- In November 1998, California voters
approved the Children and Families
First Act, commonly referred to as
Proposition 10. Proposition 10,
which levied a 50 cents per pack tax
on cigarettes, was designed to fund
early childhood development and
anti-tobacco education programs at
the local level.
-Committed to investing
Proposition 10 revenues
into strong partnerships
with local agencies able to
produce high quality
programming that is well
integrated into the existing
service system and proven
to be promising in
• First 5 Madera County owns and operates
the First 5 Family Resource Center (FRC)
in the city of Madera. By design, the FRC
simplifies the linkages of families to
services by co-locating a wide variety of
programming and supports at one easily
accessible location. The FRC is staffed by
an FRC Coordinator and two Americorp
Members who serve as family advocates.
FRC staff facilitate the
• Resource, referral, and
• Case Management and
Home Visitation Program
• Family Activities (i.e.,
Playtime, Storytime, Movie
• Special Events (i.e.,
Halloween Carnival, Spring
Fun Day, etc.);
• Shared governance that
and community leadership.
• Healthy Families Enrollment
The FRC co-locates the
• State Preschool Program,
• Migrant Alternative
Community Action Partnership
• Healthy Beginnings
Program, Madera County
Department of Social
• Nutrition and Fitness
Program, Nutrition Network
• Health and Wellness
Program, First 5 Madera
• Commission Staff, First 5
• Goal: Promote positive parent-child
interaction, healthy childhood growth and
development and enhance family functioning.
• Visitation of parent(s) and child(ren) by a
trained personnel who convey information
and offer support and/or provide training.
• It has proven to be effective in improving the
health and well-being of children (particularly
if they are embedded in the comprehensive
community services addressing families at
Case Management and Home Visitation Program
• Resources can be brought to families
(home visits) rather than left in the
community for families to seek individually.
• Home Visitations for parents is a
widespread early-intervention strategy.
• Parents play a critical role in shaping the
outcomes of their children and early
childhood is a crucial time to provide
• Families at risk, i.e. single or young mothers,
low-income households, families with low birth
rate infants, parents with low IQ’s, children with
chronic illness and disabilities and families with a
history of substance abuse.
• Client Criteria:
Must have children 0-12
Participation must be voluntary
Not currently being served by another home
Referred from partner agency
• Step 1: Intake
1)Takes Place at FRC
3)Conduct needs assessment based on (basic needs,
health, mental health, educational/vocational,
family/social support) to determine client needs and
complete Household Information Form and Assessment
4)Service Plan/Goals are outlined prior to home visit,
families participate in establishing goals.
• Step 2: Consultation
1)Consult intake with MSW mentor to determine if the
referral is low, moderate or high-need.
2)Low and moderate need referrals, home visit must be
within 5 days. Appropriate service response for high need
• Step 3: Addressing Need
Info Only: Follow up phone consult for 30 days.
Case closed upon successful follow up or further
Low Need: Provide case management services
for 30 days, completing by-monthly home visits.
Close when needs have been met reassess and
maintain case open for another 30 days otherwise
or escalate to moderate need.
Moderate Need: Provide case management
services for 90 days then re-assess. 6 month
maximum services to be rendered.
High Need: Create CWS referral, ER is to
investigate within CWS established protocols.
Why Make a Home Call?
• Client is more comfortable
• Observe family dynamics
• Demonstrate consideration for the client
• Verify residency
Areas to Evaluate:
• Home Environment
• Family Skills
• Life Skills
• Coping Skills
• Mental Health
• Family Resources
• Support network
• Substance Abuse
• Legal Issues
• Educational Attainment
Establish Goals in:
• Family Strengthening
• Child development
• Increase basic skills
• Family Stability
• Dealing with Family
• Health Care