Improving Home Visiting
Practice with the
Life Skills Progression™
(LSP)
Linda Wollesen, M.A., R.N., LMFT
Director
Life Sk...
2
Purposes of the LSP
 Identify individual parent/child strengths,
needs, progress & regression over time,
across 43 scal...
3
Utilization focused evaluation
 Useful to the staff scoring it
 Reflective practice using the LSP increases
the likeli...
4
LSP measures:
35 parent life skills categories
 Relationships
 Family, Extended family
 FOB, boyfriend, spouse
 Chil...
5
LSP measures:
 Education & Employment
 Language
 High School & other education
 Employment
 Immigration
© 2013 Life...
6
LSP measures:
 Parent & Child Health
 Prenatal
 Parent sick care
 Family Planning
 Child well & sick care
 Immuniz...
7
LSP measures:
 Mental Health & Substance Use
 Drugs & Alcohol
 Tobacco
 Depression & Mental illness
 Self-esteem
 ...
8
LSP measures:
 Basic Essentials
 Housing
 Food
 Transportation
 Health care coverage
 Income
 Child care
© 2013 L...
9
LSP measures:
 Child Development: Ages 0-5 yrs
 Communication
 Fine & gross motor
 Problem solving
 Personal-social...
10
Developmental Screening
 Child development scales require valid
developmental screening tools
 Ages & Stages Question...
© 2013 Life Skill Outcomes, LLC
© 2013 Life Skill Outcomes, LLC
© 2013 Life Skill Outcomes, LLC
© 2013 Life Skill Outcomes, LLC
© 2013 Life Skill Outcomes, LLC
© 2013 Life Skill Outcomes, LLC
17
Frequency of use
 Intake
 Every 6 months
 Closure
 Scoring takes 5-10 min.
<30 min per year per family
© 2013 Life ...
18
Validity
 The inter-rater reliability 78-90%
 Content validity confirmed by national experts
and program staff
 Foun...
19
Training
 8 hrs
 < 40 participants
 On-site training, provided through Brookes on
Location
 Training packet
 Train...
20
LSP Training Objectives
 Format & terminology
 Scoring judgment & procedures
 Practice scoring anonymous families
 ...
21
Target Range
 Each scale has a unique target range
 Target Range = parent/child has adequate or
optimal skill for eac...
22
Reflective Practice & the LSP
 Reflective Function is the ability
 To THINK about behaviors, feelings, events,
relati...
23
Think-Link-Respond
Behaviors
Feelings
Relationships
Events
Consequences
New or Known
Information
Design,
Carry out,
Eva...
24
Cumulative Score Sheet
 Used to see an individual parent’s strengths,
needs, progress, regression over time.
 Plan a ...
25
© 2013 Life Skill Outcomes, LLC
26
Data Management
 Databases available
 Reports
 # & % in target range
 Low Literacy
 Cumulative score sheets
 Mult...
27
MIECHV Benchmarks Crosswalk
 Benchmark
 1. Maternal Newborn Health
 Item 17 Prenatal Care
 Item 24 Substance Use/Ab...
28
MIECHV Benchmarks Crosswalk
 2. Child injuries, Abuse, Neglect, ER Visits
 LSP Item 8 Safety
 LSP Item 21 Child Sick...
29
MIECHV Benchmarks Crosswalk
 3. School Readiness & Achievement
 LSP Item 4 Attitudes to Pregnancy
 LSP Item 5 Nurtur...
30
MIECHV Benchmarks Crosswalk
 4. Crime or Domestic Violence
 LSP Item 1 Family Relationships
 LSP Item 2 Boyfriend, F...
31
MIECHV Benchmarks Crosswalk
 5. Economic Self-sufficiency
 LSP Item 34 Income
 LSP Items 13-15 Education and
Employm...
32
MIECHV Benchmarks Crosswalk
 6. Coordination and Referral to other
Community Resources and Supports
 LSP Item 10 Use ...
33
Research Studies using LSP
 AHRQ, NIH: Home Visitation/FHL 2008-9
 NLM: Home Visitation/FHL & Depression 2011
 NLM: ...
34
LSP Self-care Literacy Scale
 Managing personal & child health at home
 LSP Item 4 Attitudes to Pregnancy
 LSP Item ...
35
LSP Healthcare Literacy Scale
 Use of information and services for health
 LSP Item 10 Use of Information
 LSP Item ...
36
Research
 Does Home Visitation Promote Maternal
Health Literacy?
 N = 2572 parents
 Funders:
 Agency for Healthcare...
37
Key Findings
 Overall parents achieved significant improvement in
health literacy scores after 12-18 months in home
vi...
38
Health Literacy & Depression
 N= 750 parents with 4 observations
 Funder: National Library of Medicine through
contra...
39
Health Literacy & Child Development
 N= 1301 parents with 2+ ASQ
 Funder: National Library of Medicine through a
cont...
40
Lessons Learned
 Maternal Health Literacy can be promoted
 Reflective skills key
 Reflective Questioning promising
...
41
For more information
 www.HealthLiteracyPromotion.com/Research-
Summaries.html
 www.BeginningsGuides.com
 www.LifeSk...
42
Key Findings
 Depressed mothers demonstrated lower baseline health
literacy scores than not- depressed parents; howeve...
43
Thanks for joining us!
To order:
www.brookespublishing.com
1-800-638-3775
To learn more:
http://www.brookespublishing.c...
Questions?
© 2013 Life Skill Outcomes, LLC
Upcoming SlideShare
Loading in …5
×

Improving Home Visiting Practice with the Life Skills Progression™ (LSP)

1,062 views

Published on

How can you identify the needs of families, closely monitor improvements, and demonstrate your home visiting program’s effectiveness? Use the Life Skills Progression™ (LSP)—the reliable, field-tested family assessment tool for families of children birth to 3 years.

In this free webinar, you’ll get a 20-minute introduction to the LSP. You’ll
• discover the basics of the LSP—what it is and how it works
• view items from each of the 35 parent life skills categories
• understand how the LSP could help you with family goal-setting and planning
• learn about federally funded LSP research that demonstrates program outcomes and maternal health literacy
• understand how the LSP helps with reflective practice and family empowerment

Published in: Education, Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,062
On SlideShare
0
From Embeds
0
Number of Embeds
16
Actions
Shares
0
Downloads
28
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Improving Home Visiting Practice with the Life Skills Progression™ (LSP)

  1. 1. Improving Home Visiting Practice with the Life Skills Progression™ (LSP) Linda Wollesen, M.A., R.N., LMFT Director Life Skills Outcomes, LLC © 2013 Life Skill Outcomes, LLC
  2. 2. 2 Purposes of the LSP  Identify individual parent/child strengths, needs, progress & regression over time, across 43 scales  Case summary for family intervention planning  Capture family changes over time  Cohort data for funding, research program improvement © 2013 Life Skill Outcomes, LLC
  3. 3. 3 Utilization focused evaluation  Useful to the staff scoring it  Reflective practice using the LSP increases the likelihood of improved client and program outcomes © 2013 Life Skill Outcomes, LLC
  4. 4. 4 LSP measures: 35 parent life skills categories  Relationships  Family, Extended family  FOB, boyfriend, spouse  Children- Parenting skills  Home visitor  Resources © 2013 Life Skill Outcomes, LLC
  5. 5. 5 LSP measures:  Education & Employment  Language  High School & other education  Employment  Immigration © 2013 Life Skill Outcomes, LLC
  6. 6. 6 LSP measures:  Parent & Child Health  Prenatal  Parent sick care  Family Planning  Child well & sick care  Immunizations  Dental care © 2013 Life Skill Outcomes, LLC
  7. 7. 7 LSP measures:  Mental Health & Substance Use  Drugs & Alcohol  Tobacco  Depression & Mental illness  Self-esteem  Cognitive development & learning © 2013 Life Skill Outcomes, LLC
  8. 8. 8 LSP measures:  Basic Essentials  Housing  Food  Transportation  Health care coverage  Income  Child care © 2013 Life Skill Outcomes, LLC
  9. 9. 9 LSP measures:  Child Development: Ages 0-5 yrs  Communication  Fine & gross motor  Problem solving  Personal-social skills  Social-emotional characteristics  Regulation  Breastfeeding © 2013 Life Skill Outcomes, LLC
  10. 10. 10 Developmental Screening  Child development scales require valid developmental screening tools  Ages & Stages Questionnaires®, Third Edition (ASQ-3™)  LSP summarizes findings & special educational outcomes © 2013 Life Skill Outcomes, LLC
  11. 11. © 2013 Life Skill Outcomes, LLC
  12. 12. © 2013 Life Skill Outcomes, LLC
  13. 13. © 2013 Life Skill Outcomes, LLC
  14. 14. © 2013 Life Skill Outcomes, LLC
  15. 15. © 2013 Life Skill Outcomes, LLC
  16. 16. © 2013 Life Skill Outcomes, LLC
  17. 17. 17 Frequency of use  Intake  Every 6 months  Closure  Scoring takes 5-10 min. <30 min per year per family © 2013 Life Skill Outcomes, LLC
  18. 18. 18 Validity  The inter-rater reliability 78-90%  Content validity confirmed by national experts and program staff  Found useful in practice over 10 years by >75 systems with multiple programs and individual program sites. © 2013 Life Skill Outcomes, LLC
  19. 19. 19 Training  8 hrs  < 40 participants  On-site training, provided through Brookes on Location  Training packet  Train-the-trainer support  For more information, visit www.brookesonlocation.com © 2013 Life Skill Outcomes, LLC
  20. 20. 20 LSP Training Objectives  Format & terminology  Scoring judgment & procedures  Practice scoring anonymous families  Practice using scored cases for reflective practice: strengths, needs, progress, regression  Complete & interpret cumulative score sheet on scored family  Design Reflective Questions for key issues © 2013 Life Skill Outcomes, LLC
  21. 21. 21 Target Range  Each scale has a unique target range  Target Range = parent/child has adequate or optimal skill for each scale.  Target ranges are more useful than means © 2013 Life Skill Outcomes, LLC
  22. 22. 22 Reflective Practice & the LSP  Reflective Function is the ability  To THINK about behaviors, feelings, events, relationships and consequences  To LINK these to new or needed information  To choose a purposeful RESPONSE (Smith & Wollesen, Beginning Guides Handbook 2008) © 2013 Life Skill Outcomes, LLC
  23. 23. 23 Think-Link-Respond Behaviors Feelings Relationships Events Consequences New or Known Information Design, Carry out, Evaluate, Modify a Plan of Action Think LinkRespond © 2013 Life Skill Outcomes, LLC
  24. 24. 24 Cumulative Score Sheet  Used to see an individual parent’s strengths, needs, progress, regression over time.  Plan a series of Reflective Questions to support parent awareness of a strength, a need or blind-spot  “Teach by Asking” to support Reflective Functions which are the core of parenting, of living. © 2013 Life Skill Outcomes, LLC
  25. 25. 25 © 2013 Life Skill Outcomes, LLC
  26. 26. 26 Data Management  Databases available  Reports  # & % in target range  Low Literacy  Cumulative score sheets  Multiple sites  Easy migration to stats programs  $1500-3000/site orientation & ongoing support © 2013 Life Skill Outcomes, LLC
  27. 27. 27 MIECHV Benchmarks Crosswalk  Benchmark  1. Maternal Newborn Health  Item 17 Prenatal Care  Item 24 Substance Use/Abuse  Item 26 Depression/Suicide  Item 20 Well Child Care  Item 23 Immunizations  Item 43 Breastfeeding © 2013 Life Skill Outcomes, LLC
  28. 28. 28 MIECHV Benchmarks Crosswalk  2. Child injuries, Abuse, Neglect, ER Visits  LSP Item 8 Safety  LSP Item 21 Child Sick Care  LSP Item 6 Discipline  Note: Programs must provide official child abuse reports to document incidence of child abuse © 2013 Life Skill Outcomes, LLC
  29. 29. 29 MIECHV Benchmarks Crosswalk  3. School Readiness & Achievement  LSP Item 4 Attitudes to Pregnancy  LSP Item 5 Nurturing  LSP Item 7 Support of Development  LSP Items 26 & 28 Depression, Self Esteem  LSP Items 36-40 Child Development w ASQ  LSP Items 41-42 Personal Social & Social Emotional w ASQ-SE © 2013 Life Skill Outcomes, LLC
  30. 30. 30 MIECHV Benchmarks Crosswalk  4. Crime or Domestic Violence  LSP Item 1 Family Relationships  LSP Item 2 Boyfriend, FOB, Spouse Relationships © 2013 Life Skill Outcomes, LLC
  31. 31. 31 MIECHV Benchmarks Crosswalk  5. Economic Self-sufficiency  LSP Item 34 Income  LSP Items 13-15 Education and Employment  LSP Item 33 Medical/Health Insurance © 2013 Life Skill Outcomes, LLC
  32. 32. 32 MIECHV Benchmarks Crosswalk  6. Coordination and Referral to other Community Resources and Supports  LSP Item 10 Use of Information  LSP Item 11 Use of Resources  Note: These items measure parent’s skills; programs must provide referral log data (program output) © 2013 Life Skill Outcomes, LLC
  33. 33. 33 Research Studies using LSP  AHRQ, NIH: Home Visitation/FHL 2008-9  NLM: Home Visitation/FHL & Depression 2011  NLM: Home Visitation/FHL & Child Development © 2013 Life Skill Outcomes, LLC
  34. 34. 34 LSP Self-care Literacy Scale  Managing personal & child health at home  LSP Item 4 Attitudes to Pregnancy  LSP Item 7 Support of Development  LSP Item 8 Safety  LSP Item 11 Use of Resources  LSP Item 24 Substance Use/Abuse  LSP Item 25 Tobacco Use  LSP Item 28 Self Esteem © 2013 Life Skill Outcomes, LLC
  35. 35. 35 LSP Healthcare Literacy Scale  Use of information and services for health  LSP Item 10 Use of Information  LSP Item 17 Prenatal Care  LSP Item 18 Parent Sick Care  LSP Item 19 Family Planning  LSP Item 20 & 21 Child Well & Sick Care  LSP Item 22 Child Dental Care  LSP Item 23 Child Immunizations  LSP Item 33 Medical/Health Insurance © 2013 Life Skill Outcomes, LLC
  36. 36. 36 Research  Does Home Visitation Promote Maternal Health Literacy?  N = 2572 parents  Funders:  Agency for Healthcare Research & Quality  NIH Office of Behavioral & Social Science Research  National Institute for Child Health & Human Development 36 © 2013 Life Skill Outcomes, LLC
  37. 37. 37 Key Findings  Overall parents achieved significant improvement in health literacy scores after 12-18 months in home visitation (P<.001)  Estimated reading level at baseline predicted entry level health literacy scores, but did not predict who progressed or how much.  Lower functioning parents and those with lower estimated reading level achieved the greatest gains.  The LSP can be used to meaningfully measure maternal health literacy.  Smith, S. A. (2009). Promoting Health Literacy Concept, Measurement & Intervention. Literacy, 170. Dissertation. Union Institute and University.  AHRQ Innovations Exchange: Home Visits Using Reflective Approach Improve Functional Health Literacy Among Low-Income Pregnant Women and New Parents http://www.innovations.ahrq.gov/content.aspx?id=2533 37 © 2013 Life Skill Outcomes, LLC
  38. 38. 38 Health Literacy & Depression  N= 750 parents with 4 observations  Funder: National Library of Medicine through contract with University of WA  Findings:  Health literacy & depression closely related p<.001  Depression does not interferes with home visitors’ ability to promote health literacy  Smith, S. A., & Moore, E. J. (November 26, 2011). Health Literacy and Depression in the Context of Home Visitation. Maternal and Child Health Journal DOI 10.1007/s10995-011-0920- 8 http://www.ncbi.nlm.nih.gov/pubmed/22120425 38 © 2013 Life Skill Outcomes, LLC
  39. 39. 39 Health Literacy & Child Development  N= 1301 parents with 2+ ASQ  Funder: National Library of Medicine through a contract with University of WA  Health literacy scores predict child developmental outcomes (p<.001)  Healthcare literacy scores predict participation in Early Intervention (p<.001) 39 © 2013 Life Skill Outcomes, LLC
  40. 40. 40 Lessons Learned  Maternal Health Literacy can be promoted  Reflective skills key  Reflective Questioning promising  LSP meaningful measure  Home based programs effective channel 40 © 2013 Life Skill Outcomes, LLC
  41. 41. 41 For more information  www.HealthLiteracyPromotion.com/Research- Summaries.html  www.BeginningsGuides.com  www.LifeSkillsProgression.com 41 © 2013 Life Skill Outcomes, LLC
  42. 42. 42 Key Findings  Depressed mothers demonstrated lower baseline health literacy scores than not- depressed parents; however, they achieved greater gains (P < .001).  While depression is linked with lower maternal health literacy, after 1 year of enhanced home visitation, vulnerable mothers were better able to manage personal and family health and healthcare.  Enhanced home visitation could be an effective channel to develop health literacy as a life skill, and to improve depression. 42 © 2013 Life Skill Outcomes, LLC
  43. 43. 43 Thanks for joining us! To order: www.brookespublishing.com 1-800-638-3775 To learn more: http://www.brookespublishing.com /resource-center/screening-and- assessment/lsp/ 42 © 2013 Life Skill Outcomes, LLC
  44. 44. Questions? © 2013 Life Skill Outcomes, LLC

×