lynn h. kosanovich, hfa regional director introduction to the model
TRANSCRIPT
Lynn H. Kosanovich, HFA Regional Director
Introduction to the Model
Presentation Overview
History
Rationale for Healthy Families America
Model: Goals
12 Critical Elements
Our Philosophy
Strengths of the Model
Affiliation and Accreditation
History
1970s - HI Healthy Start designed to prevent CAN based on Dr. Henry Kempe (Battered Child Syndrome) work in CO
1992 – PCA, HI Healthy Start and Ronald McDonald House Charities
Developed 12 Critical Elements based on HI Healthy Start Model & Literature Review
1995 – Accreditation and formal affiliation 1997 – Accreditation of Multi-Site Systems
Training, TA, P&P, Data, Evaluation
•History•Rationale•Model
•Goals•Critical Elements•Philosophies
•Strengths•Affiliation
Rationale for HFA Child Welfare Gateway: In 2006 CAN rates
were highest among children under 3 44.2% of fatalities in 2006 were children
under age one 78% of fatalities occurred under the age
of 4 76% of fatalities were committed by one
or both parents
•History•Rationale•Model
•Goals•Critical Elements•Philosophies
•Strengths•Affiliation
Rationale for HFA (cont.)
• More than a decade and more than 17,000 individuals• CDC & Kaiser Health Plan’s Department of Preventive
Medicine in San Diego, CA Connection between ACE & physical and mental
health of adults including the major causes for adult mortality in the United States
Early childhood trauma clearly contributes to serious health issues later in life
ACE Study (Adverse Childhood Experiences)
Vision-Mission-Goals
Our Vision: All children receive nurturing care from their family essential to leading a healthy and productive life.
Our Mission: To promote child well-being and prevent the abuse and neglect of our nation’s children through home visiting services.
HFA Program Goals: Build and sustain community partnerships to systematically
engage overburdened families in home visiting services prenatally or at birth.
Cultivate and strengthen nurturing parent-child relationships. Promote healthy childhood growth and development. Enhance family functioning by reducing risk and
building protective factors.
•History•Rationale•Model
•Goals•Critical Elements•Philosophies
•Strengths•Affiliation
12 Critical Elements
Service Initiation (CE 1-3) Linking, assessing and reaching out
to families
Service Content (CE 4-8) What happens during a home visit
Staff Characteristics (9-12) Hiring, training & supervising staff
•History•Rationale•Model
•Goals•Critical Elements•Philosophies
•Strengths•Affiliation
Critical Elements: Service Initiation
Initiate Prenatally or At Birth (CE #1) Target population Relationships in the community
Standardized Assessment (CE #2) Used to identify those most in need
and those most likely to benefit Offer Services Voluntarily &
Creatively Reach Out (CE #3) Families more likely to participate Working with participants who need
us to build their trust
Critical Elements: Service Content
Offer Intense, Long-term Services, Criteria for Increasing & Decreasing (CE #4) Must be offered three to five years Leveling system to determine intensity of services & family progress
Culturally Sensitive Services (CE #5) Training on unique characteristics Staff-participant interaction Sensitivity toward family values, beliefs & customs Appropriate materials
Critical Elements: Service Content (cont.)
Focus on Parent as Well as Child (CE #6) Review issues on assessment Develop Goal Plans – about the process Curriculum – PCI, Child Development, Health & Safety Developmental Screens – ASQ Follow-up with children suspected or identified with delays
Linked to Medical Provider & Other Services (CE #7) Medical Home Immunizations Referrals
Limited Caseloads (CE #8) Sufficient time to connect with families
Critical Elements: Staff Characteristics
Personal Characteristics, Skills & Knowledge (CE #9) Important for staff to build relationships with diverse populations
Basic Training & Role Specific Training (CE #10 & #11) Orientation, role specific, wraparound & ongoing
Supervision (CE #12) Ongoing & effective, develop realistic & effective plans to empower
families, & express concerns & frustrations Reflective, Clinical and Administrative
Governance & Administration Not a Critical Element
Our Philosophies
Early nurturing relationships are the foundation for life-long healthy development.
Infant Mental Health Strength-based Parallel Process Family-Centered Culturally Sensitive Valuing Fathers Reflective Practice
•History•Rationale•Model
•Goals•Critical Elements•Philosophies
•Strengths•Affiliation
Strengths of the HFA Model
Flexibility: Target population Child development & parent-child interaction
curricula Staffing requirements
Comprehensive Assessment Services: Determine families most likely to benefit Refer families to community resources Used as Single Point of Entry
Creative Outreach Focus on building trust
•History•Rationale•Model
•Goals•Critical Elements•Philosophies
•Strengths•Affiliation
Strengths of the HFA Model (cont.)
Service Intensity: Weekly for a minimum of six months after
birth Decreases as family competencies increase Offered three to five years
Focus on Parent as Well as the ChildComprehensive Training:
Parent Survey Integrated Strategies for Home Visitors Wraparound Training – Distance Learning
AccreditationState Systems
Affiliation & AccreditationSuggested criteria: • Ability to access parents prenatally or at birth• Experience with home visiting• Infrastructure to support HFA best practice
standards• Physical space to house program
Affiliation:• Complete application and implementation plan• Send, with $500 fee, to Chicago address listed
on application• Complete phone call with Lynn Kosanovich, HFA
regional director
•History•Rationale•Model
•Goals•Critical Elements•Philosophies
•Strengths•Affiliation
Implementation & Accreditation
Accreditation:• 1st time within 2 years of affiliation (every 4 years after
that)• Based on 12 Critical Elements• Self-study• Site Visit• Panel response
Contact Info: Lynn Kosanovich Healthy Families America Regional Director [email protected] 703-888-3135