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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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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