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FLORIDA MATERNAL, INFANT & EARLY CHILDHOOD HOME VISITING INITIATIVE
florida association of healthy start coalitions, inc.
Background
Authorized by Affordable Care Act (ACA). Goal: to improve health and developmental
outcomes for at-risk children through evidence-based home visiting programs by: Strengthening and improving the programs and
activities carried out under Title V of the Social Security Act;
Improving the coordination of services for at-risk communities; and
Identifying and providing comprehensive services to improve outcomes for families in these communities.
Background
Distributed to states, territories through formula grants (2009-2010)
DOH & DCF collaborated on initial planning, needs assessment and funding for five community sites
Legislature refused additional funding authority in 2012
Federal rules provide for a RFP process to identify non-profit to assume state responsibility
Background
Florida Association of Healthy Start Coalitions successfully apply for funding as part of multi-organization collaborative (April 8, 2013)
$23.5 million over three and a half years Potential for additional resources
FL MIECHV
Builds on initial state efforts: 2010 MIECHV Needs Assessment, 2011 State Plan Update
Focus: Propagating evidence-based home visiting
models in high need communities (five original sites, six additional sites, enhancement funding)
Building capacity to deliver EBI through training and continuous quality improvement
Strengthening continuum of services through collaboration and systems change
Evidence-Based Models
Child First Early Head Start Home Based Options Early Start Family Check Up Healthy Families America Healthy Steps Home Instruction for Parents of Preschool Youngsters Nurse-Family Partnership Parents as Teachers Play and Learning Strategies Infant, and Safe Care Augmented
Building Capacity- Training
Identification of core competencies for child serving programs (prenatal through VPK)
Training around core competencies Ounce of Prevention Training Institute FSU Center for Prevention & Early
Intervention Programs Florida Home Visiting Summit
Capacity Building-CQI
Federally-mandated benchmarks and constructs 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; and Improvements in the coordination and referrals for
other community resources and supports. National evaluation; state evaluation by USF
Chiles Center
Systems Change
Expectation of public-private collaboration and coordination through: Adoption of core competencies by child serving
agencies (prenatal – VPK) Use of common metrics (based on MIECHV benchmarks
& constructs) Development of single intake system at community
level to facilitate identification and referral of vulnerable families (Healthy Start prenatal and infant screen)
Coordination with Early Childhood Comprehensive Systems (ECCS)
Florida Home Visiting Advisory Council
Where we are
Contracts executed for five original sites (Pensacola, Jax, Alachua, Putnam-Bradford and St. Pete)
Contracts in works for training, evaluation, data system
FL HV Advisory Council being re-constituted (June meeting?)
RFP for new sites, program enhancements in July-August with October 1 start date.