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Integrated Strategies for Home VisitingLevel 1 Field Integration Certification

Healthy Families America offers additional certification for implementing ISHV Core training into practice. Over the course of the week-long ISHV training, much content is covered. Using trauma informed practice principles, our ways of interacting with families shift from teaching , modeling, and normal “case management” to a different way of being, one of creating an environment of empowerment in which parents may learn and grow. In order to create that environment, home visitors must develop safe, predictable, comfortable, and pleasurable relationships with families.

Level 1 ISHV Certification :

Field Integration Reflective Strategies activitiesA quick written review of the content of the training, as well as field integration practice related to the use of the Reflective Strategies.

Level 2 ISHV Certification :HFA Skill Transfer Certification; completion of 10 Skill Transfer Activities.

Training participants who complete Level 1 and Level 2 HFA ISHV Certification will be awarded additional certification that will be recognized through accreditation. This process is to be completed in conjunction with supervisory review.

Please complete the Level 1 ISHV Certification Review Form and submit to [email protected] and cc Maritza Noriega at [email protected] and submit with the subject line, “Level 1 ISHV Certification Review”.

Once Level 1 ISHV Certification is completed, staff may complete the Level 2 ISHV Certification and complete the 10 Skill Transfer activities.

Supervisors will complete the review and may submit the Level 2 ISHV Certification Review Form to [email protected] and cc Maritza Noriega at [email protected] and submit with the subject line, “Level 2 ISHV Certification Review”.

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Healthy Families AmericaLevel 1 ISHV Certification Program

HFA Reflective Practice Review – Level 1 ISHVISHV Training Content Review

1. Name 3 key facts about the ACE study that tie it directly to HFA?1)2)3)

2. List the protective factors.

3. List 3 things that you have learned about brain development.1)2)3)

4. The brain develops from the bottom up (brain stem limbic cortex). Briefly describe how the pattern between these 3 components of the brain interact to create an individual’s world view.

5. How can childhood trauma or chronic toxic stress affect us as adults?

6. What are the 3 concepts of trauma informed practice?1)2)3)

7. What might cause a parent to be reluctant to participate in home visiting services?

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8. Name 4 of the Strength-Based Beliefs for Change.1)2)3)4)

9. What is the strength-based approach and how does it differ from the deficit-based approach?

10. What are the 4 goals of HFA programs?1)2)3)4)

11. HFA is a dyadic program. What is the difference between a dyadic and a didactic program?

12. What are the 5 Guideposts for HFA?1)2)3)4)5)

13. Why is it important to involve dads in your program.

14. List 2 reasons why focusing on the parent-child interaction and attachment is a major part of your job?1)2)

15. Name 3 cultural characteristics beyond race/ethnicity.1)2)3)

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16. Why are attachment and bonding important in the development of a positive parent-child relationship?

17. What is attachment?

18. Give 3 examples of parent-infant interactions that would be indicators of positive attachment?1)2)3)

19. Give 2 examples of parent-infant interactions that would give you cause for concern?1)2)

20. List 2 reflective strategies you might use to address these concerns?1)2)

21. List 3 tools you can use to focus your early visits on parent-child relationships.1)2)3)

22. What are each of the components of the CHEEERS assessment method for structuring observations.

23. How is CHEEERS used to support positive parent-child relationships?

24. What are the 3 steps for the Reflective Strategy, ATP (from memory)?1)2)3)

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25. What are the 4 steps for the Reflective Strategy, SATP (from memory)?1)2)3)4)

26. What are the 5 steps for the Reflective Strategy, Explore and Wonder (from memory)?1)2)3)4)5)

27. What are the 3 steps for the Reflective Strategy, Feel, Felt, Found?1)2)3)

28. What is important about the 1st step of Feel Felt Found?

29. What are the benefits of using Problem Talk with parents?

30. Why is it beneficial to use all steps of each Reflective Strategy?

31. Why is the Reflective Strategy, Problem Talk, effective in supporting parents in figuring out what the intent of the baby’s behavior is and to teach problem solving skills?

32. What is “mindful self-regulation” and why is it important as a tool to support dyadic work?

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33. What is Creative Outreach and why is it important?

34. What Creative Outreach Strategies have you used that have been effective?

35. Why is the goal plan an effective tool for rewiring a parent’s brain from living in survival to taking charge of their lives?

36. What are the 3 MMM’s and how have you used them with in working with families around setting goals?1)2)3)

37. Give 2 reasons why it is important to complete paperwork prior to supervision each week.1)2)

38. List the 5 areas of advocacy for HFA home visitors.1)2)3)4)5)

39. Why is it important to discuss your feelings and frustrations about with your supervisor?

40. List 3 reasons why it is important to learn about how your own background affects your relationship with families.1)2)3)

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41. How will you know if you are maintaining a healthy professional relationship with families?

Congratulations! You have completed ISHV Training Content Review for Level 1 ISHV Certification!

You are now ready to integrate the Reflective Strategies into your life and work!The way to consolidate using HFA Reflective Strategies!

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Integrated Strategies for Home VisitingField Integration: Reflective Strategies

Post this chart in your work area or in your daily planner.

Each day make a mark for each time you used one of the Reflective Strategies listed.

At the end of 2 months of practicing these Reflective Strategies, you will be asked to share your best example of each Reflective Strategy with your Supervisor and Co-Workers.

You can start now to record each step in your “Personal Bests Reflective Strategies” on the pages that follow.

Month 1 Problem Talk Month 2

Month 1 Strategic Accentuating the Positives Month 2

Month 1 Normalizing Month 2

Month 1 Feel, Felt, Found: Would This Work for You? Month 2

Month 1 Explore and Wonder Month 2

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Problem TalkPersonal Bests

Problem/Concern:

Record the questions in each of the Problem Talk categories to learn more andto encourage the family to consider their options for resolving this situation.

Who… ?

What… ?

When… ?

Where… ?

How… of 15

?

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Strategic Accentuating the PositivesPersonal Bests

For each step in the Reflective Strategies, record what you said to the parent(s).

Step #1…

Before your next visit, identify the concern or problem and what behavior you might want to see more of.Concern:

Parenting Practices/Family Choices you will watch for:

Step #2…

Affirm the parent for steps taken that will show growth or improvement stating how the interaction/choice will benefit the parent, family or child.Concern:

Step #3… Share the impact this behavior will have on child or family in the future.

Concern:

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NormalizingPersonal Bests


Step #1…

Summarize the beliefs/opinions of the parent or actions of the child that are of concern.

Step #2… Tell the parent his/her opinion is a commonly held belief.

Step #3…

Provide information that will expand the parent’s knowledge and understanding.

Step #4…

Explore with the parent how this new way of understanding or thinking about the behavior might work better for them.

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Feel, Felt, Found: Would This Work for You?Personal Bests


Step #1… Concern: Describe what you observe the parent to be feeling or experiencing.

Step #2…

Describe a situation in which you had a similar feeling (or someone you know felt this way).

Step #3…

Describe what you (or another person) found worked for resolving this situation.

Step #4…

Ask the parent if he/she thinks what worked for you might also work for her/him. If not, explore other possible solutions.

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Explore and WonderPersonal Bests


Step #1…

Concern: Describe the parenting practice or interaction you have observed and are concerned about (just the facts).

Step #2… Ask the parent what he/she thinks the child is experiencing or feeling.

Step #3… Wonder about what you think the child might be experiencing.

Step #4…

Ask the parent if he/she thinks your thoughts might explain what is going on for the child.

Step #5…

Explore with the parent what might happen if she/he responded differently to the child’s cues, encouraging nurturing parenting responses.

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Congratulations!You have completed the

Level 1 ISHV Certification Review!!

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