healthy families presentation for community partner
TRANSCRIPT
+
3833 N. Meridian Street
Indianapolis, IN 46208
317-775-6500
+ Healthy Families mission:
To support the empowerment of families by teaching skills in parent-child interaction and problem solving, while encouraging self-sufficiency and healthy parent-child relationships through voluntary home visits
+ In 2013, Healthy Families
Served: Children Provided: Home Visits Made: Community Referrals 4047
7319
892
+ Healthy Families was founded
to decrease the prevalence of
child abuse and neglect
In 2011:
9 out of every 1000 children experienced maltreatment
41 of 1000, or 3 million children, were involved with CPS
78% of child maltreatment is neglect
-Data from U.S. Department of Health and Human Services
+ Young children experience the
highest rate of maltreatment
21 of 1000 babies under 1 year experienced maltreatment
Of all victims, 27% are under age 3 and 19% are age 3-5
82% of fatalities related to child abuse or neglect were suffered by children under 4
+ ACE study:
Analyzes relationship between childhood trauma and the risk for physical and mental illness in adulthood. It is critical to understand how some of the worst health and social problems in our nation can arise as a consequence of adverse childhood experiences. Realizing these connections is likely to improve efforts towards prevention and recovery.
Studied over 17,000 middle-class adults from the US
+ The study looks at 10 Adverse
Childhood Experiences
(though there are many more)
Abuse:
Recurrent physical abuse
Recurrent emotional abuse
Recurrent sexual abuse
Living in a household where:
Alcohol and drugs were used
A household member was
incarcerated
Someone was chronically depressed,
mentally ill, or suicidal
The mother was treated violently
One biological parent was not
available to the child—parents
divorced or separated
Neglect:
Emotional neglect
Physical neglect
+ Higher ACE scores related to
serious health problems
Healthy Families America estimates that 60% of mothers
enrolled in the program have scores of 4 or higher
Individuals with ACE scores over 4 are:
260% more likely to develop lung disease
240% more likely to use intravenous drugs
250% more likely to contract an STD
460% more likely to experience depression
+
Child factors:
Perceived as being different or special needs
Irritable, difficult temperaments
Premature, low birth weight
Contributing factors for
Child Abuse and Neglect
Parent/Caregiver factors:
Depression
Lack of support
Low self-esteem
Substance abuse
Multiple life stressors
History of abuse/neglect
Relationship issues/domestic violence
Unrealistic developmental expectations
Environmental factors:
Unsafe communities
Social isolation
Inadequate financial resources
+
Healthy Families strategies:
Promoting healthy parent-child interaction and attachment
Increasing knowledge of child development and appropriate
expectations of children
Reducing social
isolation
Improving use of
preventive health care
Providing access to
community resources
for families
+ Positive Parent-Child
Interactions
Children who have secure Attachments early on: Develop stronger self-esteem and better self-reliance
Tend to be more independent
Perform better in school
Have successful social relationships
Experience less depression
and anxiety
The first 3 years of a baby’s life are the most important for development
+ Health/Safety
Education
Initial Safety Topics: SIDS, safe sleep, blunt force trauma, who is
watching the baby, smoking, fire safety, poison safety, shaken baby
syndrome, etc.
Assist families in obtaining
and tracking Well Child
checks and immunizations
Update on any community
outbreaks or concerns
Educate about baby proofing
+ Basic Child Development
and Education
Parenting is the most important, but most difficult job, anyone can have. Our aim is to support parents through this journey. During our time together we discuss: Milestones and growth Stress reduction Soothing babies Identifying cues Toilet training Discipline And much more
+ Addressing Family Challenges
Finding Employment
Finances
Organization
Substance Abuse
Mental Health
Healthy Relationships
Domestic Violence
Sometimes we all need a little more social support and education.
+ Family Goal Planning
The 3 MMM’S:
Mission (Specific)
Mini (Achievable)
Measurable
Support (System)
We teach problem solving skills through the process of goal planning, setting, and executing throughout our program journey with the families.
+ FUN ACTIVITIES that are
educational and interactive
+ Screens used to track parent
health and home environment:
North Carolina Family Assessment Scale for General Services
Center for Epidemiologic Studies Depression Scale
Edinburgh Perinatal Depression Scale
Healthy Families Parenting Inventory ©
Home Scale- observation-based
+ Tools to measure child
development:
ASQ-3: Administered at 2, 4, 8,
12, 24, 30, and 36
ASQ-SE: Screen given at months 6,12, 18, 24, 30 and 36
Scored and discussed with parents during home visit
Referrals made to First Steps or doctor
+ Healthy Families process for
referring to First Steps
+ How Healthy Families and First
Steps can work together:
First Steps can refer clients who are pregnant with another child so that we can provide extra support
Healthy Families can encourage and help parents to work toward their First Step goals
Healthy Families and First Steps can communicate what development activities are being done so they can build on each other