Nebraska-Maternal, Infant, Early Childhood Home Visiting (N-MIECHV)Jennifer Auman, Coordinatorjennifer.auman@nebraska.gov ; dhhs.ne.gov/HomeVisiting

Home Visiting! Oh sure!

That’s where you, uh… visit homes,

right?

Evidence-Based Home Visiting:

What?When?

Who?Why?

How?

Where?So What?

Evidence-Based Home Visiting:

What it IS: Family-Centered Strengths-Based Relationship-Driven Culturally Competent Preventative– looking ahead to the workforce

of the future Voluntary Free Empowering– show me HOW

What it is NOT: An Intervention- Do it for them A sure-fire “Fix” for everyone “Another handout” In any way associated with losing or keeping your

children (Child Protective Services)

Is this “NORMAL???”

I can barely

support

myself; how

will I be

able to

support

another

person?

I heard you can get more

benefits if you have a kid.

Will I be a good mom??

I don’t know anything about babies!

Should I nurse?

Drinking just

helps me

relax. It’s not

good for the baby

if I’m stressed

out.

I thought if I got

pregnant, he’d stay.That one lady

says

immunizations

will cause my

baby to be

autistic.

From conception to age 3 years, a child has the

GREATEST period of development and growth

Every experience– BOTH mother and child have

shapes the person that child will become; physical,

emotional and mental health from the very beginning.

Bonding, ENVIRONMENT, NUTRITION—

that he or she will have throughout

their WHOLE LIFE!

WHAT PUTS FAMILIES’ FUTURE HEALTH “AT RISK?”

Teen Pregnancy Depressio

n

Mental Illness

Poverty or Homelessness

Drug or Alcohol Abuse

Domestic Violence

INCREASES: Appropriate coping skills

Pre-Conception and Inter-Conception Planning

Quality of Prenatal Care

Successful Breastfeeding

Well-Child Visits & Proper Immunization Schedules

Knowledge of Child Development

Physical, Mental and Emotional Health of the Family

Effectiveness of Referrals and Coordinate Efforts for the Right Referrals

Evidence-Based Home Visiting is a PREVENTATIVE health measure!

REDUCES:

Child Maltreatment, Abuse, Neglect

Domestic Violence

Parental Use of Drugs, Alcohol or Tobacco

Emergency Room Visits for BOTH Mother and Child

Stress

Adverse Childhood Experiences or A.C.E.s

• Divorce• Exposure to Alcohol or Drug Abuse• Exposure to Domestic Violence• Homelessness• Poverty• Child Maltreatment• Parent with Mental Health issues• Teen Pregnancy/Teen Parenting• Parent who is incarcerated• Premature or low birth weight • Early Death of a parent or child

As the

num

ber o

f ACEs

in a

pers

on’s

life

incr

ease

, so

does

the

risk

of:

Obesity

Drug, Alcohol or Tobacco Use

Diabetes

Heart Disease

Cancer

Child Maltreatment

Liver Disease

…EVEN Early Death

http://www.cdc.gov/violenceprevention/acestudy/Kaiser Permanente and the Center for Disease Control

Perpetuating the cycle—Children live what they’ve learned—it is “hard wired” even if they consciously know the behaviors are negative or risky.

The cost of intervention vs PREVENTION

of Child Maltreatment;

We could pay off the National Debt in less

than 10 years.

DIRECT COSTSAcute Medical Treatment: $ 2,907,592,094Mental Health Care: $ 1,153,978,175Child Welfare System: $29,237,770,193Law Enforcement: $ 34,279,048

INDIRECT COSTSSpecial Education: $ 826,174,734Early Intervention: $ 247,804,537Emergency/Transitional Housing: $ 1,606,866,538Mental Health & Health Care (as adults): $ 270,864,199Juvenile Delinquency: $ 3,416,149,283Adult Criminal Justice System: $32,724,767,699Lost Worker Productivity: $ 7,834,164,589

Estimated Cost of Child Maltreatment in the United States per Year

TOTAL: $80,260,411,087Taken from the report prepared by Kathryn Harding, MA, Prevent Child Abuse America. Based on the report by Gelles, J.J. and Perlman, S. (2012). Estimated annual cost of child abuse and neglect. Chicago: Prevent Child Abuse America. Available at: http://www.preventchildabuse.org/downloads/PCAA_Cost_Report_2012_Gelles_Perlman_final.pdf

Sounds good, but can you prove it?

That’s the Evidence part of “Evidence-

Based.”

14

Maternal and Newborn Health

Maltreatment, Injury

and Emergency Room Visits

School ReadinessAnd Achievement

Domestic Violence

Family Economic Self-Sufficiency

Coordination of Referrals

And Resources

Benchmark Areas

With experienced, educated and

caring support, We can

break the cycles of negative life

impact!

Legend (DHHS Investments in Home Visiting) Federal MIECHV Formula Grant

Federal MIECHV Development Grant

State Funds

Title V MCH Block Grant

N-MIECHV Community Planning completed

Previous N-MIECHV investments; currently utilizing local funds

Priority Counties Identified through the MIECHV Needs Assessment Process

Nebraska Maternal, Infant, and Early Childhood Home Visiting (N-MIECHV ) Overview

ADAMS

ANTELOPE

ARTHURBANNER

BLAINE

BOONE

BOX BUTTE

BOYD

BROWN

BUFFALO

BURT

BUTLER

CASS

CEDAR

CHASE

CHERRY

CHEYENNE

CLAY

COLFAX

CUMING

CUSTER

DAKOTA

DAWES

DAWSON

DEUEL

DIXON

DODGE

DOUGLAS

DUNDY

FILLMORE

FRANKLIN

FRONTIER

FURNAS GAGE

GARDEN

GARFIELD

GOSPER

GRANT

GREELEY

HALLHAMILTON

HARLAN

HAYES

HITCHCOCK

HOLT

HOOKER

HOWARD

JEFFERSON

JOHNSONKEARNEY

KEITH

KEYA PAHA

KIMBALL

KNOX

LANCASTER

LINCOLN

LOGAN

LOUP

MCPHERSON

MADISON

MERRICK

MORRILL

NANCE

NEMAHA

NUCKOLLS

OTOE

PAWNEE

PERKINS

PHELPS

PIERCE

PLATTE

POLK

RED WILLOW RICHARDSON

ROCK

SALINE

SARPYSAUNDERS

SCOTTS BLUFF

SEWARD

SHERIDAN

SHERMAN

SIOUX

STANTON

THAYER

THOMAS

THURSTON

VALLEY WASHINGTON

WAYNE

WEBSTER

WHEELER

YORK

(Handout available)

October 30, 2014Kearney, NE

Collaborative Partners:N-MIECHV (NDHHS)Sixpence Early Learning FundNebraska Children & Families FoundationHead Start State Collaboration OfficeEarly Development NetworkDept. of EducationNDHHS Division of Behavioral Health

So What?