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Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) Supplemental Information Request ( SIR #2) V irginia Updated State Plan Development. Health Resources and Services Administration Administration for Children and Families U.S. Department of Health and Human Services. - PowerPoint PPT Presentation
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Health Resources and Services AdministrationAdministration for Children and Families
U.S. Department of Health and Human Services
Maternal, Infant, and Early Childhood Home Visiting Program
(MIECHV)
Supplemental Information Request (SIR #2)
Virginia Updated State PlanDevelopment
Maternal, Infant, and Early Child Home Visiting
Purposes:
o to strengthen and improve the programs and activities carried out under Title V of the Social Security Act;
o to improve coordination of services for at-risk communities; and
o to identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities
Application Process
Step 1: July 2010 State applications
Step 2: September 20, 2010 SIR #1
Statewide Needs Assessment
Step 3: Supplemental Information Request #2
Updated State Plan
Due June 6, 2011
Updated State Plano Final designation of at-risk communities to be
targeted by State HV Program
o Detailed needs and resources assessment for communities
o Plan for coordination among existing programs/resources
o Assessment of local and State capacity to integrate the proposed home visiting services into an early childhood system
o A list of “at-risk” communities not selected for implementation in FY 2010
Updated State Plan
o Goals and objectives for Updated State Plan
o Strategies for integrating Updated State Plan into other early childhood
programs and systems
o Logic model for State HV Program
Selection of Model
o Selection of the model(s) should be in response to the needs of the targeted at-risk communities
o Select a model(s) that meets criteria for evidence of effectiveness
o Propose another model not reviewed by HomVEE study
o Request reconsideration of an already-reviewed model
o Propose use of up to 25% of funds for a promising approach
Evidence-based (EB) Models (2/08/2011)
http://www.acf.hhs.gov/programs/opre/homvee
o Early Head Start- Home-based Option Onlyo Family Check-Upo Healthy Families America o Healthy Stepso Home instruction Program for Preschool
Youngsters (HIPPY)o Nurse Family Partnershipso Parents as Teachers
State Selection of Model
o Within 45 days, States must secure approval by developer(s) to implement model(s) as
proposed, including any acceptable adaptations
o For the MIECHV program, an acceptable adaptation is one determined by the developer not to alter the core components related to program impacts
Implementation
States must:
o Describe how the model(s) meets need of each community
o Describe State’s current and prior experience implementing model(s)
o Submit a plan for ensuring implementation with fidelity
o Discuss anticipated challenges to implementation
Implementation
States must:
o Submit a plan for implementation of State HV Program and for ongoing monitoring of the quality of implementation at the community, agency, and participant level
o Submit required assurances
o Must agree to the Maintenance of Effort .
Maintenance of Effort (MOE)
States must :
Maintain the level of State General Funds
On March 23, 2010
Benchmarks
o Improvements in maternal and newborn healtho Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visitso Improvements in school readiness and achievemento Reduction in crime or domestic violenceo Improvements in family economic self-sufficiencyo Improvements in the coordination and referrals for other community resources and supports
BenchmarksState must :
o Collect data on all 6 benchmark areaso Collect data for all listed elements under each
benchmark areao Show improvement in at least half of the elements
under each benchmark areao Develop a continuous quality improvement plano Report to HHS on benchmark progress at the 3-
and 5-year points
State Home Visiting Plan
• A description of the administrative structure in place to support the program
• A description of staffing and administration
• A description of efforts to coordinate the program with other State early childhood plans
Continuous Quality Improvement
o CQI is an approach utilizing regular data collection and the application of changes that may lead to performance improvements
o The State must discuss a plan for CQI for their State HV Program
o Technical assistance will be provided as needed on CQI strategies
Technical Assistance
o HHS intends to provide TA and training to States throughout the grant application process and implementation phase of the MIECHV Program
o States should provide a description of anticipated TA needs in the Updated State Plan
• State level• Local communities
Memorandum of Concurrence Signed by:
o Director of the State’s Title V agencyo Director of the State’s agency for Title II of the Child
Abuse Prevention and Treatment Act (CAPTA)o Director of the State’s child welfare agency (Title IV-E
and IV-B), if this agency is not also administering Title II of CAPTA
o Director of the State’s Single State Agency for Substance Abuse Services
o State’s Child Care and Development Fund (CCDF) Administrator
o Director of the State’s Head Start State Collaboration Office and
Memorandum of Concordance (continued)
o State Advisory Council on Early Childhood Education and Care authorized by 642B(b)(1)(A)(i) of the Head Start Act
o The State’s Individuals with Disabilities Education Act (IDEA) Part C and Part B Section 619 lead agency(ies)
o State Elementary and Secondary Education Act Title I or State pre-kindergarten program and
o State Medicaid/Children’s Health Insurance program (or the person responsible for Medicaid Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program).
Additional Potential State Partners
o State Domestic Violence Coalitiono State identified agency charged with crime reductiono State Temporary Assistance for Needy Families agencyo State’s Supplemental Nutrition Assistance Program
agencyo State Injury Prevention and Control (Public Health Injury
Surveillance and Prevention) program
Federal Review
o Justification of targeted communities at risk
o How the model(s) addresses specific community needs
o Plan for meeting benchmarks and collecting data
o Overall feasibility of plan
o Level of commitment and concurrence among required partners
Federal Webinars:
• February 24, 3-4:30 pm EST –Data systems• March 3, 3-4:30 pm EST –Benchmarks• Additional webinars will be announced on other
topics related to sections of the SIR
Virginia Needs Assessment o Insufficient staff to provide for the unmet need for
HVo Services for fatherso Services for teen parentso Services for diverse cultural populationso Unavailable mental health and substance use
treatment resources for parents;o Inadequate domestic violence prevention and
treatmento Insufficient parent support in crisis situations,
especially to prevent abuse/neglecto Increased need for education/training for parents
so that they can be self-sufficient.
Virginia Plan
o Parallel the federal requirements
o Provide Technical Assistance to all 38 “at-risk” communities
o Integrate Home Visiting Services into the EC systemwith staff training, data collection, evaluation
o Require local Data Collection in the state project system
o Develop CQI plan
Virginia Plan
Increase Quality and Availability
o Provide 1-4 grants for Community Service Grants to provide Evidence-based Home Visiting models
o Provide 1-4 Community HV System Project Grants
o Expand Research on Promising Models Resource Mothers Program
State Application Process
o Eligible Applicants: 38 “at risk” Communities or
a zip code area or adjacent zip code areas which meet the same qualifications as the 38 “at risk” communities
o Requirements: Still being reviewed
o Due date: TBA
Virginia “at-risk” CommunitiesAccomack CountyBristol CityCampbell CountyCharlotte CountyCumberland CountyDanville CityEmporia CityEssex CountyFredericksburg CityGloucester CountyGreensville CountyHalifax CountyHampton CityHenry County Hopewell CityLancaster County Lunenburg CountyLynchburg CityMontgomery County
Newport News CityNorfolk CityNorthampton CountyNottoway CountyOrange CountyPatrick CountyPetersburg CityPortsmouth City Radford CityRichmond CitySmyth County Southhampton CountyStaunton CitySuffolk CitySussex CountyWarren County Waynesboro CityWilliamsburg CityWinchester City
First Steps for Local Applicationo Meet with local coalition of Early Childhood (EC)
Programs
o Identify Community Home Visiting (HV)Needs
o Identify Community Gaps in local HV and EC System
o Select an Evidence-based Model which matches the community needs identified
o Identify a Target Population
Local Community Applicant
Each community is likely to be asked to demonstrate:
o Evidence of Efficiency and Effectiveness in Plan
o Evidence of Collaboration
o Evidence of experience and solid performance in providing HV model
o Evidence of commitment to improvement on Benchmarks
Home Visiting ConsortiumAshley Barton- BabyCareMary Mitchell, Vivian Horn - Medicaid Managed CareJohanna Schuchert- Healthy FamiliesAnn Childress - DSSLisa Specter-Dunaway- CHIP of VirginiaLinda Foster-Healthy StartWenda Singer - Head Start/EHSPhyllis Mondak, Special Education/Part BMary Ann Discenza – Early Intervention/ Part CMartha Kurgans – Project LinkCatherine Bodkin- Resource Mothers, VDH BabyCare
www.homevisitingva.com Announcements and Documents posted
Contact: Any Member of the Virginia Home Visiting
Consortiumor
Catherine Bodkin, LCSW, Chair of HVCMIECHV Project Director
