EOHHS / EOE Home Visiting Readiness Cabinet August 23, 2010.
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Transcript of EOHHS / EOE Home Visiting Readiness Cabinet August 23, 2010.
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EOHHS / EOE Home VisitingReadiness Cabinet
August 23, 2010
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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
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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
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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
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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
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Home Visiting Initiative Requirements
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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
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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
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Community Needs Assessment
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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
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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
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Next Steps for Task Force
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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)
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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
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Principles Guiding State Plan Development
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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