Healthy Families America—Lincoln

Community Health Services Division—Maternal Child HealthLincoln-Lancaster County Health Department

Giving Babies a Brighter Beginning!

Healthy Families America—Lincoln Model• Healthy Families America (HFA) is an

evidence-based home visitation model implemented by Prevent Child Abuse America in 1992 after decades of research.

• MISSION: To promote child well-being and prevent the abuse and neglect of our nation’s children through home visiting services.

Healthy Families America—Lincoln History• Our Maternal/Child Health Division has been

providing home visitation services for more than 40 years.

• Transitioning to the HFA Model in 2011 allowed us to combine public health nursing with social work for health and safety outcomes:– Outreach workers & nurses both serve as home

visitors– Nurses attend periodic joint visits with outreach

workers to assess pregnancy and newborn health, our “wrap-around” approach

Healthy Families America—LincolnStats • From 2011-2014 our program has:

– Screened 1627 high risk mothers– Performed 648 family assessments– Enrolled 331 families into the program– Provided 13,704 home visits

Healthy Families America—LincolnStaff• We have 14 Home Visitors including

– 7 Public Health Nurses– 7 Community Outreach Specialists

• 5 Home Visitors are Bilingual or Multi-lingual – Languages include: Spanish, Arabic,

Vietnamese, French, & American Sign Language

• 11 Home Visitors are Certified Lactation Counselors (CLC’s)

Referrals are received from many partnering agencies:

• Presumptive Eligibility Medicaid• Hospitals• Physician Offices• Schools • Child Protective Services• Human/Social Service Agencies• Cultural Centers

Healthy Families America—Lincoln

Partners

Healthy Families America—Lincoln

Client Demographics

75% - Single Mothers15% - Teen Mothers

Healthy Families America—Lincoln

Client SatisfactionHome visitor respectful in regards to race & ethnicity

Always: 98%Sometimes: 2%Never: 0%

Home visitor respects cultural backgroundAlways: 97%Sometimes: 3%Never: 0%

Overall Quality of ServicesExcellent: 84%Good: 13%Fair: 3%

Satisfaction with InformationExcellent: 78%Good: 22%Fair: 0%

Healthy Families America—Lincoln

Client SatisfactionAREAS LIFE HAS IMPROVED SINCE HOME VISITATION BEGAN:•94% - Taking Care of My Child•92% - Health Care of My Child•84% - Social Support System•80% - Ability to solve My Problems•78% - Coping with Stress•76% - My Happiness

• Offered prenatally through 3 years old (can be in until age 5)

• Weekly visits with intensity decreasing as child gets older

• Partners for a Healthy Baby Curriculum• Screen and make referrals for:

– Developmental Delays– Substance Abuse– Family Violence– Mental Illness– Family Planning

Healthy Families America—Lincoln Program Services

• Pregnancy/infant care/postpartum care.• Recognizing and caring for baby’s needs.• What to expect as child grows.• How to encourage normal development.• Diet, nutrition, exercise, breastfeeding.• “Baby-proofing” home.• Problem-solving advice.• Continuing their education.• Linking to community resources.• Working on goals that the parent sets.

Healthy Families America—Lincoln Program Services

•GOAL: ENROLL PRENATALLY– Connect mother to medical home– Encourage regular prenatal care– Reduce stress: work to overcome

challenges/unmet needs – Educate on pregnancy & child

development– Establish a support system

Healthy Families America—Lincoln Program Services

• 100% of children were current on all Center for Disease Control & Prevention recommended immunizations

• 100% of children were current on American Academy of Pediatrics recommended well child exams.

• 97% of children met or exceeded heir developmental milestones.

• 95% of families did not have substantiated reports of child abuse and neglect.

Healthy Families America—Lincoln Program Outcomes

Lincoln-Lancaster County Health Department

Giving Babies a Brighter Beginning!