Systems Building: From the Earth to the Moon and Back


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Rosemary L. Wilson, LMSW
Early Childhood Comprehensive Systems
South Carolina Department of Health and Environmental Control

Published in: Self Improvement
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  • Nature gave us our first system….the Solar system.
  • Examples of how we conceive of systems…What happens when one or more of these system components do not fuction well?Family Systems Therapy gave the illustration of a family as a Mobile.
  • Here is an example of how a family can map out their family system and their strengths.Can you see how this might help a family visualize what they want to do and to achieve more if they keep examining and improving their system?
  • More National Level concept for children. Continues to evolve and get more specific.
  • The Build Initiative Ovals. As they clarified their thinking, they changed their visual representation. Helps others discuss and make meaning.
  • ECCS Grants in 2004 to states and used the critical components as the flower petals the green or “grass” represent the varying types of support that a strong system must attend to. Never static, always reshape over time.
  • Wanted to introduce the way of structuring known as Collective Impact.Identified these 5 conditions that move change efforts forward.
  • What starts to happen when using the tenants of Collective Impact
  • Example of what McV process in all states are doing to align evidence based home visitation across the nation with these funds. Measuring the same benchmarks – Do you see how these benchmarks are reflected by others in the early childhood system? How are local McV programs reaching out for a collective impact?
  • Find the first article about Collective Impact. Google those that have followed as well as this concept grows in the knowledge of what works. Simple video
  • This sums up who I am: Family is the bulk and babies professionally.In the search to figure out what I wanted to be “when I grow up”, I acquired 2 undergrads (1 in Biology and 1 in Nursing) and a Master’s in Biology and EducationPharmaceutical Rep in my past lifeNICU RN for 12 yrs at MUSC and Spartanburg Regional A dusting of GYN surgery, PACU, PICU, Legal RN consulting, Pre-op, Newborn Nursery, hospital-wide IV start specialist due to being a NICU nurseI began my journey with NFP 4 years ago as a RN home visitor.3 yrs ago I had the honor of becoming the Nurse Manager of NFPI saw some funny looks when I said “honor” but this job is unlike anything I have ever experience in my life. It has changed my every prospective, moral, belief, etc.When I took this job I brazenly thought that I was going to change these girls lives. HaHa. I can’t tell you how wrong I was. It was so incredibly easy for me to watch from afar and say things like, just get a job, just go back to school, not thinking about all the barriers that come with trying to achieve. Tell Trailer park story. This changed my view forever.
  • I’m also a huge quote personI begin every staff meeting with an inspirational quoteWith how hectic life is, I truly believe that we need to be inspired as often as possible to renew the fire within all of us.This quote not only inspires me personally and my staff, but also accurately describes the Clients that we work with at Nurse-Family PartnershipAll of them are broken, beaten down, and have become bitter and some have even given up
  • So what is NFP?1.We are an evidence-based community health program. The program has more than 30 years of evidence that shows it WORKS!2. We transform the lives of our clients – first-time, low-income mothers. Mothers who work with their nurse will do better in school, improve their economic well-being and become an active and involved parent who is present for her child.3. We are unique in that each mother is partnered with a registered nurse who is trained in the exacting standards of NFP by the National Service Office. This unique relationship between nurse and mother begins early in her pregnancy and each mother receives ongoing visits that continue through her child’s second birthday. 4.Finally, independent research shows that every dollar invested in Nurse-Family Partnership can yield as much as five dollars in return. (RAND corp. 2005) I don’t know about you but as a taxpayer in Greenville County, that is a huge plus when I look at this program.
  • Nurse-Family Partnership was developed over 30 years ago. Our founder, David Olds, was a young man who taught in an inner-city day-care center in the late 1970’s.That experience caused him to suspect that by age four or five some children who come from disadvantaged homes were already in trouble.He began to think hard about when to get involved to help these children and his investigation led him to develop a program for women like the one pictured here – first time mothers.
  • What does a typical NFP mom look like?
  • As of October 2012, Nurse-Family Partnership programs are in 42 states, the U.S. Virgin Islands and in more than 470 counties.Approximately 600,000 children are born to eligible mothers every year.
  • Systems Building: From the Earth to the Moon and Back

    1. 1. Systems Building: From the Earth to the Moon and Back Rosemary L. Wilson, LMSW Early Childhood Comprehensive Systems DHEC – MCH -DCH
    2. 2. A previously unnoticed evidence-based practice, movement, or resource from outside the community is identified and applied locally. Local individuals or organizations begin to work together differently than before and therefore find and adopt new solutions. A successful strategy that is already working locally, but is not systematically or broadly practiced, is identified and spread more widely. 3 types of emergent opportunities in collective impact efforts
    3. 3. Maternal, Infant, Early Childhood Home Visitation grantees are expected to show measureable improvements in the following areas, known as the federal benchmarks. Improved maternal and newborn health; Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visits; Improvement in school readiness and achievement; Reduction in crime or domestic violence; Improvements in family economic self-sufficiency; and Improvements in the coordination and referrals for other community resources and supports.
    4. 4. /collective_impact Collective Impact Stanford Review Winter 2011 By John Kania & Mark Kramer
    5. 5. It is the right thing to do for our children. It is not always easy. We cannot give up.
    6. 6. Where are we when it comes to local Systems work?
    7. 7. Lisa Skinner, RN-BSN, MAE Nurse-Family Partnership Nurse Manager Greenville Health System
    8. 8. 17 Nurse-Family Partnership is… • An evidence-based, community health program • Transforming lives of vulnerable first-time mothers living in poverty • Improving prenatal care, quality of parenting and life prospects for mothers by partnering them with a registered nurse Every dollar invested in Nurse-Family Partnership can yield up to five dollars in return. Overview
    9. 9. 18 "There is a magic window during pregnancy…it’s a time when the desire to be a good mother and raise a healthy, happy child creates motivation to overcome incredible obstacles including poverty, instability or abuse with the help of a well-trained nurse." David Olds, PhD, Founder, Nurse-Family Partnership
    10. 10. *At program intake 2007 Downloaded 8.24.08 from The NFP Mother at a glance • Median age 20 • Unmarried 84.3% • Completed high school 46.6% • Annual household income $13,500 • Race/Ethnicity – Black 20% – White 32% – Hispanic 41%
    11. 11. 20 Nurse-Family Partnership is a growing, national program 42 States that NFP serves Number of counties NFP is serving Where we work 470 Tribal agencies are denoted by Band Map does not include program in U.S. Virgin Islands
    12. 12. Does Prevention Pay? • Health Care Delivery • Child Protection • Education • Criminal Justice • Mental Health • Welfare and Public Assistance • Taxes Paid by Employed Parents Over time, NFP will return $2.00 - $5.70 for every dollar invested
    13. 13. Greenville/Pickens County NFP Team
    14. 14. Questions