20031 Outcomes of Minnesota’s Statewide Family Home Visiting Program Family Home Visiting Team...
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Transcript of 20031 Outcomes of Minnesota’s Statewide Family Home Visiting Program Family Home Visiting Team...
2003 1
Outcomes of Minnesota’s Statewide Family Home Visiting
Program
Family Home Visiting Team
Minnesota Department of Health
Junie
Maureen
Nancy
Junie
2003 3
SFY TANF General Total
01 $7,000,000 0 $7,000,000
02 $11,000,000 0 $11,000,000
03 $11,000,000 $756,000 $11,756,000
04? $4,000,000 $1,044,000 $5,044,000
05? $4,000,000 $1,044,000 $5,044,000
2003 4
FHV Programs Statewide
2001 67/87 counties
19 did not enroll any families (start up)
36/67 enrolled & exited families
31/67 enrolled with no exits
2002 86/87 counties (CHBs)
75/86 reported data (enrolled, exited or both)
7/11 tribes contracted 3/7 reported data
(enrolled, no exits)
2003 5
2001 & 2002 FHV Enrollees
2001 Enrolled ~4,702 persons
(45% MFIP) 2,702 children (0-19 years) 2,000 primary caregivers
505 (20%) pregnant
79% of families remained from ’01 & ’02 2,078 children 1,619 primary caregivers
2002 Enrolled 7,420 persons
(44% MFIP) 4,126 children (0-19 yrs)
73% 0-3 years 3,294 primary caregivers
1,196 (38%) pregnant
Served in 2002 6,266 children 4,956 primary caregivers 11,222 total
2003 6
2002 State-wide Outcomes
Self-Sufficiency 82% had identified goals before exiting at 0-3
months 80% had achieved at least one goal before exiting
at 4-12 months 91% had achieved one or more goal before exiting
at 13+ monthsGoals = education, employment, health, child care, housing, safety, etc.
2003 7
2002 State-wide Outcomes
Health
94% of children (0-6 years) had health insurance (exited at 0-3 months)
95% of children (0-19 years) had health insurance (exited at 4-12 months)
85% of primary caregivers had health insurance (exited 4-12 months)
2003 8
2002 State-wide Outcomes
Health 91% of children (0-6 years) had a well-child
examination within one year of enrollment (13+ months exit)
State rate: 55-65% [C&TC = 70%] 44% of children (7-19 years) had a well-child
examination within two years of enrollment (13+ month exit)
State rate = 30-35% [C&TC = 48%]
2003 9
2002 State-wide Outcomes
Injury Prevention 21% - 47% - 56% of families with a child 0-6 years completed Home Safety Checklist (0-3 mos – 4-12 mos – 13+ mos exit)
Home Safety Checklist is a parent education tool used by PHNs and home visitors to assess with the parent the living environment room by room to identify possible home injury hazards for families with children (0-6 yrs). The minimum requirement for completion is to assess the 18 critical (starred) items.
2003 10
2002 State-wide Outcomes
Teen Parents (19 Years and Under) Did not have subsequent births 92%
State data for 2002* = 82% National data for 2000 = 79%
Followed school attendance plan 80%
* Preliminary data from the MN Center for Health Statisticsfor the State Fiscal Year 2002 (July 1, 2001-June 30, 2002)
2003 11
2002 Stories
Optional 78 stories from 59 programs (counties and
tribes) Major story themes of families and nurses
centered on: Working with Families at Risk Assisting with Basic Needs
2003 12
2002 Story Themes
Families at Risk Single parent No support Teen pregnancy, teen parents MFIP/TANF WIC, breastfeeding
2003 13
2002 Story Themes
Families at Risk Children with special health needs Mental illness Domestic abuse Chemical dependency Parent incarcerated
2003 14
2002 Story Themes
Basic Needs Housing Transportation Child Care Employment (finding a job) Education Housekeeping
2003 15
Sample..Wadena - 2002 Story
Connected family to other resources Single mother with 4 children Children with developmental delays Inadequate housing – safety issues Inadequate child care Financial and budgeting issues No work history Lack of use and knowledge of resources History of abuse and neglect History of unstable relationships
2003 16
Sample..Wadena - 2002 Story
“The parent…had many of the above issues resolved. She has adequate housing, a job, improved parenting, and is using community resources both for herself and for her children. This occurred through a partnership between the nurse and the client…(and) partnering with (other community agencies).”
2003 17
State Highlights – What works!
Teamwork (public health nurse, parent aide, other home visitors, etc.)
Interagency collaboration (public health, social services, education, etc.) Less duplication; more supportive services for
families Partnering with job counselors and financial
workers (economic assistance)
2003 18
State Highlights – What Works!
Community outreach through social services, hospitals, WIC clinics, schools, Workforce Centers, etc.
Outreach to various racial/ethnic groups (especially tribal groups in 2002)
Training bilingual interpreters & home visitors“It was delightful to hear enthusiasm from
community agencies wanting us to assist, support, teach and ultimately decrease the numbers in this target population….”
2003 19
State Highlights & What works!
Providing services to adolescents
“TANF has provided [us] with a fresh outlook on our HV program. We have purchased a new teen pregnancy/parenting curriculum and have trained staff on Partners in Parenting Education System parenting activities.”
2003 20
State Barriers & Challenges
Completing Home Safety Checklist Mobile families; not in own home, in shelters How to introduce without being a threat
Short time frame for program start-up New program that views “families” as
“client” (billing, charting/legal, data)
2003 21
State Barriers & Challenges
Income & citizenship validation (MFIP) Reaching high-risk families Staff shortages, inadequate funds Increasing immigrants; lack of interpreters
Limitations Data only on exited families; none on enrollees! No individual data
2003 22
Future Challenges!
Budget deficit Data reporting system that is ‘user friendly’
Currently have ACCESS; multiple ways to send data to MDH
Working with public health nurses on data issues (data collection & entry, QA)
Financing/reimbursement for home visits & related services: C&TC, WIC, mental health
2003 23
Contact Information
Family Home Visiting Program
Minnesota Department of Health/MCH Section
P.O. Box 64882
St. Paul, MN 55164-0882
Tel: 651-215-8960
Fax: 651-215-8953
www.health.state.mn.us/divs/fh/mch/fhv