2.7 Sharon McDonald


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2.7 Sharon McDonald

  1. 1. Early Childhood Home Visiting Program: Developing Partnerships to Meeting the Housing and Service Needs of Children
  2. 2. High Need <ul><li>Over 50 percent of children in shelter and transitional housing are age 5 and under </li></ul><ul><li>Pregnancy and parenting an infant are risk factors for homelessness among low income women </li></ul><ul><li>Studies find mothers who are homeless have thin social networks. </li></ul><ul><li>Young homeless mothers have particularly high rates of foster care involvement when they were a child – this may also indicate fewer supports for emotional or concrete assistance. </li></ul><ul><li>Homeless children have high risk factors for poor outcomes. </li></ul>
  3. 3. Appropriate Fit <ul><li>States are directed to target Home Visiting resources to populations with very high risk factors – characteristics shared by many homeless and at-risk families and their children. </li></ul><ul><li>Most families have short shelter stays or are highly mobile – and HUD will work to shorten those stays further and focus more interventions in the home to prevent and end homeless episodes </li></ul><ul><li>Mobile case management that follow families/children allow for long-term interventions, and continuity of care, something that can be difficult for site-based models to provide. </li></ul>
  4. 4. Shared Target Population <ul><li>States will target high-need communities for Home Visiting. Within those communities, states are expected to prioritize services to eligible populations who are: </li></ul><ul><ul><li>Low income </li></ul></ul><ul><ul><li>Pregnant women under age 21 </li></ul></ul><ul><ul><li>Have a history of child abuse/neglect or interactions w/child welfare agency </li></ul></ul><ul><ul><li>History of substance abuse or need SA treatment </li></ul></ul><ul><ul><li>Use tobacco in the home </li></ul></ul><ul><ul><li>Have, or have children w/low student achievement </li></ul></ul><ul><ul><li>Have children w/developmental delays or disabilities </li></ul></ul><ul><ul><li>Parent who is currently, or formerly, in armed forces </li></ul></ul>
  5. 5. Proven Approaches to Collaboration Exist <ul><li>Strengthening At-Risk and Homeless Young Mothers Initiative, supported by Conrad N. Hilton Foundation was created: </li></ul><ul><ul><li>To address the needs of young families by designing and implementing age-specific and family-focused services; </li></ul></ul><ul><ul><li>To integrate homelessness/housing and child development service sectors </li></ul></ul><ul><ul><li>To influence policy and practice nationwide by disseminating lessons learned from the Initiative. </li></ul></ul>
  6. 6. Strengthening At-Risk …. <ul><ul><li>Four local partnerships: </li></ul></ul><ul><ul><ul><li>Strengthening Young Families, Antelope Valley, Los Angeles, CA </li></ul></ul></ul><ul><ul><ul><li>Hope & Home, Pomona, CA </li></ul></ul></ul><ul><ul><ul><li>FACT (Family Assertive Community Treatment), Chicago, IL </li></ul></ul></ul><ul><ul><ul><li>STRong: Strengthening Our New Generation, Minneapolis, MN </li></ul></ul></ul><ul><ul><li>Three national partners: </li></ul></ul><ul><ul><ul><li>National Alliance to End Homelesness </li></ul></ul></ul><ul><ul><ul><li>National Center on Family Homelessness </li></ul></ul></ul><ul><ul><ul><li>Zero to Three </li></ul></ul></ul>
  7. 7. Outcomes <ul><li>Partnerships evolved between housing and homeless providers and child development providers to offer integrated interventions that met both the permanent housing and developmental needs of young children and young parents. </li></ul>
  8. 8. HHS Pre-Approved Home Visiting Models <ul><li>Early Head Start: Home-Based </li></ul><ul><ul><li>Primary focus: quality, flexible, culturally competent child development and parent support services. Primarily targets low-income pregnant women and families with children birth to three. </li></ul></ul><ul><li>Family Check Up </li></ul><ul><ul><li>Primary focus: child development and school readiness and positive parenting. Primarily targets families with high risk factors, designed to be preventative, before challenges emerge. </li></ul></ul>
  9. 9. HHS Approved Home Visiting Models <ul><li>Healthy Families America (HFA) </li></ul><ul><ul><li>Primary focus: reduce child maltreatment, increase use of prenatal care, improve parent-child interaction and school readiness, ensure healthy child development, promote positive parenting, promote family self-sufficiency and decrease dependency on welfare and other social services, increase access to primary care medical services and increase immunization rates. Long-term intervention, women enrolled during pregnancy or before child is three months, families remain connected until child reaches kindergarten. </li></ul></ul>
  10. 10. HHS Approved Home Visiting Models <ul><li>Healthy Steps </li></ul><ul><ul><li>Primary focus: child development and school readiness, and positive parenting practices. Designed for families with children birth to age 30 months. Primarily linked with pediatric or family medicine practice, health care clinician must be involved. </li></ul></ul>
  11. 11. HHS Approved Home Visiting Models <ul><li>Nurse-Family Partnership (NFP) </li></ul><ul><ul><li>Primary focus: improve maternal health and child health, improve pregnancy outcomes, improve child development, and improve economic self-sufficiency of the family. Designed for first-time, low income mothers and involves one-on-one home visits with a trained public health nurse that begin early in the mother’s pregnancy and lasts until child is 2 years. </li></ul></ul>
  12. 12. HHS Approved Home Visiting Models <ul><li>Home Instruction for Preschool Youngsters (HIPPY) </li></ul><ul><ul><li>Primary focus: promote preschooler’s school readiness. Designed to support parents in instructing young children in the home and supporting their role as educators. There is a two and three year program model (for 4-5 yr olds and 3-5 yr olds). The intervention includes 2 one-on-one visits with parent in the home each month and 2 group meetings. </li></ul></ul>
  13. 13. HHS Approved Home Visiting Models <ul><li>Parents as Teachers </li></ul><ul><ul><li>Primary focus: providing parents with child development knowledge and improve parenting practices. Parent educators use curriculum to support/educate parents. Intensity of meetings and duration vary across sites. May serve families from pregnancy through kindergarten entrance. </li></ul></ul>
  14. 14. Get Informed <ul><li>Find a copy of your state’s Home Visiting Plan at the state level. Decisions made in the last few weeks include: </li></ul><ul><ul><li>The target community/communities that will be served within the state </li></ul></ul><ul><ul><li>The primary goals the program will seek to achieve </li></ul></ul><ul><ul><li>The Home Visiting models that will be used </li></ul></ul><ul><ul><li>The implementation plan (e.g. how funds will be re-granted) </li></ul></ul><ul><ul><li>Communities’ Technical Assistance Needs </li></ul></ul>
  15. 15. Take Action <ul><li>Educate key stakeholders about homeless children within target communities. Know your audience and frame the case accordingly! </li></ul><ul><ul><li>Meet with decision-makers. </li></ul></ul><ul><ul><li>Think outside the box. </li></ul></ul><ul><ul><li>Leverage existing partnerships. </li></ul></ul><ul><li>Advocate for the targeting of Home Visiting resources at the state and local level to homeless families and to leading child providers in your community. </li></ul>
  16. 16. Craft Partnerships Now <ul><li>Promote state and local partnerships between Home Visiting Program grantees and housing/homeless service providers to improve the outcomes of families and children. </li></ul><ul><ul><li>Developmental delays screenings prioritized for children in shelter in Philadelphia </li></ul></ul><ul><ul><li>Early Head Start/Housing First collaboration </li></ul></ul><ul><ul><li>Increase families’ enrollment in appropriate support programs </li></ul></ul>
  17. 17. Selected Resources <ul><li>Child Welfare Information Gateway: Home Visiting http://www.childwelfare.gov/preventing/programs/types/homevisit.cfm </li></ul><ul><li>Nurse Family Partnership http://www.nursefamilypartnership.org/ </li></ul><ul><li>Parents as Teachers http://www.parentsasteachers.org/site/pp.asp?c=ekIRLcMZJxE&b=272091 </li></ul><ul><li>Healthy Families America http://www.healthyfamiliesamerica.org/home/index.shtml </li></ul>
  18. 18. Selected Resources Cont. <ul><li>Safe Care (Georgia State University) http://chhs.gsu.edu/safecare/model.asp </li></ul><ul><li>Supporting Evidence-Based Home Visiting http://www.supportingebhv.org/home-visiting-models </li></ul><ul><li>University of Minnesota - Center for Early Education and Development: http://www.cehd.umn.edu/ceed/publications/manuals/STEEPSIB </li></ul>
  19. 19. Questions? <ul><li>Sharon McDonald </li></ul><ul><li>National Alliance to End Homelessness </li></ul><ul><li>[email_address] </li></ul><ul><li>(202) 942-8253 </li></ul>