maternal, infant, and early childhood home visiting program (miechv) supplemental information...
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Maternal, Infant, and Early Childhood Home Visiting Program
(MIECHV)
Supplemental Information Request #2
(SIR #2)
Virginia Updated State PlanRegional MeetingsMarch 21-30, 2010
Maternal, Infant, and Early Child Home Visiting
Purposes:
o to strengthen and improve the programs and activities carried out under Title V of the Social Security Act;
o to improve coordination of services for at-risk communities; and
o to identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities
Application Process
Step 1: July 2010 State applications
Step 2: September 20, 2010 SIR #1
Statewide Needs Assessment
Step 3: Supplemental Information Request #2
Updated State Plan
Due June 8, 2011
Updated State Plano Final designation of at-risk communities to be
targeted by State HV Program
o Detailed needs and resources assessment for communities
o Plan for coordination among existing programs/resources
o Assessment of local and State capacity to integrate the proposed home visiting services into an early childhood system
o A list of “at-risk” communities not selected for implementation in FY 2010
Updated State Plan
o Goals and Objectives of Updated Plan
o Strategies for Integrating Updated State Plan into other early childhood
programs and systems
o Logic model for State HV Program
Selection of Model
o Selection of the model(s) should be in response to the needs of the targeted at-risk communities
o Select a model(s) that meets criteria for evidence of effectiveness
o Propose another model not reviewed by HomVEE study
o Request reconsideration of an already-reviewed model
o Propose use of up to 25% of funds for a promising approach
Evidence-based (EB) Models (2/08/2011)
http://www.acf.hhs.gov/programs/opre/homvee
o Early Head Start- Home-based Option Onlyo Family Check-Upo Healthy Families America o Healthy Stepso Home instruction Program for Preschool
Youngsters (HIPPY)o Nurse Family Partnershipso Parents as Teachers
State Selection of Model
o Within 45 days, States must secure approval by developer(s) to implement model(s) as
proposed, including any acceptable adaptations
o For the MIECHV program, an acceptable adaptation is one determined by the developer not to alter the core components related to program impacts
Implementation
States must:
o Describe how the model(s) meets need of each community
o Describe State’s current and prior experience implementing model(s)
o Submit a plan for ensuring implementation with fidelity
o Discuss anticipated challenges to implementation
Implementation
State must: o Submit a plan for implementation of State HV Program
and for ongoing monitoring of the quality of implementation at the community, agency, and participant level
o Submit required assurances
o Must agree to the Maintenance of Effort
Maintenance of Effort (MOE)
States must :
Maintain the level of State General Funds
As of March 23, 2010
Benchmarks
o Maternal and Newborn Health
o Child injuries; child abuse, neglect, or maltreatment
o School readiness and achievement
o Crime or domestic violence
o Family economic self-sufficiency
o Coordination and Linkages
BenchmarksState must :
oCollect data on all 6 benchmark areasoCollect data for all listed elements under
each benchmark areaoShow improvement in at least half of the
elements under each benchmark areaoDevelop a continuous quality improvement
planoReport to HHS on benchmark progress at
the 3-and 5-year points
State Home Visiting Plan
o A description of the administrative structure in place to support the program
o A description of staffing and administration
o A description of efforts to coordinate the program with other State early childhood plans
Continuous Quality Improvement
o CQI is an approach utilizing regular data collection and the application of changes that may lead to performance improvements
o The State must discuss a plan for CQI for their State HV Program
o Technical assistance will be provided as needed on CQI strategies
Technical Assistance
o HHS intends to provide TA and training to States throughout the grant application process and implementation phase of the MIECHV Program
o States should provide a description of anticipated TA needs in the Updated State Plan
• State level• Local communities
Memorandum of Concurrence Signed by:
o Director of the State’s Title V agencyo Director of the State’s agency for Title II of the Child
Abuse Prevention and Treatment Act (CAPTA)o Director of the State’s child welfare agency (Title IV-E
and IV-B), if this agency is not also administering Title II of CAPTA
o Director of the State’s Single State Agency for Substance Abuse Services
o State’s Child Care and Development Fund (CCDF) Administrator
o Director of the State’s Head Start State Collaboration Office and
Memorandum of Concordance (continued)
o State Advisory Council on Early Childhood Education and Care authorized by 642B(b)(1)(A)(i) of the Head Start Act
o The State’s Individuals with Disabilities Education Act (IDEA) Part C and Part B Section 619 lead agency(ies)
o State Elementary and Secondary Education Act Title I or State pre-kindergarten program and
o State Medicaid/Children’s Health Insurance program (or the person responsible for Medicaid Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program).
Additional Potential State Partners
o State Domestic Violence Coalitiono State identified agency charged with crime reductiono State Temporary Assistance for Needy Families agencyo State’s Supplemental Nutrition Assistance Program
agencyo State Injury Prevention and Control (Public Health Injury
Surveillance and Prevention) program
Federal Review
o Justification of targeted communities at risk
o How the model(s) addresses specific community needs
o Plan for meeting benchmarks and collecting data
o Overall feasibility of plan
o Level of commitment and concurrence among required partners
Virginia Needs Assessment o Insufficient staff to provide for the unmet need for HVo Services for fatherso Services for teen parentso Services for diverse cultural populationso Unavailable mental health and substance use
treatment resources for parentso Inadequate domestic violence prevention and
treatmento Insufficient parent support in crisis situations,
especially to prevent abuse/neglecto Increased need for education/training for parents so
that they can be self-sufficiento Addition: Early and appropriate referral to Early Intervention
Virginia Plan
o Parallel the Federal Requirements
o Provide Technical Assistance to all 38 “at-risk” communities
o Integrate Home Visiting Services into the Early Childhood system with staff training, data collection, evaluation
o Require local Data Collection in the state project system
o Develop Continuous Quality Improvement Plan (CQI)
Virginia Plan
o Increase Quality, Effectiveness and Availability at the State and Local level
o Increase services by Evidence-based (EB) Home Visiting Models in local communities
o Show Improvements in the Lives of Vulnerable Families and Their Children as measured by Progress toward the Benchmark Goals within 3 to 5 years
State Application Process
o Eligible Applicants: 38 “at risk” Communities or
a zip code area or adjacent zip code areas which meet the same qualifications as the 38 “at risk” communities
o Requirements: Still being reviewed
o Due date: TBA
Virginia “at-risk” CommunitiesAccomack CountyBristol CityCampbell CountyCharlotte CountyCumberland CountyDanville CityEmporia CityEssex CountyFredericksburg CityGloucester CountyGreensville CountyHalifax CountyHampton CityHenry County Hopewell CityLancaster County Lunenburg CountyLynchburg CityMontgomery County
Newport News CityNorfolk CityNorthampton CountyNottoway CountyOrange CountyPatrick CountyPetersburg CityPortsmouth City Radford CityRichmond CitySmyth County Southhampton CountyStaunton CitySuffolk CitySussex CountyWarren County Waynesboro CityWilliamsburg CityWinchester City
First Steps for Local Application
o Meet with all local home visiting programs
o Invite early childhood partners
o Meet with the local Early Childhood Coalition (Smart Beginnings Coalition or others)
Identify Community Home Visiting Needs
Use existing needs assessments to begin oCity/County Development PlanoLocal Dept of Social ServicesoLocal Health Department (MAPP)oLocal Community Service BoardoLocal School System data or plansoHead Start Needs Assessmento Juvenile Justice Prevention PlanoEarly Intervention OfficeoEarly childhood Interagency GroupoHousing DepartmentoBoys and Girls Club; etc
Ask parents & other consumers
Parents/Familieso Parents with children in Head Start and other early child
education settingso WIC participantso New Parent Classes/Childbirth Classes
Community Advocacy Groups
Professionalso Local Obstetricians and Pediatricians; Providers in Medical
Homes; Community health care centers o Teachers at early childhood centerso Business leaderso Hospitals
Identify Gaps in Local Home Visiting Services (children ages 0-5 years old; families)
o Age Group
o Risk factors
o Neighborhood
o Cultural factors
Identify Resources
o Commitment to Improving Serviceso History of supporting Familieso Experienced Staff o Successful Organizationso Communication Networkso Interagency Collaborative Historyo Relationships with other “at-risk” Localitieso Community Opportunities
Identify a Target PopulationPriority to Vulnerable Familieso Low incomeo A Pregnant women who is less than 21 years oldo A History of Child Abuse and Neglecto A History of Substance Abuse or in need of
treatmento A History of using Tobacco products in the Homeo Low achievement, or have children with, Low
Achievemento Those with children with Developmental Delayso Family members serving in the Armed Forces or on
multiple deployments outside of the United State.
Selection of an Evidence-based Model
o Identify the Community Goals
o Review Community Needs
o Consider Community Gaps
o Identify Target Population
o Commit Community Resources
In Selecting the Model(s)
o Pay particular attention to the Target Population identified for each model
o Review the Evidence-based Model report by Mathematica Policy Research
o Review the HomVee website
Selection of the Model(s)
There is not one “right” selection.
A review of the Needs, Gaps, Resources, Community Experience and Target Populations could lead to the choice to expand an existing evidence-based program model or to add a new program model to the community continuum in order to best serve vulnerable families.
Consider where the community is interested in making an effort.
Make a clear logical explanation of the choice.
Local Community Applicant
Each community is likely to be asked to demonstrate: o Evidence of Efficiency and Effectiveness in Plano Cost per Child / per Familyo Evidence of Collaborationo Evidence of Experience and Solid Performance
in providing HV serviceso Consumer/Community Interest/input/buy-ino Evidence of Commitment to Improvement on
Benchmarkso Local Opportunities for Broader Partnership
Home Visiting Consortium
Ashley Barton - BabyCare, Department of Medical Assistance Services
Mary Mitchell - Medicaid Managed Care, DMAS
Johanna Schuchert - Healthy Families
Ann Childress – Dept of Social Services (DSS)
Lisa Specter-Dunaway - CHIP of Virginia
Linda Foster - Virginia Healthy Start Initiative, Dept of Health (VDH)
Wenda Singer - Head Start/Early Head Start Collaborative, DSS
Phyllis Mondak - Special Education/Part B, Dept. of Education
Mary Ann Discenza – Early Intervention/ Part C, Depart of Behavioral Health and Developmental Services (DBHDS)
Martha Kurgans – Project Link, DBHDS
Catherine Bodkin - Resource Mothers, BabyCare Liaison, (VDH)
Useful Websites
• www.homevisitingva.com
• www.homvee.acf.hhs.gov
• www.mdrc.org/project_12_104.html
• www.mchcom.com
www.homevisitingva.comSee “Announcements” or “Resources/Virginia documents”
www.homvee.acf.hhs.gov
Click on “Models”
Outcomes by Models and Populations
www.homevisitingva.com Announcements and Documents are posted here.
Contact: Any Member of the Virginia Home Visiting
Consortiumor
Catherine Bodkin, LCSW, Chair of HVCMIECHV Project Director
Virginia Department of [email protected]
804-864-7768
QUESTIONS?
Thank you for participating today.