1 / 17

Introduction to the Model

Introduction to the Model. Lynn H. Kosanovich, HFA Regional Director. Presentation Overview. History Rationale for Healthy Families America Model: Goals 12 Critical Elements Our Philosophy Strengths of the Model Affiliation and Accreditation. History.

Download Presentation

Introduction to the Model

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Introduction to the Model Lynn H. Kosanovich, HFA Regional Director

  2. Presentation Overview History Rationale for Healthy Families America Model: Goals 12 Critical Elements Our Philosophy Strengths of the Model Affiliation and Accreditation

  3. History • 1970s - HI Healthy Start designed to prevent CAN based on Dr. Henry Kempe (Battered Child Syndrome) work in CO • 1992 – PCA, HI Healthy Start and Ronald McDonald House Charities • Developed 12 Critical Elements based on HI Healthy Start Model & Literature Review • 1995 – Accreditation and formal affiliation • 1997 – Accreditation of Multi-Site Systems • Training, TA, P&P, Data, Evaluation • History • Rationale • Model • Goals • Critical Elements • Philosophies • Strengths • Affiliation

  4. Child Welfare Gateway: In 2006 CAN rates were highest among children under 3 44.2% of fatalities in 2006 were children under age one 78% of fatalities occurred under the age of 4 76% of fatalities were committed by one or both parents Rationale for HFA • History • Rationale • Model • Goals • Critical Elements • Philosophies • Strengths • Affiliation

  5. Rationale for HFA (cont.) • More than a decade and more than 17,000 individuals • CDC & Kaiser Health Plan’s Department of Preventive Medicine in San Diego, CA • Connection between ACE & physical and mental health of adults including the major causes for adult mortality in the United States • Early childhood trauma clearly contributes to serious health issues later in life ACE Study (Adverse Childhood Experiences)

  6. Vision-Mission-Goals • Our Vision: All children receive nurturing care from their family essential to leading a healthy and productive life. • Our Mission: To promote child well-being and prevent the abuse and neglect of our nation’s children through home visiting services. • HFA Program Goals: • Build and sustain community partnerships to systematically engage overburdened families in home visiting services prenatally or at birth. • Cultivate and strengthen nurturing parent-child relationships. • Promote healthy childhood growth and development. • Enhance family functioning by reducing risk and building protective factors. • History • Rationale • Model • Goals • Critical Elements • Philosophies • Strengths • Affiliation

  7. 12 Critical Elements • Service Initiation (CE 1-3) • Linking, assessing and reaching out to families • Service Content (CE 4-8) • What happens during a home visit • Staff Characteristics (9-12) • Hiring, training & supervising staff • History • Rationale • Model • Goals • Critical Elements • Philosophies • Strengths • Affiliation

  8. Critical Elements: Service Initiation • Initiate Prenatally or At Birth (CE #1) • Target population • Relationships in the community • Standardized Assessment (CE #2) • Used to identify those most in need and those most likely to benefit • Offer Services Voluntarily & Creatively Reach Out (CE #3) • Families more likely to participate • Working with participants who need us to build their trust

  9. Critical Elements: Service Content • Offer Intense, Long-term Services, Criteria for Increasing & Decreasing (CE #4) • Must be offered three to five years • Leveling system to determine intensity of services & family progress • Culturally Sensitive Services (CE #5) • Training on unique characteristics • Staff-participant interaction • Sensitivity toward family values, beliefs & customs • Appropriate materials

  10. Critical Elements: Service Content (cont.) • Focus on Parent as Well as Child (CE #6) • Review issues on assessment • Develop Goal Plans – about the process • Curriculum – PCI, Child Development, Health & Safety • Developmental Screens – ASQ • Follow-up with children suspected or identified with delays • Linked to Medical Provider & Other Services (CE #7) • Medical Home • Immunizations • Referrals • Limited Caseloads (CE #8) • Sufficient time to connect with families

  11. Critical Elements: Staff Characteristics • Personal Characteristics, Skills & Knowledge (CE #9) • Important for staff to build relationships with diverse populations • Basic Training & Role Specific Training (CE #10 & #11) • Orientation, role specific, wraparound & ongoing • Supervision (CE #12) • Ongoing & effective, develop realistic & effective plans to empower families, & express concerns & frustrations • Reflective, Clinical and Administrative • Governance & Administration • Not a Critical Element

  12. Early nurturing relationships are the foundation for life-long healthy development. Infant Mental Health Strength-based Parallel Process Family-Centered Culturally Sensitive Valuing Fathers Reflective Practice Our Philosophies • History • Rationale • Model • Goals • Critical Elements • Philosophies • Strengths • Affiliation

  13. Strengths of the HFA Model Flexibility: • Target population • Child development & parent-child interaction curricula • Staffing requirements Comprehensive Assessment Services: • Determine families most likely to benefit • Refer families to community resources • Used as Single Point of Entry Creative Outreach • Focus on building trust • History • Rationale • Model • Goals • Critical Elements • Philosophies • Strengths • Affiliation

  14. Strengths of the HFA Model (cont.) Service Intensity: • Weekly for a minimum of six months after birth • Decreases as family competencies increase • Offered three to five years Focus on Parent as Well as the Child Comprehensive Training: • Parent Survey • Integrated Strategies for Home Visitors • Wraparound Training – Distance Learning Accreditation State Systems

  15. Suggested criteria: Ability to access parents prenatally or at birth Experience with home visiting Infrastructure to support HFA best practice standards Physical space to house program Affiliation: Complete application and implementation plan Send, with $500 fee, to Chicago address listed on application Complete phone call with Lynn Kosanovich, HFA regional director Affiliation & Accreditation • History • Rationale • Model • Goals • Critical Elements • Philosophies • Strengths • Affiliation

  16. Implementation & Accreditation Accreditation: • 1st time within 2 years of affiliation (every 4 years after that) • Based on 12 Critical Elements • Self-study • Site Visit • Panel response

  17. Contact Info: • Lynn Kosanovich • Healthy Families America Regional Director • lkosanovich@preventchildabuse.org • 703-888-3135

More Related