the new mexico home visiting program · •the child qualifies for ei services under environmental...
TRANSCRIPT
The New Mexico Home Visiting Program
Presented: June 13, 2018
FIT Annual Conference
Objectives
• Provide an overview of The New Mexico’s Early Learning System
• Provide information to participants to deepen understanding of the New Mexico Home Visiting Program
• Identify strategies for coordination of services between CYFD home visiting and early intervention providers in the field
Warm Up Reflection
• What is one thing you’d like to learn or understand better from today’s presentation?
The Big Picture: The New Mexico’s Early Learning System
The New Mexico’s Early Learning System
The New Mexico Home Visiting Program
Supporting New Mexico families to raise children who are healthy,
happy and successful.
The New Mexico Home Visiting Program
• CYFD is the Lead Agency for the New Mexico Home Visiting Program
• Universal and Voluntary, FREE to Families
• Designed to promote child well-being and prevent adverse childhood experiences
• Serving families prenatal and with children up to age three (five for federal programs)
• Services in all but one County (Catron)
• Research-based long-term outcomes and program standards
• Funded with State and Federal Funds
The New Mexico Home Visiting Program
Program Strategy:
• Promotes positive parent-child relationships
• Offers information and strategies to support positive child development
• Provides support for parents, caregivers, babies and their family
• Connects families to resources in their community
• Supports families to accomplish their goals
Long-Term Outcomes
• Babies are born healthy
• Children are nurtured by their parents and caregivers
• Children are physically and mentally healthy
• Children are ready for school
• Children and families are safe
• Families are connected to formal and informal supports in their
Service Delivery: Level I
• Level I- Prevention and Promotion: Foundation for ALL levels of services
• Addresses the needs of the majority of children and their families
• Promotes safe nurturing relationships
• Monitors child-family development and wellbeing
• Implements strategies that prevent adverse childhood experiences
Service Delivery: Level II
• Level II- Targeted Interventions: Designed to support parents deal with the demands and stress of parenting while addressing the quality of parent-child relationships and interactions
• Provided to families that are referred by community agencies (DOH-FIT, Protective Services, Drug Court, NICU, etc.) or identified during Level I services to be at risk and/or in need of a higher level of intervention
• Builds on the foundation of Level I services
• Does not create stigma for the families (seamless process)
Service Delivery: Level II-NICU
• Project H.A.T.C.H. (Helping fAmilies To Come Home), currently at UNM-NICU adding Presbyterian and Lovelace Hospitals
• National studies have demonstrated that newborns discharged from intensive care are at an elevated risk for child maltreatment
• Promote the continuum of parent–infant needs, to support healthy parent–infant relationships both within the NICU and post-discharge
• Highly skilled HV staff provide families with the crucial support and parenting skills needed for bonding and caring for their infant from admission through discharge and beyond
• Goal is to transition the family to their community home visiting program upon returning home
Eligibility for Services
• Universal and voluntary for families- Not entitlement program
• Expecting families
• Families with children up to age three (federally funded programs can serve to age five)
• Note: Local community programs may have additional eligibility criteria based on the curriculum/model being utilized.
Screenings Administered
• Developmental: ASQ-3 and ASQ-Social-Emotional2
• Relationship Assessment Tool (Domestic Violence)
• Edinburgh Postnatal Depression Scale
• PICCOLO (Parenting Interactions with Children: Checklist of Observations Linked to Outcomes)
• Maternal-Child Health (Family History and Risk Assessment tool)
Family Goal Setting and Service Plans
• Goals are developed in partnership with the family to determine focal points for services
• Families receive a minimum of one home visit per month and may receive more based on request for services, model implementation and/or family needs
• Results of screening tools are also used to inform services
Referral Processes
• Result of Screening Tools
-Early Intervention
-Behavioral Health
• Identified by the family based on their goals and needs
-Child Care
-Nutrition Services (WIC, SNAP, etc.)
-Healthcare
-Recreation
-Other
Other Considerations
• The Home Visiting Programs are required to partner with community agencies that may work with the same families:• to ensure coordination
• avoid duplication of services
• ensure each family's access to the necessary continuum of supports and services
• Home visiting programs in isolation are not effective in achieving improvements in child or family outcomes
Reflection
• What has been your experience coordinating services with home visiting?
• How do you plan to approach collaboration to enhance the coordination of services to meet family needs and goals?
Coordinating Services: What should happen when HV refers to EI?
• An ASQ-3 is completed with the family and results are discussed. If a risk is identified, the home visitor shares information on EI and offers the referral
• Family either chooses to engage with EI services or declines the referral
• If family accepts the referral: • Evaluation is conducted and IFSP meeting is scheduled
• If child is eligible, home visitor invited to the IFSP
• Home Visiting is added as a service on the IFSP
• IFSP team meetings, ongoing discussions and adjustments made as needed
Coordinating Services: When should EI refer to HV?
• The child is not eligible for EI services
• The child qualifies for EI services under Environmental Risk
• A parent expresses interest in receiving additional parental support
• Through observation of the parent-child relationship, the EI provider identifies concerns that need additional support.
• A family requests services that EI may not be able to provide (ex: Circle of Security, Breastfeeding Supports, etc.)
Where to find Home Visiting Program Information…
• NewMexicoKids Resource & Referral www.NewMexicoKids.org
• PullTogether: Am I Eligiblewww.pulltogether.org
Call: 1-800-691-9067
What’s Next
• Early Intervention will present to Home Visiting Program Managers at the next Quarterly Meeting.
• Distribution of Home Visiting and Early Intervention Side by Side.
• Creation of a Community Forum to offer a venue for providers to share questions and receive input from others.
Reflection
• What is one thing you learned today that will impact your work?
• What other questions do you have based on what was presented today?
• What suggestions do you have in support of coordinating services between Early Intervention and Home Visiting?
Contact Information
New Mexico Home Visiting
Office of Child Development
Early Childhood Services Division
Children, Youth and Families Department
505-827-7946
Early Intervention- Family Infant Toddler Program
Child & Family Supports Bureau
Developmental Disabilities Supports Division
Department of Health
505-476-8842