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Home visiting programs provide information and support to parents of young children to address their individual needs. Giving preventive services, such as immunizations, screening tests for cancer and diabetes, and counseling for smoking cessation and weight control. Administering medications, including injections, pills, and inhalers. Implementation of Evidence-based Home Visiting Programs Aimed at Reducing Child Maltreatment: A Meta-analytic Review (special Issue: Issues and Solutions in the Implementation of Evidence-informed Child Welfare Practices), Casillas & Derkash & Fauchier & Garrido (2016). Home visiting programs provide information and support to parents of young children to address their individual needs. In the event that these changes in service delivery also impact your continuous quality improvement (CQI) activities as outlined in an awardee's approved CQI Plan, HRSA is temporarily waiving the requirement that these changes be documented in the CQI Plan and approved by HRSA before implementation. Offer neutrality-someone to discuss difficulties and challenges with. Read our joint letter (PDF - 58 KB) with the Administration for Children and Families to encourage family support programs to offer prevention and family strengthening strategies virtually and through other safe means during the COVID-19 pandemic. The project team relied heavily on input from stakeholders to deeply understand their needs. Home instruction for parents of preschool youngsters (HIPPY), Public health nursing early intervention program (EIP) for adolescent mothers, Promoting Father Involvement in Home Visiting Services for Vulnerable Families: A Pilot Study Final Report. We understand that some states have suspended face-to-face home visits to protect the health and safety of families and recommend the use of telephone and/or video communication in lieu of face-to-face home visits. This report shares several reflections on what the team learned through the project activities. The key reflections are: To create a prototype of the tool, the project used a human-centered design approach. While continuous quality improvement remains a vital strategy for the MIECHV Program, awardees will not be required to submit updated CQI Plans at this time. Web Every home visit should have a clear purpose. The new model authorizes states to use up to 25%of their grant funds to enter into public-private partnerships called pay-for-success agreements. In this handbook, we use the term "home visitor." HRSA is aware of the impacts the COVID-19 public health emergency has and will continue to have on service delivery to families. Phase 3. They should also use available resources, such as the Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) Memo (PDF - 335 KB), that outline best practices, tips, and resources for IPV and maternal depression screenings and referrals. visiting child development parents infographic supporting case children young program (See. The law allows awardees to use MIECHV funds during the COVID-19 public health emergency period to: As with all other costs paid using MIECHV grant funds, awardees must ensure that funds are used for authorized purposes in compliance with applicable statute, regulations, policies, program requirements and the terms and conditions of the award. Home visiting is a prevention strategy used to support pregnant moms and new parents to promote infant and child health, foster educational development and school readiness, and help prevent child abuse and neglect. WebVisit Home Visiting Overview to view information on program goals, grantees, funding, and impact overall and by state. The MIECHV Program provides technical assistance support and resources for recipients. Encourage COVID vaccination among staff and eligible clients/family members. Rigorous evaluation of high-quality home visiting programs has also shown positive impact on reducing incidences of child abuse and neglect, improvement in birth outcomes such as decreased pre-term births and low-birthweight babies, improved school readiness for children and increased high school graduation rates for mothers participating in the program. MIECHV is administered by the Health Resources and Services Administration (HRSA) in collaboration with ACF. As a result, home visitors and home visiting programs play important roles in addressing the potential impacts of the emergency on pregnant people and families health and well-being, and promoting access to critical health, early care and education, and family economic supports. An awardee that began to experience service disruptions in March of 2020 may choose to submit a revised Form 2 submission for demonstration of improvement purposes that reflects a performance period of October 1, 2019 through March 1, 2020. Below, HRSA addresses several upcoming requirements: HRSA recognizes that some MIECHV grant activities may be on hold or unable to be completed due to the ongoing impacts of COVID-19. Initiation phase - clarify purpose of home visiting. WebSometimes these visits are hosted by a family at their home. MIECHV awardees should consult with tool developers to determine appropriateness and criteria for virtual/remote screening. Honour confidentiality. The, Offer flexible, supportive sick leave options (e.g., paid sick leave) for employees to get vaccinated or who have. In addition, the MIECVH program includes a strong accountability component requiring states to achieve identified benchmarks and outcomes. Does the state have the capacity to collect data and measure program outcomes? Be developed with involvement of staff, parents and guardians, and other community partners (for example, health centers). The Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program, and evidence-based home visiting service delivery model developers have released guidance to encourage using telephone and/or video technology to maintain contact with families during an emergency. A number of home visiting service delivery models have disseminated guidance to states and local organizations related to precautions and safeguards during a public health emergency. If a recipient needs to re-budget grant funds over 25% of their approved budget or rebudget grant funds to an unfunded category, a Prior Approval request is required. CW360: A Comprehensive Look at a Prevalent Child Welfare Issue, , U.S. Department of Health & Human Services, Philosophy and Key Elements of Family-Centered Practice, Family-Centered Practice Across the Service Continuum, Creating a Family-Centered Agency Culture, Risk Factors That Contribute to Child Abuse and Neglect, People Who Engage in Child Abuse or Neglect, Overview: Preventing Child Abuse & Neglect, Child Abuse and Neglect Prevention Programs, Public Awareness & Creating Supportive Communities, Developing & Sustaining Prevention Programs, Evidence-Based Practice for Child Abuse Prevention, Introduction to Responding to Child Abuse & Neglect, Differential Response in Child Protective Services, Responding to Child Maltreatment Near Fatalities and Fatalities, Trauma-Informed Practice in Child Welfare, Collaborative Responses to Child Abuse & Neglect, Supporting Families With Mental Health and Substance Use Disorders, Introduction to Family Support and Preservation, In-Home Services Involved With Child Protection, Resources for Managers of Family Support and Preservation Services, Transition to Adulthood and Independent Living, Overview: Achieving & Maintaining Permanency, Recruiting and Retaining Resource Families, Permanency for Specific Youth Populations, Working With Children, Youth, and Families in Permanency Planning, Working With Children, Youth, and Families After Permanency, Resources for Administrators and Managers About Permanency, Children's Bureau Adoption Call to Action, Adoption and Guardianship Assistance by State, For Adoption Program Managers & Administrators, For Expectant Parents Considering Adoption and Birth Parents, Administering & Managing Child Welfare Agencies & Programs, Evaluating Program and Practice Effectiveness, ndice de Ttulos en Espaol (Spanish Title Index), National Foster Care & Adoption Directory, Child Welfare Information Gateway Podcast Series. Home visiting programs are encouraged to allow flexible, non-punitive, and supportive paid sick leave policies and practices that encourage sick workers to stay home without fear of retaliation, loss of pay, or loss of employment. Roles of a Home Visitor You come into the family's home weekly, exploring their child's growth and development and helping parents explore how their relationship supports their child's development. Respect families where they are at. University of Chicago On December 27, 2020, the President signed into law the Consolidated Appropriations Act, 2021 (P.L. Child Abuse and Neglect, , 53, (March 2016), p. 64-80. Technical Assistance Visit the Technical Assistance page to access Webinars, guidance, and other resources for grantees managing their programs. Decades of research in neurobiology underscores the importance of childrens early experiences in laying the foundation for their growing brains. Note that data for performance measures, including data for the IPV screening and referral measures, will be reviewed and interpreted with the recognition that many programs will continue to experience significant challenges with completing these screenings during this time. As more home visitors return to in-person home visits, CDC offers guidance on how to do so safety while also considering local situations. EHS home-based services offer home visits and group socialization activities for parents and their children. Additional resources that are available include: HRSA recognizes that maintaining the safety of the early childhood workforce, including MIECHV home visitors, is essential during the COVID-19 public health emergency. High-quality home visiting programs can improve outcomes for children and families, particularly those that face added challenges such as teen or single parenthood, maternal depression and lack of social and financial supports. Inform families about current public health recommendations related to COVID-19 and vaccinations. Home-based programs provide new and expectant parents with support to build their basic caregiving skills and assist parents and other primary caregivers in bonding with children to encourage healthy child development and a positive home environment. Home visitors can use best-practices in handwashing. This bill provides for funding of the federal government for fiscal year 2021 and additional provisions to respond to the ongoing COVID-19 public health emergency. You should not assume that additional funds for unanticipated costs will be made available if a funds shortage results from the re-budgeting request. The deadline for submitting the MIECHV Quarter 2 Performance Report has been extended 30 days from May 15 to June 15, 2020 at 11:59pm ET. It is important for home visiting programs to coordinate with their state and local health departments and frequently review the CDC website for updated information. WebThe goals of the home visit include: Identifying and addressing the family's needs and concerns. On home phase - introduction him/her self -warm greeting. MIECHV awardees may be concerned about the impact of these changes on their grant activities, including upcoming deadlines and deliverables. 117-2), Important Home Visiting Information During COVID-19 FAQ, Guidance on Meeting Requirements to Demonstrate Improvement in Benchmark Areas, guidance on providing well-child care vis telehealth during COVID-19, MIECHV Data, Evaluation, and Continuous Quality Improvement, American College of Obstetricians and Gynecologists, 45 CFR Part 75, Subpart ECost Principles, MCHB COVID-19 Frequently Asked Questions webpage, Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) Memo, Adapting to a Rapidly Changing Environment, Maternal and Child Health Bureau Frequently Asked Questions, Centers for Disease Control and Prevention, Communities, Schools, Workplaces and Events, Guidance for Schools and Childcare Programs, Title V Maternal and Child Health (MCH) Block Grant, 1-833-9-HELP4MOMS National Maternal Mental Health Hotline, HRSA Health Resources and Services Administration, Coordinate with the medical home to ensure that children are up to date with well-child visits and all routine preventive care and that birthing people are up to date with pregnancy-related and. Across the country, high-quality home visiting programs offer vital support to parents as they deal with the challenges of raising babies and young children. Offer neutrality-someone to discuss difficulties and challenges with. One of HHSs original goals for the project was to better understand the strength of connections between home visiting programs and various community resources. -review records. Home visits can establish positive contact and communication with families. This represents all of the people who may play both a parenting role in a child's life and a partnering role with Head Start and Early Head Start HRSA anticipates providing more information in the near future. Home visitors must understand (1) the availability, accessibility, and relationships between home visiting programs and community resources, (2) the families needs, and (3) appropriate ways to connect families to resources that align with their needs within the unique local context. You must ensure that your subrecipients: You should ensure that your organization and your subrecipients have policies in place to continue operations and use of MIECHV funds for authorized activities during public health emergencies. Other times, the family works with staff from The Arc Minnesota to hold the meeting at a library, community center, or familiar place in their neighborhood. Does the state have the capacity to maintain the program? HRSA recognizes that this is a challenging time and the COVID-19 public health emergency is impacting home visiting service delivery in multiple ways, including the suspension of home visiting or alternative approaches to conducting visits, such as through virtual service delivery methods. An example is provided below. Offers research and publications, a newsletter, information on how to start a site, and other ways to get involved. Infant and Early Childhood Home Visiting programs serve children under the age of five who are not yet eligible for the COVID-19 vaccine; however, families including parents, caregivers, extended family and siblings five years of age or older as well as staff are eligible. Recognizing the importance of these referrals, the Administration for Children and Families (ACF), in partnership with the Health Resources and Services Administration (HRSA), both of the U.S. Department of Health and Human Services (HHS), contracted with Child Trends and Trilogy Interactive to design a prototype for a tool to enhance home visiting stakeholders understanding of community connections in the home visiting context. WebVisit Home Visiting Overview to view information on program goals, grantees, funding, and impact overall and by state. If such policies are not in place, adequate policies should be immediately developed and officially adopted. In FY 2016, forty-nine states and the District of Columbia, four territories and five non-profit organizations were awarded $344 million. This is a statutory deadline; therefore, HRSA does not have discretion to delay or waive it. If MIECHV-funded staff are reassigned to support state or local level response efforts, please inform your project officer and if key personnel have been reassigned, identify an appropriate alternative point of contact to ensure continuity of communication. Specifically, FY 2018 MIECHV awards will end on 9/29/2020 with no option for extension beyond that date. Twenty-five percent of funds can be used to implement and rigorously evaluate models considered to be promising or innovative approaches. EHS home-based services offer home visits and group socialization activities for parents and their children. HRSA recognizes that this is a challenging time and the COVID-19 public health emergency is impacting home visiting service delivery in multiple ways, including the suspension of home visiting or alternative approaches to conducing visits. Home visitors also conduct regular screenings to help parents identify possible health and developmental issues. P.L. To date,19modelshave met this standard. Phase 2. Performance measurement and reporting remain key hallmarks of learning and accountability for the MIECHV Program. The terms "parent" and "family" are used interchangeably throughout, except where the law and regulations require the work be done with parents. Well-child telehealth visits completed according to the AAP schedule can be included as meeting the numerator criteria for performance measure 4. Home Visitors and/or Home Visiting Programs are encouraged to: Specific CDC guidance on COVID-19 that might be of particular interest to Home Visiting Programs include: (note CDC guidance does not replace state and local guidance), (Adapted from Operating Early Care and Education/Child Care Programs). Your first task is creating and maintaining a Is the system capable of linking data systems across public health, human services, and education to measure and track short and long-term outcomes? The AAP has issued guidance on providing well-child care vis telehealth during COVID-19. Highlights Promoting First Relationships, a program consisting of a 10-week home-visiting intervention in which the provider videotapes parent-child interaction and watches the videos with the parent as an opportunity for reflective observation. The EOP should: During the COVID-19 pandemic home visitors and other home visiting program staff are experiencing increased levels of stress and anxiety. Strengthen and improve the programs and activities carried out under Title V of the Social Security Act; Improve coordination of services for at-risk communities; Identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities. The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program facilitates collaboration and partnership at the federal, state, and community levels to improve the health of at-risk children through evidence-based home visiting programs. The deadline for submitting the FY 2020 MIECHV Non-Competing Continuation funding application has been extended from April 24 to May 29, 2020 at 11:59pm ET. Their visits focus on linking pregnant women with prenatal care, promoting strong parent-child attachment, and coaching parents on learning activities that foster their childs development and supporting parents role as their childs first and most important teacher. HRSA will continue to explore all available flexibilities within the applicable legal requirements to ensure awardees have sufficient time and resources to provide the required information to HRSA. 116-260 provides the authority for the Secretary to extend the deadline by which a requirement of section 511 of the Social Security Act must be met, by such period of time as the Secretary deems appropriate. Home visitors may be trained nurses, social workers or child development specialists. Document that they are following their organizational policy (including internal controls and documentation) to conduct grant activities during all circumstances, including unexpected and extraordinary circumstances. During the COVID-19 public health emergency, home visiting programs continue to play a vital role in addressing the needs of pregnant women, young children, and families, whether in Provide a listening ear. Community connections refer to relationships between home visiting programs and other community services providers, such as those offering mental health services, child care, and more. WebSometimes these visits are hosted by a family at their home. Home visitors develop trusted relationships with families and home visiting programs have a reach into communities experiencing disparities. HRSAs Maternal and Child Health Bureau is committed to supporting state and local early childhood home visiting programs and providers in outlining safeguards for home visitors and families during the COVID-19 public health emergency. WebHome visits are recognized as a cost-effective means of promoting infant and child health, preventing maltreatment, and improving family functioning. Identify potential barriers that may be unique to the home visiting workforce and implement policies and practices to address them. The remaining ARP funds will be used to support research, evaluation and technical assistance activities, tribal awards, and competitive innovation awards. Reach out to your HRSA Project Officer and Grants Management Specialist with questions. WebEarly Head Start (EHS) is a Federal initiative providing child development and parent support services to low-income pregnant women and families with children birth to 3 years old. Identify strategies for managing family stress and family basic needs, and support family engagement. It is critical that you carry out your responsibilities related to subrecipient monitoring and management to ensure that disruptions to the program are managed and minimized during a public health emergency. Approved MIECHV activities may include funding for staff salaries and benefits for staff performing work under the grant. 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