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  • December 16, 2010 1 Michigan Infant, Maternal and Early Childhood Home Visiting Program Building County-Level Home Visiting Systems Videoconference for Teams from: Berrien, Calhoun, Genesee, Ingham, Kalamazoo, Kent, Muskegon, Saginaw, St. Clair and Wayne Counties
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  • December 16, 2010 2 1. Welcome and Introductions
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  • December 16, 2010 3 Agenda 1. Welcome & Introductions 2. Videoconference Objectives 3. Context for HRSA HV Program 4. Building a HV System 5. Michigan HV Program Logic Model 6. How Can Communities Begin to Participate? 7. Expectations for each County 8. Seed Funds to Support County Activities 9. Q&A 10. Next Steps
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  • December 16, 2010 4 2. Videoconference Objectives
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  • December 16, 2010 5 Videoconference Objectives Update on current status of HRSA Home Visiting Program. Ensure understanding of purpose of Home Visiting Program (HVP). Describe Michigan HVPs Logic Model development efforts. Describe steps county HVP teams can take to prepare for response to HRSA guidance (Step 3).
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  • December 16, 2010 6 Objectives, contd Describe state expectations for county HVP teams. Discuss seed funding to support initial work. Conduct Q & A. Identify next steps and future TA opportunities.
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  • December 16, 2010 7 3. Context: HRSA HomeVisiting Program
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  • December 16, 2010 8 Context Policy Brief from The Future of Children: Social Science Rising: A Tale of Evidence Shaping Public Policy ocs/19_02_PolicyBrief.pdf
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  • December 16, 2010 9 Social Science Rising Social scientists have taken a step toward the goal of getting policy makers to consider high-quality evidence when making program funding decisions. President Obama put provisions in the budget to support home visiting programs that will produce sizable, sustained improvements in the health, well-being, or school readiness of children or their parents. The resulting bill gives priority funding to programs that adhere to clear evidence-based models of home visitation that have demonstrated significant positive effects on important program- determined child and parenting outcomes.
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  • December 16, 2010 10 Social Science Rising, contd The Obama administration will evaluate as many programs as possible, cut off funding for those that are not working and expand those that are. The administration endorses a two-tier approach of giving more money to the programs with the strongest evidence of success and less money to programs that have some supportive evidence, but not as much. The federal policy process now hinges importantly on evidence, a clear sign that the administration and Congress want to do everything they can to fund successful programs.
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  • December 16, 2010 11 Resources We will be sending out: An updated resource list of articles about evidence-based home visiting. A list of webinars you may wish to view regarding home visiting models and systems.
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  • December 16, 2010 12 Affordable Care Act Funding Status Michigan has received funding for FY 2010. We have 27 months to spend the funds that we were awarded. We are awaiting the next federal guidance for Step 3. There is talk that Congress may repeal this legislation. It is critical for our state need to think about whats important with respect to a home visiting system regardless of federal funding.
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  • December 16, 2010 13 HRSA Funding can be used for Three major activities : Develop a state Home Visiting System embedded in a comprehensive, high-quality Early Childhood System. Develop local home visiting systems based on the state system. Within the system, implement and evaluate evidence- based home visiting programs.
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  • December 16, 2010 14 HRSA Next Steps Step 3 guidance not yet available We still need to move forward in anticipation of what HRSA will require : Determine infrastructure priorities. Revise logic model. Bring all of the key participants to the table. Inventory county-level data about target audiences. Develop database of home visiting programs. Once released, we likely will not have much time to complete our State Plan, which will build on the above.
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  • December 16, 2010 15 4. Building a Home Visiting System
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  • December 16, 2010 16 Building a Home Visiting System The Great Start System Team has appointed the Home Visiting Work Group. Purpose is to guide the development of the state- level home visiting system. The state-level system will guide and support the county efforts.
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  • December 16, 2010 17 Based on Lessons from Other States Michigan might choose to focus on one or more of the following system components: Public EngagementOngoing Professional Development/ Program Support Core Competencies of Staff Governance Evaluation and Information Systems Administration Needs Assessment and Planning Coordination Centralized Point of Referral MonitoringEarly Childhood Partnerships FundingProgram Standards CQI Some of the 10 counties have already begun systems development work.
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  • December 16, 2010 18 5. MI Home Visiting Program Logic Model
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  • December 16, 2010 19 MI Home Visiting Program Logic Model The Home Visiting Work Group is working with Michigan Public Health Institute (MPHI) evaluators on a Logic Model. The Logic Model will continue to be modified and expandedmay need to be revised based on Step 3 guidance. This draft Logic Model represents the larger effort to build a home visiting system, and is not limited to just the ACA funding.
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  • December 16, 2010 20 Home Visiting Program Logic Model
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  • December 16, 2010 21 Comments We welcome your comments or questions about the draft Logic Model. Please send comments to:
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  • December 16, 2010 22 6. How Can Communities Begin to Participate in the HV Program Activities?
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  • December 16, 2010 23 6a. Local Governance Structure A group or committee will need to provide leadership locally regarding this home visiting system building work. You know your local structure and partners best; what will work for you? Ideas: entire GSC, GSC subcommittee, other existing or new committee that will be affiliated with the GSC, etc. The entity providing leadership might be different than the fiduciary.
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  • December 16, 2010 24 Who must be involved? Your Great Start Collaborative contract already includes a list of required partners. The federal HV legislation identifies several required participants for HV planning: Public Health (Title V) Substance Abuse Department of Human Services/CAN Council (CAPTA/CBCAP) Early Head Start/Head Start
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  • December 16, 2010 25 Additional key representatives for HV planning include: Community Mental Health Education community Existing Home Visiting programs/providers, including those providing perinatal services (e.g. MIHP, Healthy Start) Families
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  • December 16, 2010 26 Why Substance Abuse Services Are a Fit Addictive behaviors: Lying Stealing Being unreliable Manipulation Moods swings Abuse Acting compulsively Neglect of medical needs of both parent and child Potential for poor or inadequate nutrition
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  • December 16, 2010 27 Family Implications Children often model parental substance using behaviors. Sometimes develop self preservation skills (Hero, scapegoat, mascot and the lost child).
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  • December 16, 2010 28 Consequences Often children of addicts are linked with: Victimization (violent crime, sexual abuse, DV). Serious school problems. Drinking-related traffic crashes, vandalism, other delinquent crimes. Youthful deaths by drowning, suicide, and homicide. Exposure to media and movie messages that glamorize use. Peers who drink/drug.
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  • December 16, 2010 29 Problems Manifested in Several Domains Families Communities Schools Employers Social relationships Social services
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  • December 16, 2010 30 Community Wellness Prevention or early intervention, enhance chances for family and community wellness: Less ATOD use. Fewer family problems. More productive citizenry.
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  • December 16, 2010 31 Michigan Structure for Substance Abuse Services Bureau of Substance Abuse and Addiction Services (BSAAS) oversees prevention, treatment and recovery efforts related to substance use disorders and gambling addiction. 16 Coordinating Agencies (CAs) who are under agreement with MDCH to ensure quality substance abuse prevention and treatment services.
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  • December 16, 2010 32 Examples of Services Prevention Underage Drinking & Tobacco Use, Adult & Senior Problem Use, Communicable Disease, Parenting Awareness, Prescription & Over-The-Counter Drug Abuse. Treatment Driving Under the Influence insight education (DUI), Interventions, Methadone, Women's Treatment Programs, Fetal Alcohol Syndrome Disorder Screening and referral, Co-Occurring Disorders


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