in family economic self-sufficiency
8 Improvements in coordination of referrals for other community resources and supports
Prevention of child injuries and maltreatment became own outcome
Changes to Outcomes Specified in Legislation
6
Home Visiting Initiative Requirements
Healthy Families America (HFA)Nurse Families Partnership (NFP)Parents As Teachers (PAT)SafeCareTriple P
Evidence-based home visiting models represented:
External Engagement – Home Visiting Summit
Goal1)To learn about national evidence-based home visiting models2)To deepen understanding of home visiting model evaluations through an academic expert panel
Session information1 session held on June 15, 2010 at the Dept of Early Education & Care (Boston, MA)
Academic evaluator experts:University of Chicago: Dr. Deborah Gorman-SmithTufts: Dr. Francine Jacobs, Dr. Jayanthi Mistry, Dr. Jessica Goldberg
GoalTo gather firsthand knowledge of the state’s current home visiting capacity as well as statewide service gaps.
Session information3 sessions held with representatives of MA home visiting programs:
o June 29, 2010: Office of Health Care Quality (Boston, MA)o August 5, 2010: Dept of Public Health (Boston, MA)o August 6, 2010: Holyoke Health Center (Holyoke, MA)
A Helping HandBoston Home Visiting CollaborativeEarly ConnectionsEarly Head StartEarly Intervention Partnerships ProgramF.O.R. FamiliesFRESH Start
Healthy Baby Healthy ChildHealthy Families MAHealthy StartParent Child Home ProgramVisiting MomsWelcome Baby
Home visiting programs represented:
External Engagement – Public Listening Sessions
9
Community Needs Assessment
Data Indicators Mapped to 9 Participant Outcome Domains:Example of Improvement in child health/development & Improvement in school readiness
# Outcome Domain Data Indicators
City/town level – included in needs assessment community ranking
Statewide –included in needs assessment narrative
2 Improvements in child health and development
Asthma hospitalizations per 100,000 X
Lead poisoning adjusted rate X
Rate of childhood obesity (selected school districts) X
Children’s Medical Security Plan (CMSP) caseload X
Infant and Early Childhood Mental Health X
Children’s Behavioral Health Initiative (screening rates) X
3 Improvements in child school readiness incl. improvements in cognitive, language, social-emotional, and physical developmental indicators* Although there is city/town data on these indicators, they are not included in the ranking of this domain.
% EI enrollment X
Rate of high school drop-outs X
Poor performing schools (levels 1-4) X
% of children waitlisted for an EEC subsidized childcare slot
X
Rate of truancy* X
% of Special Education placement (students with IEPs)* X
10
1 2 3 4 5
121
176
35
11 80
50
100
150
200
# ofCommunities
Composite Need Score Groups
Composite Need Score for All 351 MA Cities/Towns
Lowest Need/Highest Score
Highest Need/Lowest Score
1. Holyoke2. Springfield3. Chelsea4. Lawrence5. Lowell6. New
Bedford7. Fall River8. Lynn
1. Holyoke2. Springfield3. Chelsea4. Lawrence5. Lowell6. New
Bedford7. Fall River8. Lynn
11
13
Next Steps for Task Force
14
Identified Statewide Gaps in Home Visiting Services
• Maternal mental health
• Early childhood mental health
• Child health and development
• Immigrants
• Family economic self sufficiency
• Family violence and trauma
• Comprehensive system of care
• Non-traditional populations (i.e. fathers)
The Massachusetts state home visiting plan should –• Emphasize depth over breadth in order to maximize the
likelihood of achieving desired impact. • Focus on promoting collaboration with existing
services, including those outside of early childhood domain to create coordinated system.
• Promote sustainability through building community capacity for the post-grant period.
• Prioritize service delivery to vulnerable populations
15
Principles Guiding State Plan Development
Aug Sept Oct Nov Dec
August 20, 2010 16
Taskforce(Matching Modelsto Needs; Narrow Model Selection)
Date TBD
Taskforce(Refine State Plan)
Date TBD
Map gaps vs. community needs Recs to Governor &
EOHHS SecretaryRecs to Governor & EOHHS Secretary
Governor’s Response
Governor’s Response
Taskforce(if needed)Date TBD
Taskforce(Finalize Model Recs.
for State Plan)Date TBD
NeedsAssessment
DueSept 20
UpdatedState Plan
? Early FY11
Taskforce(Needs Assess. Finalization &
Guiding Principles)8/20 12-2pm
Further review of HV models
Research and prepare Updated State Plan
Plan for evaluation strategy
MA Response to HV Legislation Timeline - Updated
Other tasks?
Map models to community needs
Refine needs assessment