nebraska-maternal, infant, early childhood home visiting (n-miechv) jennifer auman, coordinator...
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Nebraska-Maternal, Infant, Early Childhood Home Visiting (N-MIECHV)Jennifer Auman, [email protected] ; dhhs.ne.gov/HomeVisiting
Home Visiting! Oh sure!
That’s where you, uh… visit homes,
right?
Evidence-Based Home Visiting:
What?When?
Who?Why?
How?
Where?So What?
Evidence-Based Home Visiting:
What it IS: Family-Centered Strengths-Based Relationship-Driven Culturally Competent Preventative– looking ahead to the workforce
of the future Voluntary Free Empowering– show me HOW
What it is NOT: An Intervention- Do it for them A sure-fire “Fix” for everyone “Another handout” In any way associated with losing or keeping your
children (Child Protective Services)
Is this “NORMAL???”
I can barely
support
myself; how
will I be
able to
support
another
person?
I heard you can get more
benefits if you have a kid.
Will I be a good mom??
I don’t know anything about babies!
Should I nurse?
Drinking just
helps me
relax. It’s not
good for the baby
if I’m stressed
out.
I thought if I got
pregnant, he’d stay.That one lady
says
immunizations
will cause my
baby to be
autistic.
From conception to age 3 years, a child has the
GREATEST period of development and growth
Every experience– BOTH mother and child have
shapes the person that child will become; physical,
emotional and mental health from the very beginning.
Bonding, ENVIRONMENT, NUTRITION—
that he or she will have throughout
their WHOLE LIFE!
WHAT PUTS FAMILIES’ FUTURE HEALTH “AT RISK?”
Teen Pregnancy Depressio
n
Mental Illness
Poverty or Homelessness
Drug or Alcohol Abuse
Domestic Violence
INCREASES: Appropriate coping skills
Pre-Conception and Inter-Conception Planning
Quality of Prenatal Care
Successful Breastfeeding
Well-Child Visits & Proper Immunization Schedules
Knowledge of Child Development
Physical, Mental and Emotional Health of the Family
Effectiveness of Referrals and Coordinate Efforts for the Right Referrals
Evidence-Based Home Visiting is a PREVENTATIVE health measure!
REDUCES:
Child Maltreatment, Abuse, Neglect
Domestic Violence
Parental Use of Drugs, Alcohol or Tobacco
Emergency Room Visits for BOTH Mother and Child
Stress
Adverse Childhood Experiences or A.C.E.s
• Divorce• Exposure to Alcohol or Drug Abuse• Exposure to Domestic Violence• Homelessness• Poverty• Child Maltreatment• Parent with Mental Health issues• Teen Pregnancy/Teen Parenting• Parent who is incarcerated• Premature or low birth weight • Early Death of a parent or child
As the
num
ber o
f ACEs
in a
pers
on’s
life
incr
ease
, so
does
the
risk
of:
Obesity
Drug, Alcohol or Tobacco Use
Diabetes
Heart Disease
Cancer
Child Maltreatment
Liver Disease
…EVEN Early Death
http://www.cdc.gov/violenceprevention/acestudy/Kaiser Permanente and the Center for Disease Control
Perpetuating the cycle—Children live what they’ve learned—it is “hard wired” even if they consciously know the behaviors are negative or risky.
The cost of intervention vs PREVENTION
of Child Maltreatment;
We could pay off the National Debt in less
than 10 years.
DIRECT COSTSAcute Medical Treatment: $ 2,907,592,094Mental Health Care: $ 1,153,978,175Child Welfare System: $29,237,770,193Law Enforcement: $ 34,279,048
INDIRECT COSTSSpecial Education: $ 826,174,734Early Intervention: $ 247,804,537Emergency/Transitional Housing: $ 1,606,866,538Mental Health & Health Care (as adults): $ 270,864,199Juvenile Delinquency: $ 3,416,149,283Adult Criminal Justice System: $32,724,767,699Lost Worker Productivity: $ 7,834,164,589
Estimated Cost of Child Maltreatment in the United States per Year
TOTAL: $80,260,411,087Taken from the report prepared by Kathryn Harding, MA, Prevent Child Abuse America. Based on the report by Gelles, J.J. and Perlman, S. (2012). Estimated annual cost of child abuse and neglect. Chicago: Prevent Child Abuse America. Available at: http://www.preventchildabuse.org/downloads/PCAA_Cost_Report_2012_Gelles_Perlman_final.pdf
Sounds good, but can you prove it?
That’s the Evidence part of “Evidence-
Based.”
14
Maternal and Newborn Health
Maltreatment, Injury
and Emergency Room Visits
School ReadinessAnd Achievement
Domestic Violence
Family Economic Self-Sufficiency
Coordination of Referrals
And Resources
Benchmark Areas
With experienced, educated and
caring support, We can
break the cycles of negative life
impact!
Legend (DHHS Investments in Home Visiting) Federal MIECHV Formula Grant
Federal MIECHV Development Grant
State Funds
Title V MCH Block Grant
N-MIECHV Community Planning completed
Previous N-MIECHV investments; currently utilizing local funds
Priority Counties Identified through the MIECHV Needs Assessment Process
Nebraska Maternal, Infant, and Early Childhood Home Visiting (N-MIECHV ) Overview
ADAMS
ANTELOPE
ARTHURBANNER
BLAINE
BOONE
BOX BUTTE
BOYD
BROWN
BUFFALO
BURT
BUTLER
CASS
CEDAR
CHASE
CHERRY
CHEYENNE
CLAY
COLFAX
CUMING
CUSTER
DAKOTA
DAWES
DAWSON
DEUEL
DIXON
DODGE
DOUGLAS
DUNDY
FILLMORE
FRANKLIN
FRONTIER
FURNAS GAGE
GARDEN
GARFIELD
GOSPER
GRANT
GREELEY
HALLHAMILTON
HARLAN
HAYES
HITCHCOCK
HOLT
HOOKER
HOWARD
JEFFERSON
JOHNSONKEARNEY
KEITH
KEYA PAHA
KIMBALL
KNOX
LANCASTER
LINCOLN
LOGAN
LOUP
MCPHERSON
MADISON
MERRICK
MORRILL
NANCE
NEMAHA
NUCKOLLS
OTOE
PAWNEE
PERKINS
PHELPS
PIERCE
PLATTE
POLK
RED WILLOW RICHARDSON
ROCK
SALINE
SARPYSAUNDERS
SCOTTS BLUFF
SEWARD
SHERIDAN
SHERMAN
SIOUX
STANTON
THAYER
THOMAS
THURSTON
VALLEY WASHINGTON
WAYNE
WEBSTER
WHEELER
YORK
(Handout available)
October 30, 2014Kearney, NE
Collaborative Partners:N-MIECHV (NDHHS)Sixpence Early Learning FundNebraska Children & Families FoundationHead Start State Collaboration OfficeEarly Development NetworkDept. of EducationNDHHS Division of Behavioral Health
So What?