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Children First Program Tulsa Health Department. Nurse Family Partnership. What is our Mission?.

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Presentation Transcript
what is our mission
What is our Mission?

To promote the health and safety of mothers and young children prenatally and postnatally through public health nurse home visitation. This program focuses on the mother-infant dyad through improvement in maternal health habits, parental behaviors, and the psychological,social and environmental context in which the family is functioning

what do we hope to impact
What do we hope to impact?
  • Improve Pregnancy Outcomes
  • Improve Child Health and Development
  • Improve Economic Self sufficiency
what is our vision
What is our Vision?

Healthy pregnancies…

Healthy babies…

Healthy families…

Healthy communities!

foundational theories
Foundational Theories
  • Attachment (Wind Beneath My Wings)

blueprint for how relationships work

  • Human Ecology (We are Family)

environmental influences on individual

  • Self Efficacy (I believe I can Fly)

belief in ability to accomplish & achieve

client centered principles
Client Centered Principles

1. Client is the expert on her life

2. Focus on the strengths

3. Follow the client’s heart’s desire

4. Only a small change is necessary

5. Focus on solutions

eligibility criteria
Eligibility Criteria
  • Less than 29 wks. pregnant (with 1st child) @ enrollment
  • Income eligible—WIC or Medicaid
    • Income @ or below 185% FPG
  • Voluntary enrollment and participation
  • Reside in Tulsa County or lower 1/3 Osage County
visit schedule
Visit Schedule
  • Begin in Pregnancy--wkly visits X4 then Every other week until delivery
  • Visit weekly --beginning after delivery

X 6weeks

  • Infancy --every other wk beginning at 8wks
  • Toddler--every other week until 21 months old--then monthly visits until 24 months.
  • Graduate @ 24 months
six domains of focus
Six Domains of Focus

Personal Health

Maternal Role

Environmental Health

Family and Friends

Life Course Development

Health and Human Services

curriculum
Curriculum

Core Curriculum topics

Partners In Parenting Education (PIPE)

Nursg.Child Assmt Satellite Trng (NCAST)

Ages and Stages Questionnaire (ASQ)

Motivational Interviewing (MI)

Post Partum Depression (PPD)

Child Abuse Medical Examiner (CAME)

supervision
Supervision
  • 1:1 weekly
  • Uninterrupted
  • Supportive
  • Reflective
  • Collaborative/solution focused
  • Safe place
  • Technical Consultation
  • Assist with identifying resources
  • Should mirror relationships w/clients
technology
Technology
  • Laptops/smart phones  
  • Electronic referral system
  • HIE/Doc2Doc (coming soon)
  • Social media (Facebook)
  • Texting! (but not while driving!! )
  • Distance learning/communication
  • THD, OSDH and NFP Websites
quality
Quality
  • Quarterly Record Audits
  • Annual Site Visits
  • Ongoing participation in research
  • Fidelity to NFP Model (evidenced based)
  • Logic model (pathway to outcomes)
  • Annual Cont. Education (OHCA)
  • Mentoring Students
age of clients fy 2010
Age of ClientsFY 2010

18y and younger 32%

19-24 52%

25-34 14%

35 + 1%

race fy 2010
Race FY 2010
  • Caucasian 32%
  • African American 28%
  • Hispanic 26%
  • Native American 4%
  • “Growing” Burmese Pop.
referral sources
Referral Sources

2010 (n= 565)

  • Other 34%
  • Babyline 27%
  • Self Referral 14%
  • Family Planning 7%
  • WIC 5% 2011=37% of referrals came from WIC!!
  • Faith Based 4%
  • IHC 4%
  • Private Dr. 2%
  • Current/past Clt. 2%
  • Preg. Test Clinic 1%
data sfy 2010
DataSFY 2010

Enrolled in Medicaid 80%

Enrolled in WIC 58%

Living at or below FGP 99%

Premature Births (<37w gest) 12%

Initiate Breastfeeding 81%

Report still BF @ 6mo 27%

Births in 2010 n 219

Graduates n 103

resources
Resources

Nurse Family Partnership website

www.nursefamilypartnership.org

Tulsa Health Department website

www.tulsa-health.org

Oklahoma State Department of Health website

www.ok.gov/health

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