Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 1
: P
roje
ct O
verv
iew
Sect
ion
1:
Pro
ject
Ove
rvie
w
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Lovi
ng
Su
pp
ort
© T
hro
ugh
Pe
er
Co
un
selin
g: A
Jo
urn
ey
Toge
the
r –
For
WIC
Man
age
rs
This
cu
rric
ulu
m is
de
sign
ed f
or
WIC
Sta
te le
vel m
anag
ers,
loca
l age
ncy
m
anag
ers,
bre
astf
eed
ing
coo
rdin
ato
rs, p
eer
cou
nse
ling
pro
gram
co
ord
inat
ors
, an
d lo
cal a
gen
cy c
oo
rdin
ato
rs a
nd
su
per
viso
rs.
The
curr
icu
lum
is d
esi
gned
fo
r St
ate
agen
cie
s to
tra
in lo
cal a
gen
cie
s o
n
imp
lem
enti
ng
and
man
agin
g p
eer
cou
nse
ling
pro
gram
s.
The
bro
wn
“d
ash
bo
ard
” ic
on
sh
ow
s th
e m
ain
to
pic
are
as.
This
cu
rric
ulu
m is
lin
ked
wit
h t
he
pee
r co
un
selo
r tr
ain
ing
curr
icu
lum
, “Lo
vin
g
Sup
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey T
oge
ther
– f
or
Trai
nin
g W
IC P
eer
C
ou
nse
lors
.” T
he
curr
icu
lum
can
be
acce
ssed
by
clic
kin
g o
n t
he
blu
e ic
on
.
The
“Tra
inin
g Fa
cilit
ato
r G
uid
e” p
rovi
ded
wit
h t
he
curr
icu
lum
fo
r p
eer
cou
nse
lor
trai
ner
s p
rovi
des
det
ails
ab
ou
t h
ow
to
use
th
e sp
ecia
l nav
igat
ion
fea
ture
s o
f th
e p
rese
nta
tio
n p
latf
orm
.
Sect
ion
1:
Pro
ject
Ove
rvie
w
The
pro
ject
bu
ilds
on
th
e n
atio
nal
“U
sin
g Lo
vin
g S
up
po
rt©
to
Imp
lem
ent
Be
st
Pra
ctic
es
in P
eer
Co
un
selin
g” p
rogr
am b
egu
n in
20
04
an
d im
ple
men
ted
in W
IC
agen
cie
s ac
ross
th
e co
un
try.
This
sec
tio
n a
dd
ress
es t
he
visi
on
of
the
Foo
d a
nd
Nu
trit
ion
Ser
vice
fo
r b
reas
tfee
din
g p
eer
co
un
selin
g in
th
e W
IC P
rogr
am, a
nd
pro
vid
es
an o
verv
iew
of
the
up
dat
ed t
rain
ing
curr
icu
la.
We
lco
me
fro
m N
atio
nal
WIC
Dir
ect
or
Let’
s ta
ke a
fe
w m
om
ents
to
wat
ch a
vid
eo w
elco
me
and
intr
od
uct
ion
fro
m
Deb
ra W
hit
ford
, Nat
ion
al W
IC D
irec
tor.
She
will
exp
lain
th
e vi
sio
n o
f th
e Fo
od
an
d N
utr
itio
n S
ervi
ce f
or
bre
astf
eed
ing
pee
r co
un
selin
g in
th
e W
IC p
rogr
am, a
nd
wel
com
e yo
u t
o t
his
imp
ort
ant
effo
rt
to e
xpan
d W
IC s
ervi
ces
for
mo
ms
and
bab
ies
to in
crea
se b
reas
tfee
din
g ra
tes.
Vid
eo
“W
IC D
ire
cto
r W
elc
om
e”
(Vid
eo/S
up
po
rt/P
eer
Su
pp
ort
/WIC
D
irec
tor)
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 1
: P
roje
ct O
verv
iew
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pe
er
Co
un
selin
g in
WIC
In 2
00
3 F
NS
de
velo
ped
“U
sin
g Lo
vin
g S
up
po
rt©
to
Imp
lem
en
t B
est
Pra
ctic
es in
P
eer
Co
un
selin
g,”
de
sign
ed t
o p
rep
are
staf
f w
ith
in t
he
WIC
Pro
gram
to
im
ple
men
t an
d e
xpan
d b
reas
tfee
din
g p
eer
co
un
selin
g p
rogr
ams.
The
goal
of
the
pro
ject
was
to
eq
uip
WIC
pro
gram
s th
rou
gho
ut
the
cou
ntr
y w
ith
an
imp
lem
enta
tio
n a
nd
man
agem
ent
mo
del
th
at is
eff
ecti
ve a
nd
fea
sib
le, a
nd
th
at s
erve
s as
a f
ram
ewo
rk f
or
des
ign
ing,
bu
ildin
g, a
nd
su
stai
nin
g p
eer
cou
nse
ling
pro
gram
s.
Sin
ce 2
00
4, f
un
din
g h
as b
een
dis
trib
ute
d t
o W
IC S
tate
age
nci
es t
o e
nab
le t
hem
to
beg
in im
ple
men
tati
on
of
an e
ffe
ctiv
e an
d c
om
pre
hen
sive
pee
r co
un
selin
g p
rogr
am a
nd
/or
to e
xpan
d a
n e
xist
ing
pro
gram
.
The
fun
din
g is
aw
ard
ed o
n a
no
n-c
om
pet
itiv
e b
asis
; ho
we
ver
to r
ece
ive
the
fun
ds,
WIC
Sta
te a
gen
cie
s m
ust
agr
ee t
o im
ple
men
t/ad
min
iste
r a
pee
r co
un
selin
g p
rogr
am b
ased
on
res
earc
h-b
ased
co
mp
on
ents
of
a su
cce
ssfu
l pee
r
cou
nse
ling
pro
gram
as
iden
tifi
ed b
y FN
S (L
ovi
ng
Su
pp
ort
© M
od
el).
The
Lo
vin
g S
up
po
rt©
Mo
de
l
As
par
t o
f th
e o
rigi
nal
nat
ion
al p
eer
cou
nse
ling
init
iati
ve, “
Usi
ng
Lovi
ng
Su
pp
ort
© t
o Im
ple
men
t B
est
Pra
ctic
es
in P
eer
Co
un
selin
g,”
form
ativ
e re
sear
ch
was
co
nd
uct
ed t
o d
eter
min
e le
sso
ns
lear
ned
an
d r
eco
mm
en
dat
ion
s fr
om
Sta
te
and
loca
l age
nci
es.
The
rese
arch
fo
rmed
th
e b
asis
fo
r gu
idan
ce t
o S
tate
an
d lo
cal W
IC a
gen
cies
to
h
elp
th
em im
ple
men
t a
pro
gram
th
at is
evi
den
ce-b
ased
an
d r
elie
s o
n b
est
p
ract
ices
.
The
guid
ance
, th
e “L
ovi
ng
Su
pp
ort
© M
od
el f
or
a Su
cce
ssfu
l Pee
r C
ou
nse
ling
Pro
gram
,” r
emai
ns
the
fram
ew
ork
fo
r St
ate
agen
cie
s to
use
to
est
ablis
h p
olic
ies
and
pra
ctic
es u
nd
er e
ach
of
its
req
uir
ed c
om
po
nen
ts.
The
mo
de
l ad
dre
sse
s p
rogr
am s
up
po
rt in
tw
o a
reas
:
Ad
equ
ate
pro
gram
su
pp
ort
fro
m S
tate
an
d lo
cal m
anag
em
ent
Ad
equ
ate
pro
gram
su
pp
ort
of
pee
r co
un
selo
rs
FNS’
go
al is
to
en
sure
th
at a
ll W
IC S
tate
age
nci
es
op
erat
e th
eir
pee
r co
un
selin
g p
rogr
ams
fro
m t
he
sam
e ev
iden
ce-b
ased
fo
un
dat
ion
ap
pro
pri
ate
for
the
WIC
en
viro
nm
ent.
The
mo
de
l allo
ws
for
flex
ibili
ty b
ased
on
Sta
te p
olic
y as
lon
g as
th
e co
re
com
po
nen
ts o
f th
e “L
ovi
ng
Su
pp
ort
© M
od
el”
are
met
.
Han
do
ut:
Ass
ess
me
nt
and
Pla
nn
ing
1:
“Lo
vin
g
Sup
po
rt©
Model”
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 1
: P
roje
ct O
verv
iew
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Re
sear
ch w
ith
WIC
Pro
gram
s
As
par
t o
f th
e o
rigi
nal
“U
sin
g Lo
vin
g S
up
po
rt©
to
Imp
lem
en
t B
est
Pra
ctic
es in
P
eer
Co
un
selin
g” p
roje
ct la
un
ched
in 2
00
4, r
ese
arch
was
co
nd
uct
ed t
o id
enti
fy
succ
ess
es
and
less
on
s le
arn
ed.
Mo
re t
han
12
5 in
-dep
th in
terv
iew
s w
ere
con
du
cted
wit
h W
IC p
rogr
ams
that
p
rovi
ded
pee
r co
un
selin
g p
rogr
ams,
th
ose
th
at d
id n
ot,
an
d t
ho
se w
ho
se
pro
gram
s h
ad b
een
dis
con
tin
ued
.
Inte
rvie
ws
wer
e co
nd
uct
ed w
ith
WIC
pee
r co
un
selo
rs, a
s w
ell
as n
on
-WIC
p
rogr
ams
that
pro
vid
e p
eer
co
un
selin
g se
rvic
es.
The
rese
arch
ph
ase
incl
ud
ed a
th
oro
ugh
rev
iew
of
all k
no
wn
cu
rric
ulu
m
pro
gram
s b
ein
g u
sed
in b
oth
WIC
an
d n
on
-WIC
set
tin
gs.
The
ob
ject
ive
s fo
r th
e re
sear
ch w
ere
to b
ette
r u
nd
erst
and
th
e p
ersp
ecti
ves
of
bo
th m
anag
emen
t an
d d
irec
t se
rvic
es s
taff
, an
d t
o le
arn
wh
at c
on
trib
ute
s to
th
e su
cce
ss a
nd
dem
ise
of
pee
r co
un
selin
g p
rogr
ams.
The
key
fin
din
gs f
rom
th
e re
sear
ch f
orm
ed t
he
bas
is o
f th
e FN
S “L
ovi
ng
Su
pp
ort
© M
od
el f
or
a Su
cce
ssfu
l Pe
er C
ou
nse
ling
Pro
gram
.”
Age
nci
es
Wit
h S
ucc
ess
ful P
rogr
ams
Age
nci
es t
hat
pro
vid
ed s
ucc
ess
ful p
eer
co
un
selin
g p
rogr
ams
had
sev
eral
fac
tors
th
at c
on
trib
ute
d t
o t
hei
r su
cces
s, in
clu
din
g:
Pro
gram
lead
ersh
ip a
nd
su
pp
ort
fro
m m
anag
emen
t an
d lo
cal W
IC s
taff
Ded
icat
ed s
up
erv
iso
rs a
nd
pro
gram
man
age
rs
Stan
dar
diz
ed t
rain
ing
pro
gram
s th
at in
clu
de
the
loca
l WIC
sta
ff
Fam
iliar
izin
g p
eer
co
un
selo
rs w
ith
WIC
issu
es
and
po
licie
s, a
nd
ed
uca
tin
g W
IC s
taff
on
bre
astf
eed
ing
sup
po
rt
Cle
ar g
uid
ance
on
sco
pe
of
pra
ctic
e an
d r
efer
ral n
etw
ork
s
Acc
ess
to
de
sign
ated
bre
astf
eed
ing
exp
erts
Ad
equ
ate
fun
din
g to
mai
nta
in t
he
pro
gram
Met
ho
ds
to r
etai
n p
eer
cou
nse
lors
fo
r p
rogr
am s
tab
ility
Age
nci
es
Wit
ho
ut
Pe
er
Co
un
selin
g P
rogr
ams
Am
on
g th
ose
age
nci
es
that
did
no
t o
ffer
pee
r co
un
selin
g p
rogr
ams,
co
mm
on
co
nce
rns
wer
e:
Hav
ing
staf
f to
man
age
the
pro
gram
Fin
din
g p
eer
cou
nse
lors
wit
hin
th
e co
mm
un
ity
Gai
nin
g su
pp
ort
nee
ded
am
on
g lo
cal s
taff
No
t h
avin
g a
trai
nin
g cu
rric
ulu
m
Forg
ing
par
tner
ship
s in
th
e co
mm
un
ity
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 1
: P
roje
ct O
verv
iew
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Age
nci
es
that
Dis
con
tin
ue
d P
ee
r C
ou
nse
ling
WIC
age
nci
es t
hat
had
dis
con
tin
ued
th
eir
pee
r co
un
selin
g p
rogr
ams
shar
ed
com
mo
n is
sue
s th
at c
on
trib
ute
d t
o t
hei
r d
emis
e:
Lack
of
fun
din
g to
su
stai
n t
he
pro
gram
Rel
yin
g o
n v
olu
nte
er p
eer
co
un
selo
rs w
ho
did
no
t st
ay w
ith
th
e p
rogr
am f
or
lon
g, c
ausi
ng
man
y is
sue
s w
ith
tu
rno
ver
Pro
gram
s th
at w
ere
imp
lem
en
ted
by
a si
ngl
e b
reas
tfee
din
g “c
ham
pio
n”
wit
ho
ut
full
bu
y-in
fro
m o
ther
WIC
sta
ff
Failu
re t
o t
rain
loca
l WIC
sta
ff t
o s
ecu
re b
uy-
in
Lack
of
syst
em
s in
pla
ce t
o t
rain
an
d s
up
ervi
se p
eer
cou
nse
lors
Lack
of
ded
icat
ed s
up
ervi
sors
sp
ecif
ical
ly f
ocu
sed
on
pro
vid
ing
men
tori
ng
and
ove
rsig
ht
to n
ew p
eer
co
un
selo
rs
Lack
of
refe
rral
sys
tem
s fo
r p
eer
co
un
selo
rs
Lack
of
con
sist
ent
con
tact
gu
idel
ines
fo
r re
ach
ing
ne
w m
oth
ers
Bre
astf
eed
ing
rate
s d
id n
ot
incr
ease
.
Dis
cuss
ion
: Sc
enar
io: W
IC a
gen
cy d
isco
nti
nu
ed it
s p
eer
pro
gram
du
e to
dif
ficu
lty
dev
oti
ng
the
1-2
ho
urs
/we
ek t
o s
up
ervi
se p
eer
co
un
selo
rs, b
reas
tfee
din
g ra
tes
did
no
t ch
ange
, an
d m
oth
ers
do
no
t ro
uti
nel
y ca
ll th
e p
eer
cou
nse
lors
, lea
din
g to
p
erce
pti
on
th
at t
he
pro
gram
is n
ot
wo
rkin
g.
20
11
WIC
Age
ncy
Fe
ed
bac
k
Feed
bac
k se
ssio
ns
wer
e co
nd
uct
ed w
ith
WIC
Sta
te a
nd
loca
l lea
der
s an
d s
taff
.
Exp
ert
pan
el:
con
du
cted
wit
h e
xper
ts in
eac
h F
NS
regi
on
Bes
t p
ract
ice
inte
rvie
ws:
wit
h 1
3 S
tate
an
d lo
cal a
gen
cie
s fr
om
all
FNS
regi
on
s
Surv
ey:
wit
h 9
Sta
te W
IC a
gen
cies
rep
rese
nti
ng
all F
NS
regi
on
s
Gen
eral
fe
edb
ack
fro
m p
ost
ings
to
WIC
-Tal
k an
d W
IC-B
F-N
ET
elec
tro
nic
list
serv
s an
d c
om
mu
nic
atio
ns
to F
NS
regi
on
al o
ffic
es
Fin
din
gs f
rom
th
is a
nd
Ph
ase
I stu
dy
con
firm
ed t
hat
th
e Lo
vin
g S
up
po
rt©
Mo
del
re
mai
ns
a st
ron
g fr
ame
wo
rk in
est
ablis
hin
g an
d e
xpan
din
g p
eer
pro
gram
s.
Ad
dit
ion
al f
ind
ings
fo
r m
anag
ing
pee
r co
un
selin
g p
rogr
ams:
Pro
vid
e m
ento
rin
g o
pp
ort
un
itie
s fo
r n
ew p
rogr
ams
Secu
re b
uy-
in f
rom
all
staf
f
Incl
ud
e o
ther
WIC
sta
ff b
eyo
nd
pee
r co
un
selo
rs
Esta
blis
h a
ref
erra
l net
wo
rk w
ith
IBC
LCs
for
hig
h-r
isk
pro
ble
ms
Wo
rk t
o b
uild
IBC
LC e
xper
tise
fro
m w
ith
in t
he
WIC
sta
ff
Pro
mo
te p
rogr
am s
ucc
esse
s an
d s
har
e b
est
pra
ctic
es
Ad
dit
ion
al r
eco
mm
end
atio
ns
for
pee
r co
un
selo
rs:
Trai
n p
eer
cou
nse
lors
on
th
eir
sco
pe
of
pra
ctic
e an
d r
ein
forc
e
Pro
vid
e o
ngo
ing
trai
nin
g an
d s
oci
al in
tera
ctio
n o
pp
ort
un
itie
s
Min
imiz
e p
aper
wo
rk a
nd
do
cum
enta
tio
n; i
ncl
ud
e e
lect
ron
ic o
pti
on
s
Dev
elo
p s
oci
al m
edia
gu
ide
lines
Esta
blis
h c
are
er p
ath
pro
gram
s
Trai
n p
eer
cou
nse
lors
to
pro
vid
e se
rvic
es in
loca
l ho
spit
als
Han
do
uts
: A
sses
smen
t an
d P
lan
nin
g 2
: En
han
cin
g Ex
isti
ng
Pee
r C
ou
nse
ling
Pro
gram
s A
sses
smen
t an
d P
lan
nin
g 3
: P
lan
nin
g a
New
Pe
er C
ou
nse
lor
Pro
gram
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 1
: P
roje
ct O
verv
iew
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Trai
nin
g fo
r M
anag
ers
“Lo
vin
g S
up
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey T
oge
ther
– f
or
WIC
M
anag
ers
” is
des
ign
ed f
or
Stat
e an
d lo
cal m
anag
emen
t st
aff.
The
curr
icu
lum
pro
vid
es
info
rmat
ion
on
ho
w t
o im
ple
men
t, s
ust
ain
, an
d e
xpan
d
pee
r co
un
selin
g p
rogr
ams
that
will
bes
t m
eet
th
e n
eed
s o
f W
IC p
arti
cip
ants
se
rved
by
the
agen
cy.
Trai
nin
g fo
r P
ee
r C
ou
nse
lors
“Lo
vin
g S
up
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey T
oge
ther
– F
or
Trai
nin
g W
IC P
eer
Co
un
selo
rs”
is t
he
trai
nin
g p
rogr
am f
or
WIC
pe
er c
ou
nse
lors
.
This
co
mp
eten
cy-b
ased
cu
rric
ulu
m is
de
sign
ed t
o h
elp
intr
od
uce
pee
r co
un
selo
rs t
o t
hei
r ro
le a
s p
art
of
the
WIC
tea
m s
up
po
rtin
g n
ew m
oth
ers,
an
d
to e
qu
ip t
hem
wit
h s
pec
ific
ski
lls in
co
un
selin
g an
d b
reas
tfe
edin
g m
anag
em
ent.
Teac
h p
eer
co
un
selo
rs t
hat
eac
h n
ew m
oth
er w
ill b
e im
pac
ted
by
a va
riet
y o
f p
eop
le w
ho
fo
rm a
“C
ircl
e o
f C
are”
to
su
rro
un
d n
ew f
amili
es
wit
h s
up
po
rt.
Pee
r co
un
selo
rs a
re a
vit
al p
art
of
this
imp
ort
ant
circ
le o
f ca
re.
The
them
e is
a r
emin
der
of
the
jou
rney
th
at W
IC a
gen
cies
, lo
cal s
taff
, an
d p
eer
cou
nse
lors
mak
e th
rou
gh p
eer
cou
nse
ling
pro
gram
s, a
nd
th
e p
erso
nal
jou
rney
p
eer
cou
nse
lors
tak
e as
th
ey g
row
new
ski
lls a
nd
bec
om
e p
art
of
the
WIC
tea
m.
Cu
rric
ula
Pac
kage
Bo
th c
urr
icu
la in
clu
de
Po
wer
Po
int
pre
sen
tati
on
s, h
and
ou
ts, v
ideo
an
d a
ud
io
clip
s, a
nd
co
mp
reh
ensi
ve f
acili
tato
r n
ote
s
Each
mo
du
le in
clu
des
sp
eake
r n
ote
s w
ith
inst
ruct
ion
s fo
r al
l act
ivit
ies,
idea
s fo
r al
tern
ativ
e w
ays
to c
on
du
ct a
ctiv
itie
s w
ith
var
ied
siz
ed a
ud
ien
ce g
rou
ps,
list
s o
f m
ater
ials
nee
ded
, an
d d
iscu
ssio
n q
ues
tio
ns.
The
enti
re s
et o
f m
ater
ials
is p
rovi
ded
in a
n e
lect
ron
ic f
orm
at a
nd
up
load
ed t
o
the
WIC
Wo
rks
Res
ou
rce
Syst
em.
Qu
est
ion
s
This
tra
inin
g is
des
ign
ed t
o p
rovi
de
pra
ctic
al s
olu
tio
ns
that
hav
e b
een
use
d in
o
ther
WIC
age
nci
es a
nd
are
co
nsi
der
ed m
od
els
for
succ
ess.
For
agen
cie
s b
egin
nin
g a
ne
w p
rogr
am, t
his
cu
rric
ulu
m a
nd
th
e “L
ovi
ng
Su
pp
ort
© M
od
el”
pro
vid
e a
fram
ew
ork
fo
r d
evel
op
ing
a re
sear
ch b
ased
p
rogr
am.
For
agen
cies
alr
ead
y in
volv
ed in
imp
lem
enti
ng
wid
esp
read
pee
r co
un
selin
g p
rogr
ams,
th
is c
urr
icu
lum
will
ass
ist
in t
rain
ing
new
Sta
te a
nd
loca
l ag
ency
man
age
men
t st
aff
and
exp
and
ing
pro
gram
s.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
Th
is p
ag
e in
ten
tio
na
lly b
lan
k
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 2
: P
eer
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Sect
ion
2:
Pe
er
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Sl
ide
M
ain
Me
ssag
es
Act
ivit
ies
and
Han
do
uts
Sect
ion
2:
Pe
er
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Hea
lth
y P
eop
le 2
02
0 s
pec
ifie
s n
atio
nal
hea
lth
ob
ject
ives
fo
r b
reas
tfe
edin
g in
itia
tio
n
and
du
rati
on
.
Bre
astf
eed
ing
rate
s am
on
g W
IC m
oth
ers
are
low
er t
han
th
e n
atio
nal
ave
rage
, wit
h
67
.5%
of
WIC
mo
ther
s in
itia
tin
g b
reas
tfe
edin
g co
mp
ared
to
84
.6%
of
mo
ther
s w
ho
ar
e n
ot
elig
ible
fo
r W
IC.
WIC
mo
ther
s co
nti
nu
e b
reas
tfee
din
g at
a r
ate
of
33
.7%
(6
mo
nth
s) a
nd
17
.5%
(1
2
mo
nth
s) c
om
par
ed t
o 5
4.2
% a
nd
27
.6%
am
on
g m
oth
ers
ine
ligib
le f
or
WIC
.
The
20
11
Su
rgeo
n G
ener
al’s
“C
all t
o A
ctio
n t
o S
up
po
rt B
reas
tfe
edin
g” c
alls
fo
r st
ren
gth
enin
g p
rogr
ams
that
incl
ud
e p
eer
cou
nse
ling
as a
n e
vid
ence
-bas
ed s
trat
egy.
Cre
ate
and
mai
nta
in a
su
stai
nab
le in
fras
tru
ctu
re f
or
mo
ther
-to
-mo
ther
su
pp
ort
pro
gram
s an
d f
or
pee
r co
un
selin
g p
rogr
ams
in h
osp
ital
s an
d
com
mu
nit
y h
ealt
h c
are
sett
ings
.
Esta
blis
h p
eer
cou
nse
ling
as a
co
re s
erv
ice
avai
lab
le t
o a
ll w
om
en in
WIC
.
5-y
ear
Vis
ion
fo
r P
ee
r C
ou
nse
ling
Mo
st W
IC S
tate
age
nci
es h
ave
sta
rted
or
enh
ance
d t
hei
r p
eer
co
un
selin
g p
rogr
ams
sin
ce t
he
init
ial f
un
din
g w
as m
ade
avai
lab
le in
20
04
.
Stat
e an
d lo
cal a
gen
cie
s w
ill w
ant
to e
xam
ine
the
ne
eds
in t
hei
r co
mm
un
ity
and
ag
ency
to
det
erm
ine
futu
re g
oal
s fo
r ex
pan
sio
n o
r p
rogr
am im
pro
vem
ents
.
Act
ivit
y: 5
-ye
ar V
isio
n
(Bri
ng
an o
bje
ct t
hat
rep
rese
nts
th
eir
5-
year
go
als
and
vis
ion
fo
r p
eer
cou
nse
ling)
Ask
eac
h p
arti
cip
ant
to g
ive
a o
ne-
min
ute
exp
lan
atio
n o
f th
e o
bje
ct t
hey
bro
ugh
t.
Dis
cuss
co
mm
on
th
em
es
W
ho
Are
Bre
astf
ee
din
g P
ee
r C
ou
nse
lors
?
Pee
r co
un
selo
rs a
re g
ener
ally
wo
men
in t
he
com
mu
nit
y w
ith
per
son
al b
reas
tfee
din
g ex
per
ien
ce w
ho
pro
vid
e in
form
atio
n a
nd
su
pp
ort
to
WIC
mo
ther
s.
Pee
r co
un
selo
rs h
elp
pre
ven
t an
d m
anag
e co
mm
on
bre
astf
eed
ing
con
cern
s an
d
bec
om
e a
valu
able
so
urc
e o
f su
pp
ort
an
d e
nco
ura
gem
ent
to m
oth
ers.
Pee
r co
un
selo
rs f
orm
imp
ort
ant
links
to
hea
lth
ser
vice
s in
th
e co
mm
un
ity.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 2
: P
eer
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
The
Po
we
r o
f M
oth
er-t
o-M
oth
er
Co
nn
ect
ion
It is
hu
man
nat
ure
to
see
k o
ut
peo
ple
wh
o s
har
e o
ur
exp
erie
nce
s.
Wo
men
, in
par
ticu
lar,
ten
d t
o d
eal w
ith
str
ess
by
talk
ing
abo
ut
it a
nd
oft
en s
eek
oth
er w
om
en w
ho
hav
e h
ad s
imila
r ex
per
ien
ces.
This
can
be
eve
n m
ore
imp
ort
ant
wh
en w
om
en f
ace
the
chal
len
ge o
f b
ein
g a
new
p
aren
t, e
spec
ially
fo
r th
e fi
rst
tim
e.
Res
earc
h w
ith
WIC
mo
ther
s h
as s
ho
wn
th
at w
om
en v
alu
e th
ree
pri
mar
y so
urc
es o
f in
flu
ence
in m
akin
g th
eir
infa
nt
feed
ing
dec
isio
ns:
Thei
r o
wn
mo
ther
Tru
sted
fri
end
s
Thei
r o
wn
intu
itio
n
Wh
en w
om
en d
o n
ot
hav
e su
pp
ort
fro
m im
po
rtan
t p
eop
le in
th
eir
live
s, t
hey
can
fe
el d
isco
ura
ged
an
d d
isco
nti
nu
e b
reas
tfee
din
g.
Pee
r co
un
selo
rs c
an h
elp
ove
rco
me
infl
uen
ces
that
en
cou
rage
fo
rmu
la u
se.
Vid
eo
: Su
pp
ort
/Pee
r Su
pp
ort
/Pee
r C
ou
nse
lors
P
eer
Co
un
selo
rs
Mak
ing
a D
iffe
ren
ce:
Fo
r M
om
s
Pee
r co
un
selo
rs a
re in
a p
ivo
tal p
osi
tio
n o
f tr
ust
wit
h n
ew m
oth
ers;
th
ey a
re
som
eon
e w
ith
wh
om
mo
ther
s ca
n r
elat
e an
d f
eel c
om
fort
able
sh
arin
g co
nce
rns.
They
se
rve
as a
mo
de
l fo
r w
hat
bre
astf
eed
ing
can
be
like.
They
hel
p m
oth
ers
pre
ven
t an
d m
anag
e co
mm
on
pro
ble
ms.
Pee
r co
un
selo
rs d
o n
ot
rep
lace
th
e ca
re o
f o
ther
hea
lth
car
e p
rofe
ssio
nal
s.
Stu
die
s sh
ow
th
at a
wo
man
’s a
bili
ty t
o in
itia
te a
nd
su
sta
in b
reas
tfee
din
g is
str
on
gly
infl
uen
ced
by
the
com
mu
nit
y in
wh
ich
sh
e liv
es
and
her
so
cial
net
wo
rk.
Pee
r co
un
selo
rs a
re d
isti
nct
ive
fro
m h
ealt
h c
are
pro
fess
ion
als,
eve
n if
th
ey a
re a
lso
m
oth
ers.
Pee
r co
un
selo
rs r
ein
forc
e b
reas
tfe
edin
g re
com
men
dat
ion
s b
y h
eal
th c
are
pro
fess
ion
als
in a
so
cial
ly a
nd
cu
ltu
rally
ap
pro
pri
ate
con
text
.
This
asp
ect
of
lay
sup
po
rt f
or
no
rmal
izin
g b
reas
tfe
edin
g co
ntr
ibu
tes
to in
crea
ses
in
bre
astf
eed
ing
rate
s.
Mak
ing
a D
iffe
ren
ce:
Fo
r W
IC A
gen
cie
s
Pee
r co
un
selo
rs a
re a
val
uab
le p
art
of
the
WIC
te
am, m
akin
g re
ferr
als
to W
IC
and
pro
mo
tin
g b
reas
tfee
din
g su
pp
ort
ava
ilab
le in
th
e W
IC P
rogr
am.
As
an a
dju
nct
to
th
e b
reas
tfee
din
g su
pp
ort
off
ered
at
WIC
, pee
r co
un
selo
rs
exte
nd
th
e ca
re o
f lo
cal W
IC c
linic
sta
ff s
ince
th
ey m
ay h
ave
th
e ti
me
to d
elve
m
ore
dee
ply
into
th
e b
arri
ers
and
issu
es o
f n
ew m
om
s.
Pee
r co
un
selo
rs a
re a
vaila
ble
to
WIC
mo
ther
s b
eyo
nd
th
e u
sual
clin
ic h
ou
rs
and
ou
tsid
e th
e W
IC c
linic
en
viro
nm
ent.
Th
ey e
xten
d W
IC b
reas
tfe
edin
g se
rvic
es t
o t
he
tim
es w
hen
mo
ther
s n
eed
it m
ost
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 2
: P
eer
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Mak
ing
a D
iffe
ren
ce:
Fo
r P
ee
r C
ou
nse
lors
Som
e W
IC p
eer
cou
nse
lors
say
th
eir
wo
rk a
s a
pee
r co
un
selo
r h
as t
ran
sfo
rmed
th
eir
imag
e o
f th
emse
lve
s an
d, t
her
efo
re, t
ran
sfo
rmed
th
eir
live
s.
For
man
y, it
may
be
thei
r fi
rst
pai
d jo
b.
Pee
r co
un
selo
rs le
arn
job
ski
lls a
nd
wh
at it
mea
ns
to w
ork
as
par
t o
f a
hea
lth
car
e te
am. T
hey
incr
ease
kn
ow
led
ge a
bo
ut
bre
astf
eed
ing,
wh
ich
hel
ps
in t
hei
r o
wn
life
as
wel
l as
the
lives
of
mo
ther
s th
ey h
elp
Pee
r co
un
selo
rs h
ave
rep
ort
ed
th
at t
hei
r o
wn
per
son
al b
reas
tfe
edin
g d
ura
tio
n is
le
ngt
hen
ed a
s th
ey le
arn
mo
re a
bo
ut
the
imp
ort
ance
of
bre
astf
eed
ing,
an
d a
s th
ey
enjo
y th
e su
pp
ort
fo
r b
reas
tfe
edin
g w
ith
in t
he
WIC
Pro
gra
m
Pe
er
Co
un
selin
g W
OR
KS
A s
yste
mat
ic r
evi
ew o
f p
eer
sup
po
rt p
rogr
ams
sho
ws
that
pee
r co
un
selo
rs h
ave
a si
gnif
ican
t ef
fect
on
incr
easi
ng
rate
s o
f b
reas
tfee
din
g in
itia
tio
n, d
ura
tio
n, a
nd
ex
clu
sivi
ty.
This
eff
ect
is e
spec
ially
no
tice
able
am
on
g lo
w-i
nco
me
po
pu
lati
on
s se
rved
by
WIC
.
The
U.S
. Pre
ven
tive
Tas
k Fo
rce
pro
vid
ed a
met
a-an
alys
is o
f 3
8 r
and
om
ized
co
ntr
ol
trai
ls t
hat
met
th
eir
stu
dy
crit
eria
of
bre
astf
eed
ing
inte
rven
tio
ns.
Th
ey c
on
clu
ded
th
at la
y su
pp
ort
inte
rven
tio
ns
that
incl
ud
e p
eer
sup
po
rt s
ign
ific
antl
y in
crea
se t
he
rate
of
any
bre
astf
eed
ing
by
22
%, a
nd
exc
lusi
ve b
reas
tfee
din
g b
y 6
5%
.
Pee
r co
un
selin
g p
rogr
ams
are
a k
ey s
trat
egy
to e
nh
ance
WIC
an
d c
om
mu
nit
y b
reas
tfee
din
g p
rom
oti
on
inte
rven
tio
ns
to in
crea
se b
reas
tfe
edin
g su
pp
ort
fo
r W
IC
mo
ther
s.
Han
do
ut:
A
ctiv
ity
Wo
rksh
eet
2:
Res
earc
h o
n
Pee
r Su
pp
ort
Pro
gram
s A
ctiv
ity:
Re
sear
ch
(Re
vie
win
g re
sear
ch b
rief
s ab
ou
t p
eer
cou
nse
ling)
Ask
eac
h s
mal
l gro
up
or
pai
r to
rev
iew
a r
ese
arch
ab
stra
ct
and
dev
elo
p a
tru
e/fa
lse
qu
esti
on
.
Qu
iz t
he
rest
of
the
gro
up
.
Dis
cuss
an
swer
s.
Val
ue
of
Sup
po
rt
Bar
rier
s to
bre
astf
eed
ing
exc
lusi
vity
an
d d
ura
tio
n a
re w
ell d
ocu
men
ted
in t
he
rese
arch
.
Co
mm
on
th
eme
s: p
erce
ived
lack
of
milk
, pai
n, d
iffi
cult
ies
gett
ing
bab
y to
latc
h,
retu
rnin
g to
wo
rk o
r sc
ho
ol,
lack
of
edu
cati
on
an
d s
up
po
rt, l
ack
of
con
fid
ence
.
Low
-in
com
e w
om
en a
re p
arti
cula
rly
vuln
erab
le t
o b
reas
tfe
edin
g b
arri
ers.
Pee
r co
un
selin
g se
rvic
es
may
hel
p o
verc
om
e th
e n
ega
tive
infl
uen
ces
of
tho
se w
ho
en
cou
rage
fo
rmu
la u
se.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 2
: P
eer
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Sho
wca
se:
Mar
ylan
d W
IC
“Sh
ow
case
s” a
re b
ased
on
inte
rvie
ws
wit
h v
arie
ty o
f W
IC a
gen
cie
s an
d in
clu
des
id
eas
and
su
gge
stio
ns
for
pee
r co
un
selin
g ac
tivi
tie
s to
be
con
sid
ered
.
Mar
ylan
d W
IC c
on
du
cted
a f
orm
al s
tud
y o
f th
e im
pac
t o
f p
eer
co
un
selo
rs in
in
crea
sin
g b
reas
tfee
din
g ra
tes,
an
d f
ou
nd
th
at p
eer
cou
nse
ling
pro
gram
s ar
e p
arti
cula
rly
effe
ctiv
e in
rea
chin
g th
e m
ost
eco
no
mic
ally
vu
lner
able
wo
men
.
Mar
ylan
d W
IC u
ses
FNS
stan
dar
diz
ed t
rain
ing
pro
gram
an
d p
rob
atio
nar
y p
erio
d o
f m
ento
rin
g an
d o
bse
rvat
ion
. P
eer
cou
nse
lors
mak
e co
nta
cts
up
on
ref
erra
l, w
ith
m
ore
fre
qu
ent
con
tact
s cl
ose
to
du
e d
ate
and
ear
ly p
ost
par
tum
per
iod
.
Res
ult
s o
f th
e st
ud
y sh
ow
ed t
hat
mo
ther
s in
pee
r co
un
selin
g ag
enci
es
wer
e m
ore
lik
ely
to b
reas
tfee
d c
om
par
ed w
ith
th
ose
in t
he
“sta
nd
ard
car
e” g
rou
ps
rece
ivin
g b
asic
ed
uca
tio
n a
nd
su
pp
ort
fro
m W
IC s
taff
.
WIC
par
tici
pan
ts w
ho
are
exc
lusi
vely
bre
astf
eed
ing
are
mo
re li
kely
to
wai
t 3
0 d
ays
afte
r b
aby’
s b
irth
to
bec
om
e ce
rtif
ied
; ho
we
ver,
th
ose
wit
h p
eer
cou
nse
lor
sup
po
rt
are
mo
re li
kely
to
cer
tify
wit
hin
14
day
s.
Sho
wca
se:
Te
xas
WIC
The
Texa
s W
IC p
rogr
am, w
hic
h h
as h
ad a
lon
g-st
and
ing
pee
r su
pp
ort
pro
gram
, has
b
een
co
llect
ing
dat
a o
n t
he
effe
ctiv
enes
s o
f p
eer
co
un
selin
g fo
r m
any
year
s. S
tate
d
ata
con
sist
entl
y sh
ow
s an
ass
oci
atio
n b
etw
een
hav
ing
pe
er
cou
nse
lors
an
d
incr
ease
s in
bo
th in
itia
tio
n a
nd
du
rati
on
.
Texa
s 2
00
9 s
urv
ey d
ata
ind
icat
e:
Mo
ther
s w
ho
met
wit
h a
pee
r co
un
selo
r d
uri
ng
pre
gnan
cy h
ad a
n in
itia
tio
n
rate
of
74
.5%
, wit
h 4
3.4
% c
on
tin
uin
g to
bre
astf
eed
pas
t 3
mo
nth
s, a
nd
15
.9%
b
reas
tfee
din
g ex
clu
sive
ly t
o 3
mo
nth
s.
Init
iati
on
was
80
.2%
am
on
g m
oth
ers
wh
o r
ece
ived
a v
isit
fro
m t
hei
r p
eer
cou
nse
lor
in t
he
ho
spit
al, w
ith
55
.7%
of
the
se m
oth
ers
bre
astf
eed
ing
pas
t 3
m
on
ths
and
19
.4%
exc
lusi
vely
bre
astf
eed
ing
to 3
mo
nth
s.
Sho
wca
se:
Ne
w Y
ork
WIC
New
Yo
rk W
IC h
as a
n e
xten
sive
pee
r co
un
selin
g p
rogr
am in
wh
ich
10
0%
of
thei
r lo
cal
agen
cie
s h
ave
pee
r co
un
selo
rs.
Thei
r 2
00
9 s
urv
ey s
ho
wed
:
72
% o
f p
eer
co
un
selo
rs w
ork
ou
tsid
e re
gula
r cl
inic
ho
urs
.
42
% o
f th
e ag
enci
es
hav
e p
eer
cou
nse
lors
vis
itin
g m
om
s in
th
e h
osp
ital
.
28
% o
f ag
enci
es
allo
w p
eer
cou
nse
lors
to
mak
e h
om
e vi
sits
.
The
bre
astf
eed
ing
rate
s ar
e si
gnif
ican
tly
hig
her
am
on
g w
om
en w
ho
re
ceiv
e c
are
fro
m a
pee
r co
un
selo
r.
In 2
01
0, 7
2.4
% o
f al
l WIC
wo
men
init
iate
d b
reas
tfe
edin
g, w
het
her
or
no
t th
ey h
ad a
p
eer
cou
nse
lor.
Ho
we
ver,
th
e in
itia
tio
n r
ate
was
86
% a
mo
ng
mo
ther
s w
ho
rec
eive
d
care
fro
m a
pee
r co
un
selo
r.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 2
: P
eer
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Sho
wca
se:
Cal
ifo
rnia
WIC
The
Cal
ifo
rnia
Pu
blic
Hea
lth
Fo
un
dat
ion
En
terp
rise
s (P
HFE
) W
IC in
itia
ted
a p
eer
cou
nse
lor
pro
gram
in S
ou
ther
n C
alif
orn
ia in
20
05
.
Six
mo
nth
ave
rage
s fo
r ex
clu
sive
bre
astf
eed
ing
wer
e h
igh
er in
sit
es w
ith
pee
r co
un
selo
rs c
om
par
ed t
o s
ites
pro
vid
ing
usu
al c
are.
The
Vo
ice
of
WIC
Mo
ms
The
succ
ess
of
pee
r co
un
selin
g p
rogr
ams
can
be
mea
sure
d in
rat
es o
f b
reas
tfe
edin
g,
as w
ell
as in
th
e liv
es
of
WIC
par
tici
pan
ts t
hem
selv
es.
WIC
par
tici
pan
ts’ b
reas
tfee
din
g ex
per
ien
ces
may
dra
mat
ical
ly c
han
ge b
ecau
se a
p
eer
cou
nse
lor
was
th
ere
for
them
wh
en t
hey
nee
ded
it m
ost
.
Han
do
ut:
A
ctiv
ity
Wo
rksh
eet
1:
The
Vo
ice
of
WIC
M
om
s A
ctiv
ity:
Th
e V
oic
e o
f W
IC M
om
s (Q
uo
tes
fro
m p
eer
cou
nse
lors
)
Cu
t th
e q
uo
tes
fro
m A
ctiv
ity
Wo
rksh
eet
1 in
to s
trip
s.
Div
ide
the
qu
ote
s am
on
gst
par
tici
pan
ts.
Rea
d s
elec
ted
co
mm
ents
al
ou
d a
nd
dis
cuss
.
Vid
eo
: Su
pp
ort
/Pee
r Su
pp
ort
W
IC P
eer
Co
un
selo
rs
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
Th
is p
ag
e in
ten
tio
na
lly b
lan
k
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 3
: P
rogr
am P
lan
nin
g
Sect
ion
3:
Pro
gram
Pla
nn
ing
Sl
ide
M
ain
Me
ssag
es
Act
ivit
ies
and
Han
do
uts
Pro
gram
Pla
nn
ing
Succ
ess
ful p
eer
cou
nse
ling
pro
gram
s d
o n
ot
just
“h
app
en.”
Th
ey o
ccu
r w
hen
St
ate
and
loca
l age
nci
es
pla
n f
or
succ
ess
by
asse
mb
ling
a su
pp
ort
ive
team
an
d
fash
ion
ing
a p
rogr
am t
hat
ad
dre
sse
s th
e n
eed
s o
f W
IC m
oth
ers
and
su
pp
ort
of
pee
r co
un
selo
rs.
Stat
e ag
enci
es a
re r
equ
ired
to
dev
elo
p im
ple
men
tati
on
pla
ns
dem
on
stra
tin
g al
l o
f th
e co
mp
on
ents
of
the
“Lo
vin
g S
up
po
rt©
Mo
del
” ar
e in
pla
ce.
Per
iod
ical
ly r
evi
siti
ng
pla
ns
he
lps
agen
cies
re
-id
enti
fy g
oal
s an
d o
bje
ctiv
es a
nd
d
etai
led
pla
ns,
str
ateg
ies,
an
d a
ctio
ns
to a
chie
ve t
hem
.
This
sec
tio
n e
xam
ine
s re
sear
ched
bes
t p
ract
ice
s fo
r a
succ
ess
ful p
rogr
am.
Ass
em
blin
g th
e T
eam
Pro
gram
s th
at r
un
sm
oo
thly
hav
e d
esi
gnat
ed p
osi
tio
ns
for
pee
r co
un
selo
r p
rogr
am o
vers
igh
t at
bo
th t
he
Stat
e an
d lo
cal l
eve
ls.
A d
esig
nat
ed p
osi
tio
n m
ean
s th
at p
osi
tio
ns
are
esta
blis
hed
wit
h s
pec
ific
re
spo
nsi
bili
tie
s fo
r p
rogr
am o
vers
igh
t, a
nd
th
e p
erso
ns
in t
ho
se p
osi
tio
ns
hav
e th
e ex
pre
ss r
esp
on
sib
ility
fo
r th
at o
vers
igh
t.
Wh
en p
oss
ible
, FN
S h
igh
ly r
eco
mm
end
s th
at t
he
pro
gram
be
coo
rdin
ated
by
a d
esig
nat
ed c
oo
rdin
ato
r ra
ther
th
an s
taff
wit
h o
ther
du
ties
.
Des
ign
ated
po
siti
on
s h
elp
ass
ure
po
licie
s ar
e b
ein
g fo
llow
ed
an
d n
eed
s ar
e m
et.
The
amo
un
t o
f ti
me
nee
ded
dep
end
s o
n n
um
ber
of
pe
er c
ou
nse
lors
, jo
b
sett
ings
, an
d o
ther
fac
tors
.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: FN
S Lo
vin
g
Sup
po
rt©
Mo
del
Jo
b D
escr
ipti
on
1:
Loca
l WIC
Age
ncy
Pee
r C
ou
nse
lor
Co
ord
inat
or/
Sup
ervi
sor
Job
Des
crip
tio
n 2
: St
ate
WIC
Pee
r C
ou
nse
lor
Co
ord
inat
or/
Man
ager
Ro
le o
f th
e S
tate
Off
ice
The
Stat
e o
ffic
e p
rovi
de
s o
vera
rch
ing
sup
po
rt b
y
Esta
blis
hin
g d
esig
nat
ed p
osi
tio
ns.
Hel
p w
ith
pla
nn
ing
a n
ew p
rogr
am o
r ex
pan
din
g an
exi
stin
g o
ne.
Shar
ing
bes
t p
ract
ice
s fr
om
oth
er a
gen
cie
s.
Giv
es g
uid
ance
on
ho
w t
o b
ud
get.
Secu
res
and
pro
vid
es r
eso
urc
es a
nd
fu
nd
ing,
an
d m
on
ito
rs t
he
bu
dge
t.
Pro
vid
es
trai
nin
g.
Pro
vid
ing
ove
rsig
ht.
Pro
vid
ing
sup
po
rt a
nd
gu
idan
ce t
o lo
cal a
gen
cies
.
Esta
blis
he
s st
and
ard
ized
po
licie
s to
ass
ure
th
e “L
ovi
ng
Su
pp
ort
©
Mo
del
” is
bei
ng
follo
wed
an
d a
gen
cie
s h
ave
the
sup
po
rt t
hey
nee
d.
Bei
ng
avai
lab
le f
or
tech
nic
al s
up
po
rt.
Res
earc
h s
ho
ws
that
Sta
te o
ffic
e su
pp
ort
/sta
nd
ard
s im
pro
ve c
han
ce o
f su
cce
ss.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 3
: P
rogr
am P
lan
nin
g
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Sho
wca
se:
Mic
hig
an W
IC/M
SU E
xte
nsi
on
Co
llab
ora
tio
n
Mic
hig
an W
IC c
olla
bo
rate
s w
ith
Mic
hig
an S
tate
Un
iver
sity
(M
SU)
Exte
nsi
on
.
WIC
fin
anci
ally
su
pp
ort
s th
e p
eer
cou
nse
ling
pro
gram
, in
clu
din
g a
po
rtio
n o
f th
e sa
lary
fo
r th
e M
SU p
eer
coo
rdin
ato
r, p
rovi
din
g tr
ain
ing,
an
d p
ays
sala
rie
s fo
r IB
CLC
s w
ho
acc
ept
refe
rral
s an
d p
rovi
de
pee
r m
ento
rin
g.
MSU
man
ages
th
e d
ay-t
o-d
ay o
per
atio
ns
by
hir
ing
and
su
per
visi
ng
pee
r co
un
selo
rs a
s M
SU e
mp
loye
es.
Pee
r co
un
selo
rs:
Mak
e h
om
e vi
sits
to
WIC
par
tici
pan
ts e
nro
lled
in t
he
Exte
nsi
on
P
rogr
am.
Wo
rk c
olla
bo
rati
vely
in t
he
com
mu
nit
y.
Are
co
vere
d u
nd
er t
he
MSU
liab
ility
pla
n a
nd
gen
ero
us
ben
efit
p
acka
ge.
Sho
wca
se:
Cal
ifo
rnia
WIC
Pro
gram
Me
nto
rin
g
The
Cal
ifo
rnia
WIC
Sta
te A
gen
cy h
as e
stab
lish
ed a
pee
r su
pp
ort
men
tori
ng
pro
gram
to
allo
w a
gen
cies
wit
h m
ore
exp
erie
nce
to
men
tor
agen
cie
s ju
st
beg
inn
ing
or
exp
and
ing
pro
gram
s.
“Sta
r” a
gen
cie
s w
ith
su
cce
ssfu
l pro
gram
s ar
e id
enti
fied
an
d s
erve
as
men
tors
.
Du
rin
g m
anag
em
ent
trai
nin
g, “
star
” ag
enci
es
atte
nd
wit
h n
ew a
gen
cie
s to
sh
are
succ
ess
es,
an
swer
qu
esti
on
s, a
nd
bu
ild r
elat
ion
ship
s.
Follo
win
g th
e tr
ain
ing,
new
age
nci
es
visi
t th
eir
“sta
r” a
gen
cy a
nd
th
e m
ento
rin
g ag
ency
vis
its
the
ne
w a
gen
cy t
o p
rovi
de
guid
ance
an
d a
ssis
tan
ce.
On
goin
g co
nta
cts
and
co
mm
un
icat
ion
occ
ur
for
up
to
six
mo
nth
s.
Ro
le o
f th
e L
oca
l Age
ncy
The
loca
l age
ncy
imp
lem
ents
th
e p
eer
cou
nse
ling
pro
gram
in t
he
follo
win
g w
ays:
Des
ign
ate
per
son
nel
to
co
ord
inat
e th
e p
rogr
am a
nd
su
per
vise
sta
ff.
Iden
tify
a W
IC d
esig
nat
ed b
reas
tfe
edin
g ex
per
t fo
r ea
ch lo
cal c
linic
.
Pro
mo
te t
he
pro
gram
wit
h W
IC p
arti
cip
ants
an
d t
he
com
mu
nit
y.
Rec
ruit
an
d h
ire
staf
f.
Pro
vid
e d
ay-t
o-d
ay s
up
ervi
sio
n.
Enga
ge c
om
mu
nit
y p
artn
ers.
Rep
ort
req
uir
ed d
ata.
A d
esig
nat
ed c
oo
rdin
ato
r m
ay b
e h
ired
to
man
age
the
pro
gram
at
the
loca
l le
vel.
Th
is p
erso
n is
oft
en a
WIC
loca
l age
ncy
bre
astf
eed
ing
coo
rdin
ato
r, p
eer
cou
nse
ling
coo
rdin
ato
r, n
utr
itio
nis
t, o
r la
ctat
ion
co
nsu
ltan
t.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 3
: P
rogr
am P
lan
nin
g
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pro
mo
tin
g th
e P
rogr
am w
ith
Lo
cal A
gen
cie
s
Mo
st W
IC a
gen
cie
s b
elie
ve it
is c
ruci
al t
o b
uild
bu
y-in
an
d s
up
po
rt f
rom
loca
l W
IC s
taff
bef
ore
beg
inn
ing
a n
ew p
eer
cou
nse
ling
pro
gram
. D
iscu
ss:
Imp
ort
ance
of
pee
r co
un
selin
g in
incr
easi
ng
bre
astf
eed
ing
rate
s an
d
pro
vid
ing
sup
po
rt t
o W
IC p
arti
cip
ants
.
Way
s to
su
pp
ort
pee
r co
un
selo
rs t
o k
eep
th
em e
nga
ged
.
Fed
eral
an
d S
tate
req
uir
em
ents
, in
clu
din
g “L
ovi
ng
Su
pp
ort
© M
od
el”
Loca
l age
ncy
or
clin
ic p
olic
ies
that
en
sure
su
cces
s.
Met
ho
ds
for
assu
rin
g th
at p
eer
cou
nse
lors
will
be
pai
d in
a t
imel
y w
ay.
Ad
dre
ss k
ey b
arri
ers,
incl
ud
ing:
Co
nce
rns
ove
r co
nti
nu
ed f
un
din
g.
Lack
of
staf
f fo
r ad
min
iste
rin
g th
e p
rogr
am.
Lack
of
kno
wle
dge
ab
ou
t h
ow
to
imp
lem
ent
a p
rogr
am.
Nee
d f
or
app
rova
l fro
m c
ou
nty
co
mm
issi
on
ers
or
bo
ard
of
hea
lth
.
Lack
of
com
fort
wit
h a
nd
kn
ow
led
ge a
bo
ut
sup
ervi
sio
n o
f p
arap
rofe
ssio
nal
sta
ff.
Lack
of
kno
wle
dge
ab
ou
t th
e im
po
rtan
ce o
f b
reas
tfe
edin
g.
Pee
r su
pp
ort
pro
gram
s ar
e an
en
han
cem
ent
to t
he
team
by
exp
and
ing
bre
astf
eed
ing
pro
gram
ser
vice
s.
Re
sou
rce
: P
ow
erP
oin
t p
rese
nta
tio
n, “
Pe
er
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC
Fam
ilies
” A
ctiv
ity:
Dis
cuss
ion
(S
cen
ario
: pro
mo
tin
g a
pro
gram
wit
h a
lo
cal a
gen
cy t
hat
is n
ot
inte
rest
ed in
pee
r co
un
selin
g)
Ask
tra
inee
s to
imag
ine
the
scen
ario
an
d id
enti
fy p
ote
nti
al
bar
rier
s an
d s
take
ho
lder
s to
ap
pro
ach
.
Dis
cuss
info
rmat
ion
an
d
app
roac
hes
to
sh
are
wit
h
man
agem
ent
to c
on
vin
ce t
he
m
of
the
nee
d f
or
a p
eer
cou
nse
ling
pro
gram
.
Age
ncy
Re
com
me
nd
atio
ns
Exp
and
slo
wly
, tak
ing
tim
e to
wo
rk o
ut
kin
ks b
efo
re w
ides
pre
ad
imp
lem
enta
tio
n.
Exp
and
fir
st t
o a
gen
cies
mo
st e
ager
to
beg
in p
eer
co
un
selin
g.
Use
su
cces
sfu
l lo
cal a
gen
cies
as
mo
del
s to
sh
ow
ho
w t
he
pro
gram
can
wo
rk.
Ap
pro
ach
up
per
man
agem
ent
firs
t to
gai
n b
uy-
in.
Imp
rove
fis
cal m
anag
em
ent
staf
f fr
om
th
e b
egin
nin
g.
Shar
e b
est
pra
ctic
es a
mo
ng
oth
er a
gen
cie
s.
Sho
w t
he
his
tory
of
succ
ess
wit
h p
eer
cou
nse
ling.
Trai
nin
g is
cri
tica
l.
Rem
emb
er it
tak
es t
ime
to b
uild
a n
ew p
rogr
am.
Be
pat
ien
t an
d t
alk
wit
h
oth
ers
to le
arn
fro
m t
hei
r su
cces
ses.
Wat
ch t
he
pro
gram
blo
sso
m.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 3
: P
rogr
am P
lan
nin
g
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Co
nd
uct
ing
a N
ee
ds
Ass
ess
me
nt
Co
nsi
der
sta
ff n
eed
s, a
vaila
ble
res
ou
rce
s, n
eed
s o
f W
IC p
arti
cip
ants
, an
d g
aps
in
serv
ices
wit
hin
bo
th W
IC a
nd
th
e co
mm
un
ity.
Thin
gs t
o c
on
sid
er:
Iden
tify
nee
ds
of
the
targ
et p
op
ula
tio
n o
f W
IC m
oth
ers
Ass
ess
gen
eral
co
mm
un
ity
sup
po
rt a
nd
res
ou
rces
Co
nsi
der
ava
ilab
ility
of
bas
elin
e d
ata
that
can
be
use
d t
o e
valu
ate
the
pro
gram
’s s
ucc
ess
at
the
Stat
e an
d/o
r lo
cal l
evel
s.
Sho
wca
se:
Cal
ifo
rnia
Co
mm
un
ity
Ass
ess
me
nt
Cal
ifo
rnia
WIC
has
dev
elo
ped
a m
od
el a
sse
ssm
ent
pro
gram
in w
hic
h a
gen
cie
s es
tab
lish
ing
pee
r co
un
selin
g p
rogr
ams
mu
st id
enti
fy t
hei
r p
rogr
ess
at a
chie
vin
g ev
iden
ce-b
ased
pra
ctic
es b
ased
on
inte
rnal
ind
icat
ors
an
d e
xter
nal
gap
s in
co
mm
un
ity
serv
ice
s.
Cal
ifo
rnia
Co
mm
un
ity
Ass
ess
men
t Fo
rms
wer
e d
evel
op
ed b
y th
e U
niv
ersi
ty o
f C
alif
orn
ia-D
avis
Lac
tati
on
Cen
ter
as s
elf-
an
d c
om
mu
nit
y ap
pra
isal
to
ols
.
In C
alif
orn
ia, b
efo
re lo
cal a
gen
cies
rec
eive
fu
nd
ing
fro
m t
he
Stat
e to
beg
in o
r co
nti
nu
e p
eer
cou
nse
ling
pro
gram
s, t
hey
mu
st c
om
ple
te t
he
Co
mm
un
ity
Ass
essm
ent
Form
.
On
ce g
aps
are
iden
tifi
ed t
he
loca
l age
ncy
mu
st d
eve
lop
a p
lan
to
sh
ow
ho
w
thei
r p
rogr
am s
tru
ctu
re w
ill a
dd
ress
th
e id
enti
fied
ne
eds.
Reg
ion
al B
reas
tfee
din
g Li
aiso
ns
(RB
Ls)
[pai
d t
hro
ugh
NSA
fu
nd
ing]
are
hir
ed t
o
wo
rk in
th
e co
mm
un
ity
to a
dd
ress
gap
s an
d p
rom
ote
th
e p
eer
cou
nse
ling
pro
gram
.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 4
: C
alif
orn
ia
Co
mm
un
ity
Exte
rnal
Ass
ess
men
t Fo
rm
Ass
essm
ent
and
Pla
nn
ing
5:
Cal
ifo
rnia
C
om
mu
nit
y In
tern
al A
sse
ssm
ent
Form
Pro
gram
Co
sts
Man
agem
ent
cost
s m
ay in
clu
de:
Wag
ers
for
pro
gram
co
ord
inat
ors
, su
per
viso
rs, a
nd
tra
iner
s.
Pro
gram
mat
eria
ls a
nd
do
cum
enta
tio
n f
orm
s.
Pee
r co
un
selin
g co
sts
may
incl
ud
e:
Wag
es a
nd
tra
vel r
eim
bu
rse
men
ts.
Cel
l ph
on
es, t
ext
me
ssag
ing
pla
ns,
an
d o
ther
ele
ctro
nic
ser
vice
s.
Trai
nin
g m
ater
ials
an
d e
du
cati
on
al r
eso
urc
es.
Bu
dge
ts v
ary
dep
end
ing
on
man
y fa
cto
rs, i
ncl
ud
ing
geo
grap
hic
set
tin
g, #
of
pe
er
cou
nse
lors
nee
ded
, eq
uip
me
nt
nee
ded
, ava
ilab
ility
of
IBC
LCs,
pra
ctic
e se
ttin
gs,
do
cum
enta
tio
n a
nd
dat
a se
rvic
es n
eed
ed, a
nd
tra
inin
g n
eed
s.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 3
: P
rogr
am P
lan
nin
g
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pay
ing
Pe
er
Co
un
selo
rs
Pay
ing
pee
r co
un
selo
rs (
and
do
ing
so in
a t
imel
y m
ann
er)
is in
stru
men
tal t
o
rete
nti
on
an
d o
vera
ll su
stai
nab
ility
of
the
pro
gram
.
Pay
ing
pee
r co
un
selo
rs a
ttra
cts
qu
alif
ied
can
did
ates
, co
mm
un
icat
es t
he
valu
e o
f th
e p
osi
tio
n, g
ain
s fu
ll d
edic
atio
n a
nd
co
mm
itm
ent
fro
m p
eer
co
un
selo
rs, a
nd
im
pro
ves
rete
nti
on
. It
als
o le
giti
miz
es
the
role
of
pee
r co
un
selo
rs w
ith
in t
he
WIC
sys
tem
.
WIC
age
nci
es t
hat
fo
rmer
ly u
sed
vo
lun
teer
po
siti
on
s h
ad e
xtre
me
ly h
igh
tu
rno
ver
rate
s. M
any
felt
th
at n
ot
pay
ing
pee
r co
un
selo
rs s
ent
a m
essa
ge t
o
WIC
sta
ff t
hat
th
e jo
b is
no
t im
po
rtan
t, le
adin
g to
dis
con
tin
uit
y o
f ca
re a
nd
se
rvic
es a
nd
an
ult
imat
e d
emis
e o
f th
e p
rogr
am.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: FN
S Lo
vin
g
Sup
po
rt©
Mo
del
Typ
ical
Pe
er
Co
un
selo
r W
age
s
The
pee
r co
un
selin
g P
has
e I s
tud
y fo
un
d t
hat
mo
st W
IC a
gen
cies
pay
th
eir
pee
r co
un
selo
rs t
he
sam
e h
ou
rly
rate
typ
ical
fo
r o
ther
en
try
leve
l WIC
sta
ff.
In 2
01
0,
the
aver
age
sala
ry f
or
pe
er c
ou
nse
lors
was
bet
we
en $
10
.20
an
d $
11
.75
per
h
ou
r.
The
Ph
ase
I stu
dy
furt
her
fo
un
d t
hat
th
e n
um
ber
of
ho
urs
var
ies
by
the
agen
cy
and
th
eir
nee
ds,
wit
h:
16
% w
ork
less
th
an 1
0 h
ou
rs/w
eek
52
% w
ork
10
-20
ho
urs
/wee
k
19
% w
ork
21
-30
ho
urs
/wee
k
13
% w
ork
mo
re t
han
31
ho
urs
/we
ek
Som
e ag
enci
es
also
pro
vid
e b
enef
its
such
as
pai
d s
ick
leav
e, h
olid
ay le
ave,
h
ealt
h in
sura
nce
, lif
e in
sura
nce
, an
d d
isab
ility
.
Pe
rso
nn
el O
pti
on
s: S
alar
ied
Em
plo
yee
s
Ben
efit
s:
May
be
enti
tled
to
ben
efit
pro
gram
s an
d p
rom
oti
on
al r
aise
s
Liab
ility
co
vera
ge m
ay b
e av
aila
ble
Dis
adva
nta
ges:
May
be
mo
re d
iffi
cult
to
gai
n a
uth
ori
zati
on
fo
r n
ew p
osi
tio
ns.
Lead
-tim
e to
fill
vac
anci
es
may
be
too
lon
g to
mee
t lo
cal a
gen
cy n
eed
s.
Ther
e m
ay b
e le
ss f
lexi
bili
ty in
ter
min
atin
g o
r re
assi
gnin
g st
aff.
The
cou
nty
legi
slat
ure
may
ne
ed t
o a
pp
rove
hir
ing
staf
f.
Layo
ffs
in S
tate
po
siti
on
s m
ay a
pp
ly t
o p
eer
cou
nse
ling
po
siti
on
s.
Bei
ng
par
t o
f th
e St
ate
or
loca
l age
ncy
per
son
nel
sys
tem
may
lim
it
wh
en a
nd
wh
ere
the
pe
er c
ou
nse
lor
can
wo
rk, a
nd
may
mak
e it
mo
re
dif
ficu
lt t
o b
e av
aila
ble
ou
tsid
e re
gula
r cl
inic
ho
urs
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
6 Se
ctio
n 3
: P
rogr
am P
lan
nin
g
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pe
rso
nn
el O
pti
on
s: H
ou
rly,
Par
t-Ti
me
Co
ntr
acto
rs
Ben
efit
s
May
hav
e gr
eate
r fl
exib
ility
in s
taff
ing
pe
er c
ou
nse
lors
to
wo
rk f
rom
h
om
e an
d a
fter
ho
urs
.
Bei
ng
pai
d b
ased
on
th
e jo
bs
they
co
mp
lete
en
able
s th
e ag
en
cy t
o
exp
and
sta
ff t
o a
cco
mm
od
ate
wo
rklo
ad d
eman
ds
as t
hey
ch
ange
.
Pee
r co
un
selo
rs c
an s
et t
hei
r o
wn
ho
urs
to
fit
fam
ily s
ched
ule
s.
Hir
ing
and
ter
min
atin
g em
plo
yees
is e
asie
r an
avo
ids
serv
ice
dis
rup
tio
n.
Par
tner
ship
s w
ith
co
mm
un
ity
org
aniz
atio
ns
cou
ld h
elp
sh
are
cost
s.
Som
e ag
enci
es
use
tem
p s
ervi
ces
to m
anag
e p
ayro
ll.
Dis
adva
nta
ges
Liab
ility
co
vera
ge a
nd
ben
efit
s m
ay n
ot
exte
nd
to
co
ntr
acto
rs.
Stat
e co
ntr
actu
al a
uth
ori
ty m
ay b
e lim
ited
or
no
nex
iste
nt.
Pee
r co
un
selo
rs m
ay n
ot
be
view
ed a
s p
art
of
the
WIC
tea
m b
y st
aff.
Liab
ility
“Lia
bili
ty”
mea
ns
lega
l res
po
nsi
bili
ty t
o a
no
ther
per
son
bec
ause
of
on
e’s
acti
on
s o
r fa
ilure
to
act
ap
pro
pri
atel
y. A
liab
ility
insu
ran
ce p
olic
y is
oft
en t
aken
ou
t to
p
rote
ct t
he
agen
cy a
nd
/or
emp
loye
es;
som
etim
es
pee
r co
un
selo
rs a
re in
clu
ded
.
Stat
e, t
erri
tory
, an
d t
rib
al la
ws
vary
co
nsi
der
ably
reg
ard
ing
liab
ility
co
vera
ge.
Liab
ility
po
licie
s fo
r W
IC a
gen
cies
may
or
may
no
t in
clu
de
cove
rage
fo
r h
osp
ital
an
d h
om
e vi
sits
. So
me
ho
spit
als
req
uir
e p
roo
f o
f lia
bili
ty c
ove
rage
fo
r p
eer
co
un
selo
rs.
Man
y W
IC a
gen
cie
s h
ave
fou
nd
th
at li
abili
ty c
on
cern
s ar
e n
ot
insu
rmo
un
tab
le if
p
eer
cou
nse
lors
fo
llow
th
eir
def
ined
sco
pe
of
pra
ctic
e, r
ecei
ve c
lose
su
per
visi
on
an
d m
ento
rin
g fr
om
su
per
viso
rs, a
nd
hav
e ac
cess
to
bre
astf
eed
ing
exp
erts
.
Way
s to
red
uce
th
e ri
sk o
f lia
bili
ty:
Co
mm
un
icat
e jo
b e
xpec
tati
on
s cl
earl
y to
pee
r co
un
selo
rs.
Trai
n p
eer
cou
nse
lors
(in
itia
l an
d o
ngo
ing)
.
Trai
n o
n t
hei
r sc
op
e o
f p
ract
ice
and
rev
iew
re
gula
rly.
Pro
vid
e a
syst
em
fo
r ac
cess
ing
bre
astf
eed
ing
exp
erts
.
Pro
vid
e d
esi
gnat
ed s
up
erv
iso
rs w
ho
pro
vid
e re
gula
r, s
yste
mat
ic
con
tact
s w
ith
pee
r co
un
selo
rs.
Pro
vid
e o
ngo
ing
guid
ance
an
d s
up
ervi
sio
n.
Cre
ate
a sy
ste
m t
o r
egu
larl
y m
on
ito
r co
nta
cts
and
co
un
selin
g gi
ven
.
Mai
nta
in a
ccu
rate
rec
ord
s o
f al
l clie
nt
con
tact
s.
Req
uir
e p
eer
cou
nse
lors
to
sig
n a
“C
on
fid
enti
alit
y A
gree
men
t.”
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
7 Se
ctio
n 3
: P
rogr
am P
lan
nin
g
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pro
gram
Do
cum
en
tati
on
Stat
e an
d lo
cal a
gen
cie
s sh
ou
ld e
stab
lish
sys
tem
s fo
r p
eer
cou
nse
lors
to
d
ocu
men
t th
eir
con
tact
s w
ith
WIC
mo
ther
s, a
nd
to
co
llect
on
goin
g p
rogr
am
feed
bac
k.
Man
y W
IC a
gen
cie
s p
rovi
de
har
d c
op
y d
ocu
men
tati
on
fo
rms
that
pee
r co
un
selo
rs c
om
ple
te f
or
each
mo
ther
th
ey a
re f
ollo
win
g. T
hes
e fo
rms
pro
vid
e an
eas
y p
lace
to
rec
ord
key
info
rmat
ion
ab
ou
t th
e m
oth
er a
nd
bab
y, t
ype
of
con
tact
, an
d t
op
ics
dis
cuss
ed.
Oth
er a
gen
cie
s u
se w
eb-b
ase
d o
pti
on
s to
tra
ck c
on
tact
s.
Som
e st
ate
s re
po
rt t
hat
ele
ctro
nic
do
cum
enta
tio
n a
nd
tra
ckin
g is
fav
ore
d b
y p
eer
cou
nse
lors
, an
d e
nab
les
them
to
sp
end
less
tim
e d
ocu
men
tin
g an
d m
ore
ti
me
talk
ing
wit
h m
oth
ers.
Han
do
ut:
R
epo
rt F
orm
1:
Sam
ple
Pee
r C
ou
nse
lor
Co
nta
ct L
og
Sho
wca
se:
Cal
ifo
rnia
Pu
blic
He
alth
Fo
un
dat
ion
En
terp
rise
s
A m
od
el w
eb-b
ased
tra
ckin
g sy
stem
was
de
velo
ped
by
Cal
ifo
rnia
Pu
blic
Hea
lth
Fo
un
dat
ion
En
terp
rise
s W
IC P
rogr
am in
Lo
s A
nge
les,
CA
., t
he
larg
est
WIC
age
ncy
in
th
e co
un
try.
It
is u
sed
sta
tew
ide
in C
alif
orn
ia.
The
syst
em
has
wid
e ap
plic
atio
n a
nd
ser
ves
as a
go
ld m
ine
for
imp
ort
ant
dat
a th
at c
an b
e su
ed t
o m
on
ito
r th
e p
rogr
am’s
su
cce
sses
at
the
Sta
te a
nd
loca
l lev
el.
C
A W
IC m
and
ate
s th
e u
se o
f th
is d
atab
ase
by
all l
oca
l age
ncy
pee
r co
un
selin
g p
rogr
ams.
Pee
r co
un
selo
rs u
se t
he
syst
em
to
ele
ctro
nic
ally
rec
ord
co
nta
ct in
form
atio
n,
wh
ich
can
be
shar
ed a
mo
ng
all p
eer
cou
nse
lors
wh
o m
ay b
e co
veri
ng
for
a p
eer
cou
nse
lor
wh
o is
ill o
r u
nav
aila
ble
. It
is a
lso
use
d b
y th
e la
ctat
ion
co
nsu
ltan
ts t
o
rece
ive
refe
rral
s.
The
man
y re
po
rts
gen
erat
ed h
elp
su
per
viso
rs, p
rogr
am m
anag
ers,
an
d S
tate
st
aff
to m
on
ito
r th
e p
erfo
rman
ce o
f p
eer
cou
nse
lors
an
d e
valu
ate
the
pro
gram
’s s
ucc
ess
.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 7
: C
alif
orn
ia
PH
FE P
eer
Co
un
selo
r D
atab
ase
Pro
gram
Fe
ed
bac
k
As
par
t o
f it
s o
ngo
ing
feed
bac
k, S
tate
an
d lo
cal W
IC a
gen
cie
s sh
ou
ld r
ou
tin
ely
colle
ct d
ata
to a
ssu
re t
hat
th
e p
rogr
am is
mee
tin
g th
e n
eed
s o
f p
arti
cip
ants
.
Qu
esti
on
s ab
ou
t th
e p
rogr
am c
an b
e ad
ded
to
sta
nd
ard
par
tici
pan
t su
rvey
s.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
Th
is p
ag
e in
ten
tio
na
lly b
lan
k
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 4
: P
rogr
am D
eve
lop
men
t an
d Im
ple
men
tati
on
Sect
ion
4:
Pro
gram
De
velo
pm
ent
and
Imp
lem
enta
tio
n
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pro
gram
De
velo
pm
en
t an
d Im
ple
me
nta
tio
n
Usi
ng
Stat
e le
vel p
olic
ies,
tra
inin
g, a
nd
su
pp
ort
, lo
cal a
gen
cies
sh
ou
ld
imp
lem
ent
a p
rogr
am t
hat
mee
ts t
he
nee
ds
of
thei
r m
oth
ers
an
d t
he
WIC
co
mm
un
ity.
This
incl
ud
es
exam
inin
g th
e m
anag
emen
t o
f a
pro
gram
at
the
loca
l le
vel a
nd
p
olic
ies
that
will
be
nee
ded
, gai
nin
g st
aff
bu
y-in
an
d s
up
po
rt, e
stab
lish
ing
com
mu
nit
y p
artn
ersh
ips,
an
d p
rom
oti
ng
the
pro
gram
.
Loca
l Pro
gram
Man
age
me
nt
Mo
st p
rogr
ams
at t
he
loca
l le
vel a
re m
anag
ed b
y a
WIC
loca
l age
ncy
pee
r co
un
selo
r co
ord
inat
or,
bre
astf
eed
ing
coo
rdin
ato
r, o
r la
ctat
ion
co
nsu
ltan
t.
Nu
trit
ion
Ser
vice
Sta
nd
ard
s re
com
men
dat
ion
s fo
r lo
cal l
evel
sta
ff w
ho
co
ord
inat
e b
reas
tfee
din
g p
rom
oti
on
an
d s
up
po
rt a
ctiv
itie
s in
clu
de
the
qu
alif
icat
ion
of
at le
ast
1 y
ear
of
exp
erie
nce
in c
ou
nse
ling
wo
men
ab
ou
t h
ow
to
b
reas
tfee
d s
ucc
ess
fully
, an
d p
arti
cip
atio
n in
a S
tate
-ap
pro
ved
tra
inin
g in
la
ctat
ion
man
agem
ent.
Bei
ng
cred
enti
aled
as
an IB
CLC
or
ho
ldin
g o
ther
la
ctat
ion
tra
inin
g ce
rtif
icat
es
bri
ngs
th
e p
rogr
am in
to “
bes
t p
ract
ice”
sta
tus.
In a
dd
itio
n t
o p
rogr
am c
oo
rdin
ato
rs, l
oca
l age
nci
es
will
ide
nti
fy s
up
ervi
sors
to
p
rovi
de
ove
rsig
ht
to t
he
pee
r co
un
selo
rs’ d
aily
act
ivit
ies.
Clin
ic P
olic
ies
Ad
dre
ss c
om
mo
n c
hal
len
ges
of
loca
l age
nci
es a
nd
off
er s
olu
tio
ns.
Wo
rkin
g fr
om
ho
me:
Mai
nta
inin
g co
nfi
den
tial
ity
Bri
ngi
ng
bab
ies
to t
he
WIC
clin
ic
Pro
vid
ing
cell
ph
on
es
Oth
er p
olic
ies
(do
cum
enti
ng
in t
he
pat
ien
t ch
arts
; so
cial
med
ia p
olic
ies,
ap
pro
pri
ate
dre
ss in
th
e c
linic
, att
end
ance
at
staf
f m
eeti
ngs
)
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 8
: So
luti
on
s to
C
om
mo
n c
hal
len
ges
wit
h P
ee
r C
ou
nse
ling
Pro
gram
s St
affi
ng
and
Su
per
visi
on
1:
Co
nfi
den
tial
ity
Agr
eem
ent
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 4
: P
rogr
am D
eve
lop
men
t an
d Im
ple
men
tati
on
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Sett
ing
up
a R
efe
rral
Sys
tem
A r
efe
rral
sys
tem
(w
ith
in W
IC c
linic
an
d c
om
mu
nit
y se
ttin
gs)
hel
ps
exte
nd
pee
r co
un
selo
r co
vera
ge t
o n
ew m
om
s w
ith
tim
ely
and
ap
pro
pri
ate
follo
w-u
p.
Ref
erra
ls c
an b
e gi
ven
th
rou
gh m
on
thly
pri
nto
uts
of
new
cer
tifi
cati
on
s o
f p
regn
ant
wo
men
(fo
r lo
w-r
isk
clie
nts
), d
ire
ct r
efer
rals
wh
ile s
eein
g cl
ien
ts in
th
e cl
inic
, or
ph
on
e c
all r
efer
rals
.
A r
efe
rral
sys
tem
wit
h lo
cal p
rovi
der
s w
ill h
elp
clo
se t
he
gap
in s
ervi
ces
on
ce
mo
ther
s le
ave
the
ho
spit
al.
Loca
l Age
ncy
Su
pp
ort
Loca
l age
ncy
su
pp
ort
an
d b
uy-
in is
cri
tica
l to
th
e su
cce
ss o
f a
pee
r co
un
selin
g p
rogr
am.
Sup
po
rt h
elp
s re
du
ce t
urn
ove
r ra
tes
bec
ause
it c
reat
es a
clim
ate
wh
ere
pe
er c
ou
nse
lors
fe
el v
alu
ed a
s m
em
ber
s o
f th
e W
IC t
eam
.
WIC
clie
nts
are
dis
cou
rage
d w
hen
th
ey r
ecei
ve c
on
trad
icto
ry in
form
atio
n.
Trai
nin
g W
IC s
taff
to
giv
e co
nsi
sten
t in
form
atio
n h
elp
s b
uild
co
nti
nu
ity.
Sup
po
rt c
an in
clu
de
trai
nin
g st
aff
in b
reas
tfee
din
g m
anag
em
ent,
mak
ing
loca
l cl
inic
s b
reas
tfee
din
g-fr
ien
dly
, an
d w
elco
min
g p
eer
co
un
selo
rs a
s p
art
of
the
WIC
te
am.
Way
s to
Gai
n L
oca
l Age
ncy
Bu
y-In
Peo
ple
su
pp
ort
wh
at t
hey
hel
p c
reat
e. P
lan
to
invo
lve
agen
cy a
nd
clin
ic s
taff
w
ith
pla
nn
ing
and
exe
cuti
ng
the
pro
gram
.
Sho
w h
ow
pee
r co
un
selin
g w
ill m
ake
a d
iffe
ren
ce.
Dis
cuss
key
s to
bre
astf
eed
ing
pro
gram
su
cces
s (i
ncl
ud
ing
men
tori
ng
and
su
per
visi
on
pro
gram
s fr
om
de
dic
ated
po
siti
on
s, t
rain
ing
of
pee
r co
un
selo
rs,
givi
ng
the
m a
cce
ss t
o r
efer
ral s
ou
rce
s, a
nd
ass
uri
ng
app
rop
riat
e co
nta
ct
guid
elin
es).
Shar
e th
e Su
rgeo
n G
ener
al’s
Ca
ll to
Act
ion
to
Su
pp
ort
Bre
ast
feed
ing
.
Pro
vid
e o
pti
on
s, u
sin
g b
est
pra
ctic
e m
od
els
that
sh
ow
case
str
ateg
ies.
Exp
lain
th
e ra
tio
nal
e fo
r p
olic
ies
such
as
bri
nin
g b
aby
to t
he
clin
ic o
r b
ein
g ab
le
to w
ork
bey
on
d t
he
WIC
clin
ic s
etti
ngs
an
d h
ou
rs.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 9
: P
eer
Co
un
selo
r P
rogr
am S
elf
-Eva
luat
ion
R
eso
urc
e:
Po
wer
Po
int:
Pe
er C
ou
nse
lors
: Mak
ing
a D
iffe
ren
ce f
or
WIC
Fam
ilie
s
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 4
: P
rogr
am D
eve
lop
men
t an
d Im
ple
men
tati
on
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Bu
ild a
Bre
astf
ee
din
g-fr
ien
dly
Clin
ic
Sup
po
rt t
he
wo
rk o
f yo
ur
pee
r co
un
selo
rs b
y cr
eati
ng
a b
reas
tfe
edin
g-fr
ien
dly
en
viro
nm
ent
that
wel
com
es
WIC
mo
ther
s an
d e
nco
ura
ges
bre
astf
eed
ing.
Mak
e p
eer
cou
nse
lors
vis
ible
an
d a
vaila
ble
at
WIC
clin
ics
so t
hey
can
mee
t o
ther
W
IC s
taff
an
d b
uild
a s
tro
ng
team
of
sup
po
rt.
Exam
ine
the
clin
ic e
nvi
ron
me
nt
to b
e su
re m
oth
ers
rece
ive
po
siti
ve m
ess
age
s ab
ou
t th
e im
po
rtan
ce o
f b
reas
tfe
edin
g.
Ensu
re A
cce
ss t
o L
acta
tio
n E
xpe
rts
Pee
r co
un
selo
rs o
pe
rate
un
der
a n
arro
w s
cop
e o
f p
ract
ice
that
fo
cuse
s o
n b
asic
b
reas
tfee
din
g in
form
atio
n a
nd
su
pp
ort
.
Pee
r co
un
selo
rs s
ho
uld
nev
er b
e as
ked
to
han
dle
co
mp
lex
bre
astf
eed
ing
situ
atio
ns
that
req
uir
e fo
llow
-up
fro
m a
hea
lth
pro
fess
ion
al s
kille
d in
lact
atio
n
man
agem
ent.
[Se
ctio
n 6
, Sco
pe
of
Pra
ctic
e, g
ives
mo
re d
eta
ils.]
Each
clin
ic m
ust
est
ablis
h a
WIC
De
sign
ated
Bre
astf
eed
ing
Exp
ert
to a
ccep
t re
ferr
als
of
mo
ther
s ex
per
ien
cin
g co
mp
lex
issu
es o
uts
ide
th
e sc
op
e o
f a
pe
er
cou
nse
lor.
Th
is p
erso
n s
ho
uld
be
a cr
eden
tial
ed IB
CLC
or
oth
er p
rofe
ssio
nal
w
ith
exp
erti
se in
lact
atio
n.
Op
tio
ns:
Hir
e IB
CLC
s as
sal
arie
d e
mp
loye
es o
r co
ntr
acto
rs
Par
tner
wit
h a
loca
l ho
spit
al
Gro
w y
ou
r o
wn
IBC
LCs
fro
m w
ith
in W
IC s
taff
or
thro
ugh
a c
aree
r p
ath
p
rogr
am f
or
pee
r co
un
selo
rs
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: FN
S Lo
vin
g
Sup
po
rt©
Mo
del
Sho
wca
se:
Ho
ust
on
Lo
cal A
gen
cy
At
Loca
l Age
ncy
#1
7 in
Ho
ust
on
, TX
, th
e b
reas
tfee
din
g co
ord
inat
or
is a
n IB
CLC
av
aila
ble
to
acc
ept
refe
rral
s an
d c
on
du
cts
elec
tro
nic
bre
astf
eed
ing
con
sult
atio
ns
usi
ng
free
Sky
pe
™, w
ebca
m, a
nd
sm
art
ph
on
e ap
plic
atio
ns.
The
agen
cy b
elie
ves
the
pro
gram
wo
rks
wel
l, w
ith
th
e IB
CLC
pro
vid
ing
the
sam
e co
nsu
ltat
ion
ser
vice
s sh
e w
ou
ld a
s if
sh
e w
ere
in t
he
ph
ysic
al p
rese
nce
of
the
mo
ther
or
con
sult
ing
thro
ugh
ph
on
e.
Mo
ther
s si
gn a
n e
lect
ron
ic c
on
sen
t fo
rm, a
nd
a p
eer
cou
nse
lor
or
staf
f p
erso
n is
p
rese
nt
wit
h t
he
mo
ther
in t
he
clin
ic o
r h
om
e se
ttin
g.
The
IBC
LC h
as b
een
ab
le t
o a
ssis
t w
ith
man
y p
rob
lem
s su
ch a
s so
re n
ipp
les,
p
oo
r p
osi
tio
nin
g an
d la
tch
, milk
pro
du
ctio
n c
on
cern
s, b
reas
t re
du
ctio
n s
urg
ery,
et
c.
The
agen
cy r
epo
rts
that
bo
th m
om
s an
d s
taff
are
co
mfo
rtab
le w
ith
th
e te
chn
olo
gy.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 4
: P
rogr
am D
eve
lop
men
t an
d Im
ple
men
tati
on
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Co
nd
uct
Sta
ff t
rain
ing
in B
reas
tfe
ed
ing
Co
nd
uct
tra
inin
g w
ith
all
leve
ls o
f W
IC s
taff
so
th
at c
on
sist
en
t m
essa
ges
will
be
give
n t
ne
w m
oth
ers
and
ap
pro
pri
ate
and
tim
ely
refe
rral
s w
ill b
e m
ade.
In
clu
de
cler
ical
sta
ff a
nd
oth
er “
firs
t re
spo
nd
ers”
wh
en m
oth
ers
call
wit
h b
reas
tfee
din
g p
rob
lem
s o
r to
req
ue
st f
orm
ula
.
The
FNS
curr
icu
lum
, “U
sin
g Lo
vin
g S
up
po
rt™
to
Gro
w &
Glo
w in
WIC
: B
reas
tfe
edin
g Tr
ain
ing
for
WIC
Sta
ff”
is a
vaila
ble
at
WIC
Wo
rks.
The
on
line
edu
cati
on
al r
eso
urc
e “B
reas
tfee
din
g B
asic
s,’ i
s al
so a
vaila
ble
at
WIC
W
ork
s.
Co
nd
uct
Pro
gram
Ori
en
tati
on
In a
dd
itio
n t
o s
taff
tra
inin
g in
bre
astf
eed
ing,
ori
ent
staf
f to
th
e p
eer
cou
nse
ling
pro
gram
usi
ng
the
Po
wer
Po
int:
“P
eer
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC
Fam
ilies
.”
This
ori
enta
tio
n h
elp
s cl
inic
sta
ff u
nd
erst
and
th
e im
po
rtan
ce o
f p
eer
cou
nse
ling
and
th
eir
role
in s
up
po
rtin
g th
e p
rogr
am t
o a
ssu
re s
ucc
ess
.
Use
th
is t
ime
to a
dd
ress
a r
efer
ral p
lan
an
d h
ow
th
e p
rogr
am w
ill b
e p
rom
ote
d
wit
h W
IC p
arti
cip
ants
.
Pee
r co
un
selo
rs d
o n
ot
wo
rk in
a v
acu
um
, an
d n
eed
su
pp
ort
, as
wel
l.
Loca
l clin
ic s
taff
co
nti
nu
e t
o g
ive
accu
rate
an
d p
osi
tive
info
rmat
ion
ab
ou
t b
reas
tfee
din
g; p
eer
co
un
selo
rs c
om
ple
men
t th
eir
cou
nse
ling
and
ro
le.
Re
sou
rce
: P
ow
erP
oin
t: P
eer
Co
un
selin
g: M
akin
g a
Dif
fere
nce
fo
r W
IC F
amili
es
Ad
dre
ss S
taff
Co
nce
rns
Lack
of
pro
fess
ion
al s
tatu
s: a
“p
eer”
is s
om
eon
e w
ho
is f
rom
th
e p
op
ula
tio
n
serv
ed.
Lack
of
pre
vio
us
wo
rk e
xper
ien
ce:
sup
ervi
sor
will
wo
rk w
ith
pee
r co
un
selo
rs t
o
guid
e an
d b
uild
pro
fess
ion
al d
evel
op
men
t an
d jo
b s
kills
; pat
ien
ce h
elp
s.
Wo
rk s
etti
ng
s a
nd
no
nst
an
da
rd h
ou
rs b
eyo
nd
th
e W
IC c
linic
: b
ein
g av
aila
ble
to
p
arti
cip
ants
bey
on
d t
he
WIC
ho
urs
hel
ps
assu
re m
ore
pro
mp
t as
sist
ance
.
Bri
ng
ing
ba
by
to w
ork
: p
eer
cou
nse
lors
ser
ve a
s a
mo
del
fo
r W
IC m
om
s.
Pee
r co
un
selo
rs w
ill b
e tr
ain
ed
in t
hes
e an
d o
ther
issu
es
as p
art
of
thei
r “J
ou
rney
To
geth
er”
tra
inin
g.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 4
: P
rogr
am D
eve
lop
men
t an
d Im
ple
men
tati
on
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Co
mm
un
ity
Par
tne
rsh
ips:
He
alth
Car
e P
rovi
de
rs
Co
mm
un
ity
sup
po
rt c
an h
elp
mo
ther
s o
verc
om
e th
eir
bar
rier
s to
bre
astf
eed
ing.
Po
ten
tial
par
tner
ship
s ca
n b
e fo
rmed
wit
h:
Ho
spit
als
--C
riti
cal w
ean
ing
per
iod
fo
r b
reas
tfee
din
g m
oth
ers
ten
ds
to b
e fi
rst
two
we
eks
po
stp
artu
m, w
ith
25
% o
f w
om
en d
isco
nti
nu
ing
by
2
mo
nth
s.
Pri
vate
clin
ics
--P
rovi
de
info
rmat
ion
to
loca
l pro
vid
ers
abo
ut
you
r ag
ency
’s p
eer
cou
nse
ling
pro
gram
an
d t
he
sco
pe
of
pra
ctic
e fo
r p
eer
cou
nse
lors
. --
Trai
n p
eer
cou
nse
lors
in h
ow
to
mak
e ap
pro
pri
ate
refe
rral
s.
Ho
me
visi
tin
g p
rogr
ams
--H
om
e vi
siti
ng
staf
f ca
n m
ake
refe
rral
s to
pe
er c
ou
nse
lors
an
d m
ay
allo
w t
hem
to
acc
om
pan
y th
em o
n h
om
e vi
sits
wit
h n
ew
mo
ther
s.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: FN
S Lo
vin
g
Sup
po
rt©
Mo
del
Co
mm
un
ity
Par
tne
rsh
ips:
Bre
astf
ee
din
g C
om
mu
nit
y
Stat
e an
d lo
cal b
reas
tfee
din
g ta
sk f
orc
es,
co
alit
ion
s, a
nd
lact
atio
n c
on
sult
ant
chap
ters
are
val
uab
le p
artn
ers
to s
erve
as
refe
rral
so
urc
es
and
to
ass
ist
wit
h
trai
nin
g p
eer
cou
nse
lors
.
IBC
LCs
are
cred
enti
aled
lact
atio
n c
on
sult
ants
ski
lled
in h
elp
ing
mo
ther
s ex
per
ien
cin
g b
reas
tfe
edin
g p
rob
lem
s o
r w
ho
hav
e sp
ecia
l ris
ks.
La L
ech
e Le
agu
e is
an
inte
rnat
ion
al m
oth
er-t
o-m
oth
er s
up
po
rt p
rogr
am in
so
me
area
s th
at c
an a
ssis
t m
oth
ers
wh
o d
o n
ot
mee
t W
IC’s
inco
me
elig
ibili
ty
req
uir
emen
ts.
Loca
l lea
der
s m
ay a
lso
be
avai
lab
le t
o p
rovi
de
trai
nin
g o
r as
sist
w
ith
pro
mo
tin
g th
e p
rogr
am.
Co
mm
un
ity
Par
tne
rsh
ips:
Co
mm
un
ity
Co
mm
un
ity
org
aniz
atio
ns
that
rea
ch t
he
sam
e t
arge
t p
op
ula
tio
n a
s W
IC c
an a
lso
b
e va
luab
le p
artn
ers.
Th
is c
an in
clu
de
Earl
y H
ead
Sta
rt, m
ino
rity
hea
lth
o
rgan
izat
ion
s, t
een
pre
gnan
cy c
ente
rs, p
aren
tin
g gr
ou
ps,
an
d c
hild
car
e p
rovi
der
s.
Som
e p
eer
co
un
selo
rs e
stab
lish
rel
atio
nsh
ips
wit
h c
om
mu
nit
y b
usi
nes
ses
to
pro
mo
te b
reas
tfe
edin
g-fr
ien
dly
wo
rksi
tes.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
6 Se
ctio
n 4
: P
rogr
am D
eve
lop
men
t an
d Im
ple
men
tati
on
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Sho
wca
se:
Ho
ust
on
Lo
cal A
gen
cy #
26
The
Ho
ust
on
Lo
cal A
gen
cy 3
26
has
dev
elo
ped
a s
tro
ng
ho
spit
al-b
ased
pe
er
cou
nse
ling
pro
gram
.
The
agen
cy e
stab
lish
ed a
me
mo
ran
du
m o
f u
nd
erst
and
ing
wit
h a
loca
l ho
spit
al,
wh
ich
so
on
exp
and
ed t
o a
sec
on
d a
nd
a t
hir
d h
osp
ital
.
Ho
spit
als
trea
t W
IC p
eer
cou
nse
lors
as
volu
nte
ers
wh
o g
o t
hro
ugh
th
e sa
me
ori
enta
tio
n a
s o
ther
ho
spit
al v
olu
nte
ers.
Pe
er c
ou
nse
lors
sh
ado
w t
he
IBC
LC o
n
staf
f an
d c
om
ple
te a
pro
bat
ion
ary
per
iod
to
ass
ure
co
mp
eten
ce.
Pee
r co
un
selo
rs p
rovi
de
bas
ic s
up
po
rt t
o n
ew m
oth
ers
and
ref
er m
oth
ers
exp
erie
nci
ng
dif
ficu
ltie
s to
th
e la
ctat
ion
co
nsu
ltan
t.
Pro
mo
te t
he
Pro
gram
Act
ivel
y p
rom
ote
th
e p
rogr
am w
ith
:
WIC
par
tici
pan
ts:
Ale
rt a
ll n
ewly
cer
tifi
ed p
regn
ant
and
bre
astf
eed
ing
mo
ther
s; h
elp
th
em s
ee t
hat
pee
r co
un
selin
g is
par
t o
f W
IC’s
bre
astf
eed
ing
sup
po
rt.
Allo
w p
eer
co
un
selo
rs t
o v
isit
new
mo
ther
s in
th
e cl
inic
so
th
ey c
an
me
et f
ace
-to
-fac
e.
Po
st f
lyer
s ab
ou
t th
e p
rogr
am in
th
e W
IC c
linic
.
Uta
h W
IC h
angs
fra
med
ph
oto
grap
hs
of
pee
r co
un
selo
rs in
th
e m
ain
w
aiti
ng
roo
ms
of
thei
r cl
inic
s.
The
com
mu
nit
y:
An
no
un
ce t
he
pro
gram
wit
h o
ther
pu
blic
hea
lth
pro
gram
s th
at s
erve
si
mila
r p
op
ula
tio
n g
rou
ps.
Qu
ote
fro
m a
WIC
Pe
er
Co
un
selo
r
We
ha
ve a
rea
lly g
oo
d r
ela
tio
nsh
ip w
ith
th
e la
cta
tio
n c
on
sult
an
ts h
ere
at
the
loca
l ho
spit
al.
It is
wo
nd
erfu
l to
ha
ve t
his
kin
d o
f re
lati
on
ship
. We
are
all
stri
vin
g
for
the
sam
e th
ing
, an
d t
ha
t’s
to h
elp
mo
ms.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 5
: St
affi
ng
Co
nsi
der
atio
ns
Sect
ion
5:
Staf
fin
g C
on
sid
erat
ion
s S
lide
M
ain
Me
ssag
es
Act
ivit
ies
and
Han
do
uts
Staf
fin
g C
on
sid
era
tio
ns
A p
rogr
am g
ets
off
to
th
e b
est
sta
rt w
hen
th
e ri
ght
peo
ple
are
hir
ed a
s p
eer
cou
nse
lors
.
Pee
r co
un
selo
rs a
re e
nth
usi
asti
c an
d w
ork
har
d t
o m
ake
a p
rogr
am s
mo
oth
an
d
succ
ess
ful.
Han
do
ut:
A
ctiv
ity
Wo
rksh
eet
3:
The
Ide
al P
eer
Co
un
selo
r A
ctiv
ity:
Th
e Id
eal
Pe
er
Co
un
selo
r (I
den
tify
th
e b
est
pe
er c
ou
nse
lor,
th
e m
ost
su
rpri
sin
g h
ire,
an
d t
he
wo
rst
hir
e.)
Shar
e st
ori
es
of
pe
er c
ou
nse
lors
th
at a
tten
dee
s h
ave
hir
ed.
Dis
cuss
co
mm
on
th
em
es
and
q
ual
itie
s th
at s
eem
to
be
mo
st
imp
ort
ant.
FNS
De
fin
itio
n o
f a
Pe
er
Co
un
selo
r
[Rea
d d
efi
nit
ion
of
a p
eer
cou
nse
lor
fro
m L
ovi
ng
Su
pp
ort
© M
od
el]
Res
earc
h d
emo
nst
rate
s th
e im
po
rtan
ce o
f m
oth
er-
to-m
oth
er s
up
po
rt in
hel
pin
g w
om
en t
o in
itia
te a
nd
co
nti
nu
e b
reas
tfee
din
g.
The
Lovi
ng
Su
pp
ort
© M
od
el d
efin
es
pee
r co
un
selo
rs a
s p
arap
rofe
ssio
nal
s w
ho
ar
e re
cru
ited
an
d h
ired
fro
m W
IC’s
tar
get
po
pu
lati
on
of
WIC
elig
ible
wo
men
an
d
wh
o a
re a
vaila
ble
to
WIC
clie
nts
ou
tsid
e th
e W
IC c
linic
en
viro
nm
ent.
FNS
stro
ngl
y re
com
men
ds
that
WIC
Sta
te a
gen
cies
hir
e p
eer
cou
nse
lors
wit
h
pre
vio
us
bre
astf
eed
ing
exp
erie
nce
.
Stat
e ag
enci
es h
ave
the
flex
ibili
ty t
o d
evel
op
, im
ple
men
t, o
r en
han
ce p
eer
cou
nse
ling
pro
gram
s ap
pro
pri
ate
to t
he
nee
ds
of
thei
r lo
cal a
gen
cie
s as
lon
g as
th
e co
mp
on
ents
of
the
Lovi
ng
Su
pp
ort
© M
od
el a
re in
clu
de
d.
Oth
er im
po
rtan
t q
ual
itie
s m
ay in
clu
de:
en
thu
sias
m f
or
bre
astf
eed
ing,
co
mm
un
icat
ion
ski
lls, s
ame
lan
guag
e as
WIC
par
tici
pan
ts, a
nd
th
ose
wh
o a
re
curr
entl
y W
IC p
arti
cip
ants
.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
Wh
o is
a P
ee
r?
Fed
eral
fu
nd
ing
for
pe
er c
ou
nse
ling
spec
ific
ally
tar
gets
pay
ing
for
“pee
r co
un
selo
rs.”
Som
e W
IC a
gen
cies
hav
e as
ked
ab
ou
t ap
pro
pri
atin
g a
po
rtio
n o
f an
exi
stin
g st
aff
per
son
’s t
ime
for
pe
er c
ou
nse
ling
serv
ice
s. T
he
Lovi
ng
Su
pp
ort
© M
od
el is
cl
ear
that
fu
nd
s ar
e d
esig
nat
ed
fo
r p
eer
sup
po
rt, s
o if
WIC
sta
ff a
re u
sed
, co
nsi
der
atio
n m
ust
be
give
n t
o w
het
her
th
ey m
eet
th
e gu
idel
ine
s o
f a
pee
r an
d
wh
eth
er s
ervi
ces
are
pro
vid
ed
bey
on
d t
he
WIC
clin
ic s
etti
ng
and
usu
al c
linic
h
ou
rs.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 5
: St
affi
ng
Co
nsi
der
atio
ns
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
On
ly W
om
en
?
WIC
’s t
arge
t p
op
ula
tio
n is
WIC
-elig
ible
wo
men
. M
en t
her
efo
re d
o n
ot
mee
t th
e FN
S d
efin
itio
n o
f a
pee
r an
d t
her
efo
re c
ann
ot
be
pai
d u
sin
g th
ese
fun
ds.
Mal
es a
re v
alu
able
me
mb
ers
of
bre
astf
eed
ing
pro
mo
tio
n a
nd
su
pp
ort
p
rogr
ams.
WIC
Sta
te a
nd
loca
l age
nci
es
may
use
th
eir
regu
lar
WIC
Nu
trit
ion
Se
rvic
es
and
Ad
min
istr
atio
n f
un
ds
for
acti
viti
es t
hat
su
pp
ort
WIC
’s e
du
cati
on
ef
fort
s, s
uch
as
fath
er-l
ed s
up
po
rt g
rou
ps,
th
at a
re b
eyo
nd
th
e sc
op
e o
f th
e Lo
vin
g S
up
po
rt©
Mo
del
.
Old
er
Mo
ms?
Idea
lly W
IC a
gen
cies
sh
ou
ld s
elec
t p
eer
co
un
selo
rs s
imila
r in
age
to
th
ose
of
the
par
tici
pan
ts b
ein
g se
rved
by
WIC
.
In s
om
e ca
ses,
mee
tin
g al
l cri
teri
a m
ay n
ot
be
po
ssib
le, e
spec
ially
in r
ura
l are
as
wit
h lo
w b
reas
tfe
edin
g ra
tes.
WIC
age
nci
es
hav
e th
e fl
exib
ility
to
dev
elo
p
crit
eria
as
lon
g as
th
e ke
y co
mp
on
ents
of
the
def
init
ion
are
incl
ud
ed.
Lact
atio
n C
on
sult
ants
?
Wh
ile la
ctat
ion
co
nsu
ltan
ts, n
urs
es, d
ieti
tian
s, a
nd
oth
er h
ealt
h p
rofe
ssio
nal
s ar
e va
luab
le in
su
pp
ort
ing
ne
w m
oth
ers,
th
ey d
o n
ot
mee
t th
e d
efin
itio
n o
f a
“par
apro
fess
ion
al”
in t
he
Lovi
ng
Su
pp
ort
© M
od
el.
They
can
co
ntr
ibu
te t
o t
he
pro
gram
in o
ther
way
s (e
x: r
ece
ivin
g re
ferr
als,
p
rovi
din
g tr
ain
ing,
su
per
visi
ng
pee
r co
un
selo
rs, o
r m
anag
ing
a p
eer
cou
nse
ling
pro
gram
) w
hic
h is
an
allo
wab
le e
xpen
se f
or
pe
er c
ou
nse
ling
fun
ds,
bu
t th
e fu
nd
s ca
nn
ot
be
use
d t
o p
ay t
hem
to
wo
rk a
s p
eer
co
un
selo
rs.
Pe
ers
Wh
o B
eco
me
IBC
LCs?
Pee
r co
un
selo
rs w
ho
bec
om
e IB
CLC
can
mo
ve in
to a
dif
fere
nt
po
siti
on
wit
h a
d
iffe
ren
t sa
lary
(ex
: IB
CLC
leve
l of
a ti
ered
su
pp
ort
pro
gram
) to
acc
ept
refe
rral
s,
pro
vid
e tr
ain
ing,
an
d s
erve
as
the
WIC
des
ign
ated
bre
astf
eed
ing
exp
ert.
They
can
als
o m
ove
into
a lo
cal a
gen
cy p
osi
tio
n (
ex: p
eer
co
un
selo
r co
ord
inat
or,
as
sist
ant
coo
rdin
ato
r, t
rain
er, e
tc.)
.
If s
he
con
tin
ue
s to
me
et o
the
r cr
iter
ia f
or
a p
eer
ou
tlin
ed in
th
e Lo
vin
g
Sup
po
rt©
Mo
del
, sh
e ca
n c
on
tin
ue
as a
pee
r at
pee
r co
un
selo
r p
ay if
sh
e re
mai
ns
in t
hat
sco
pe
of
pra
ctic
e an
d it
is a
gre
eab
le w
ith
bo
th h
er a
nd
th
e ag
ency
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 5
: St
affi
ng
Co
nsi
der
atio
ns
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Wh
at’s
in a
Nam
e?
Som
e W
IC a
gen
cies
use
a d
iffe
ren
t n
ame
for
thei
r p
eer
cou
nse
lors
. Th
ey r
easo
n
that
WIC
mo
ther
s m
ay n
ot
un
der
stan
d t
he
con
cep
t o
f a
pee
r co
un
selo
r.
Som
e n
ames
age
nci
es h
ave
use
d in
clu
de:
“B
reas
tfe
edin
g P
eer
Hel
per
,”
“Bre
astf
eed
ing
Co
un
selo
r,”
“Mo
ther
Hel
per
,” “
Mo
ms
Hel
pin
g M
om
s.”
FNS
will
co
nti
nu
e to
use
th
e te
rm “
pe
er c
ou
nse
lors
” an
d “
pee
r co
un
selin
g” t
o
des
crib
e th
e p
rogr
am b
ecau
se t
his
is t
he
de
fin
itio
n u
sed
by
rese
arch
ers
and
th
e la
ngu
age
use
d in
th
e fe
der
al r
egu
lati
on
s.
Ho
we
ver,
a S
tate
or
loca
l age
ncy
is f
ree
to u
se w
hat
eve
r n
ame
they
wis
h t
o
com
mu
nic
ate
wit
h m
oth
ers.
Re
cru
itin
g P
ee
r C
ou
nse
lors
in W
IC
On
e o
f th
e b
est
pla
ces
to f
ind
po
ten
tial
pee
r co
un
selo
rs is
to
loo
k w
ith
in y
ou
r o
wn
po
pu
lati
on
of
WIC
bre
astf
eed
ing
mo
ther
s. I
dea
s to
co
nsi
der
:
Dat
abas
e o
f b
reas
tfe
edin
g m
oth
ers
in y
ou
r sy
ste
m
Rec
om
men
dat
ion
s fr
om
loca
l age
ncy
sta
ff
Sign
s p
ost
ed in
WIC
clin
ics,
gro
cery
sto
res,
an
d o
ther
loca
tio
ns
New
Yo
rk h
ost
s b
reas
tfe
edin
g p
eer
cou
nse
lor
“tea
s” t
o g
ath
er
inte
rest
ed W
IC m
om
s to
lear
n m
ore
ab
ou
t th
e p
eer
cou
nse
lor
pro
gram
Re
cru
itin
g P
ee
r C
ou
nse
lors
in t
he
Co
mm
un
ity
Pla
ces
to f
ind
pee
r co
un
selo
rs in
th
e co
mm
un
ity
mig
ht
incl
ud
e:
Loca
l ped
iatr
ic c
linic
IBC
LCs
in t
he
com
mu
nit
y
La L
ech
e Le
agu
e
Loca
l new
spap
er a
d
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 5
: St
affi
ng
Co
nsi
der
atio
ns
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
The
Ap
plic
atio
n P
roce
ss
An
ap
plic
atio
n p
roce
ss p
rovi
des
po
ten
tial
pee
r co
un
selo
rs w
ith
th
e o
pp
ort
un
ity
to c
om
mu
nic
ate
thei
r st
ren
gth
s an
d w
eakn
esse
s, a
nd
sh
ow
s th
em t
hat
th
is is
a
real
job
. It
als
o g
ive
s su
per
viso
rs t
he
chan
ce t
o g
et t
o k
no
w t
hem
an
d a
sse
ss
ho
w t
hey
fit
in w
ith
th
e h
ealt
h c
are
team
.
The
app
licat
ion
sh
ou
ld b
e si
mp
le a
nd
des
ign
ed t
o g
ath
er b
asic
info
rmat
ion
as
a sc
reen
ing
too
l.
Avo
id t
ryin
g to
co
llect
to
o m
uch
info
rmat
ion
ab
ou
t th
e ca
nd
idat
e’s
kno
wle
dge
o
f b
reas
tfee
din
g as
th
is w
ill b
e co
vere
d in
tra
inin
g.
If t
he
agen
cy w
ill n
ot
pro
vid
e ce
ll p
ho
nes
yo
u c
an a
sses
s w
het
her
sh
e h
as a
p
ho
ne
avai
lab
le.
Als
o a
sses
s w
het
her
sh
e is
ava
ilab
le t
o a
ccep
t an
d m
ake
calls
fr
om
ho
me
and
her
go
als
for
the
po
siti
on
.
Wh
en p
eer
cou
nse
lors
are
hir
ed, h
ave
them
sig
n a
rec
eip
t o
f m
ater
ials
th
ey
rece
ive,
wit
h t
he
un
der
stan
din
g th
ese
ite
ms
mu
st b
e re
turn
ed w
hen
th
ey le
ave
the
pro
gram
.
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
2:
Sam
ple
A
pp
licat
ion
Pee
r C
ou
nse
lor
Staf
fin
g an
d S
up
ervi
sio
n 3
: P
eer
C
ou
nse
lor
Equ
ipm
ent
and
Mat
eria
ls
Issu
ed
The
Inte
rvie
w P
roce
ss
The
inte
rvie
w is
des
ign
ed t
o le
arn
mo
re a
bo
ut
the
enth
usi
asm
an
d c
har
acte
r o
f th
e ca
nd
idat
e.
Kee
p in
min
d t
hat
an
inte
rvie
w c
an b
e ve
ry s
tre
ssfu
l, an
d e
ven
mo
re s
o f
or
a W
IC m
oth
er w
ho
has
no
t w
ork
ed b
efo
re.
To h
elp
par
tici
pan
ts f
eel
co
mfo
rtab
le:
Sit
“kn
ee t
o k
nee
” w
ith
her
Avo
id la
rge
gro
up
inte
rvie
ws
Use
op
en-e
nd
ed q
ue
stio
ns
and
aff
irm
atio
ns
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
4: S
am
ple
In
terv
iew
Gu
ide
Pee
r C
ou
nse
lors
Op
en
-en
de
d In
terv
iew
Qu
est
ion
s
Op
en-e
nd
ed q
ues
tio
ns
crea
te a
saf
e en
viro
nm
ent
for
pee
r co
un
selo
r ca
nd
idat
es
to f
eel c
om
fort
able
sh
arin
g th
eir
sto
ries
an
d t
hei
r go
als.
Exa
mp
les:
Tell
us
ab
ou
t th
e su
pp
ort
yo
u h
ad
wh
ile b
rea
stfe
edin
g.
Des
crib
e a
ny
bre
ast
feed
ing
ch
alle
ng
es y
ou
ma
y h
ave
en
cou
nte
red
; ho
w
did
yo
u d
eal w
ith
th
em?
Wh
at
do
yo
u m
ost
ho
pe
to g
ain
fro
m b
ein
g a
pee
r co
un
selo
r?
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 5
: St
affi
ng
Co
nsi
der
atio
ns
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Ho
w M
any
Pe
er
Co
un
selo
rs t
o H
ire
Man
y su
cces
sfu
l pro
gram
s re
cru
it a
nd
tra
in t
wic
e as
man
y p
eer
cou
nse
lors
as
they
th
ink
they
will
act
ual
ly n
eed
.
Som
e w
om
en, a
lth
ou
gh p
assi
on
ate
abo
ut
bre
astf
eed
ing
and
go
od
pee
r co
un
selo
r p
rosp
ect
s, f
ind
th
ey
sim
ply
can
no
t re
alis
tica
lly h
and
le t
he
add
ed
resp
on
sib
iliti
es
of
bei
ng
a p
eer
cou
nse
lor.
Som
e go
th
rou
gh t
he
trai
nin
g an
d d
ecid
e th
at p
eer
cou
nse
ling
is n
ot
for
the
m.
It c
ost
s lit
tle
to in
clu
de
extr
a p
eop
le in
a t
rain
ing
even
t.
An
oth
er a
dva
nta
ge is
th
at y
ou
ed
uca
te m
any
mo
re w
om
en w
ho
bec
om
e a
po
siti
ve v
oic
e fo
r b
reas
tfee
din
g in
form
atio
n in
th
e co
mm
un
ity.
Sho
wca
se:
Ve
rmo
nt
The
Ve
rmo
nt
WIC
Pro
gram
use
s M
od
ule
1 o
f th
e p
eer
cou
nse
lor
curr
icu
lum
as
par
t o
f an
intr
od
uct
ory
mee
tin
g w
ith
all
po
ten
tial
pee
r co
un
selo
r ca
nd
idat
es
wh
o m
ay b
e in
tere
sted
in w
ork
ing
for
WIC
.
Bec
ause
th
is s
ecti
on
ad
dre
sse
s th
e b
asic
job
re
spo
nsi
bili
tie
s, t
ypic
al w
ork
se
ttin
gs, a
nd
sco
pe
of
pra
ctic
e, t
hey
fee
l th
is is
an
idea
l way
to
hel
p p
eer
cou
nse
lor
can
did
ates
un
der
stan
d t
he
job
an
d t
hei
r ex
pec
tati
on
s.
Tho
se w
ho
co
nti
nu
e w
ith
th
e fu
ll tr
ain
ing
hav
e a
bet
ter
un
der
stan
din
g o
f ex
pec
tati
on
s an
d w
het
her
th
is w
ill f
it w
ith
th
eir
live
s.
De
term
inin
g C
ase
load
Ther
e ar
e n
o r
ule
s fo
r h
ow
man
y p
eer
cou
nse
lors
are
nee
ded
. Th
e n
um
ber
is
extr
em
ely
vari
able
dep
end
ing
up
on
man
y fa
cto
rs, i
ncl
ud
ing
bu
dge
t, c
asel
oad
, n
um
ber
s o
f w
om
en b
reas
tfee
din
g, d
emo
grap
hic
s o
f th
e co
mm
un
ity,
job
se
ttin
gs f
or
pee
r co
un
selo
rs, e
tc.
Bes
t p
ract
ices
ind
icat
e th
at it
is b
est
to g
ive
a n
ew
ly t
rain
ed p
eer
cou
nse
lor
a ve
ry s
mal
l cas
elo
ad t
o b
egin
wit
h, a
nd
incr
ease
as
he
r sk
ills
gro
w.
Geo
rgia
WIC
beg
ins
pee
r co
un
selo
rs w
ith
20
clie
nts
fo
r a
20
-ho
ur
wo
rk w
eek,
an
d in
crea
ses
to u
p t
o 8
0-1
00
. O
ther
sta
tes
rep
ort
th
at a
beg
inn
ing
case
load
sh
ou
ld b
e ar
ou
nd
50
clie
nts
per
mo
nth
fo
r a
10
-ho
ur
wo
rk w
eek
.
Mis
sou
ri h
as a
fo
rmu
la f
or
det
erm
inin
g ca
selo
ad o
f p
eer
co
un
selo
rs p
rim
arily
w
ork
ing
by
tele
ph
on
e: n
um
be
r o
f W
IC p
arti
cip
ants
div
ided
by
3 c
on
tact
s p
er
ho
ur
equ
als
the
nu
mb
er o
f P
C h
ou
rs n
eed
ed e
ach
mo
nth
.
Extr
emel
y la
rge
agen
cies
su
gges
t lo
oki
ng
at a
vaila
ble
fu
nd
s an
d t
hen
set
tin
g p
rio
riti
es b
ased
on
ho
w t
ho
se f
un
ds
can
bes
t b
e ap
plie
d t
o s
erve
th
e ca
selo
ad.
If o
ther
act
ivit
ies
such
as
ho
spit
al v
isit
s, h
om
e vi
sits
, an
d s
up
po
rt g
rou
ps
are
par
t o
f th
e p
eer
cou
nse
lor’
s jo
b, t
hat
sh
ou
ld b
e fa
cto
red
into
th
e ti
me
nee
ded
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
6 Se
ctio
n 5
: St
affi
ng
Co
nsi
der
atio
ns
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Tip
s to
He
lp w
ith
Cal
cula
tio
ns
Bec
ause
co
nta
cts
wit
h n
ew m
oth
ers
are
hig
hly
var
iab
le, d
epen
din
g o
n t
he
exte
nt
of
her
qu
esti
on
s an
d c
on
cern
s, it
is d
iffi
cult
to
iden
tify
har
d a
nd
fas
t ru
les.
The
follo
win
g ti
me
allo
tmen
ts c
an b
e co
nsi
der
ed a
gen
eral
gu
ide,
kee
pin
g in
m
ind
th
at t
he
amo
un
t o
f ti
me
nee
ded
will
dep
end
on
th
e p
eer
cou
nse
lor’
s ex
per
ien
ce a
nd
ab
ility
, th
e is
sues
th
at t
he
pee
r co
un
selo
r is
ad
dre
ssin
g w
ith
th
e m
oth
er, a
nd
th
e ty
pe
of
con
tact
bei
ng
mad
e.
Tele
ph
on
e co
nta
cts:
4-6
cal
ls/h
ou
r (i
ncl
ud
ing
do
cum
enta
tio
n)
Clin
ic v
isit
s: a
rou
nd
30
min
ute
s (i
ncl
ud
ing
do
cum
enta
tio
n)
Ho
me
visi
ts: a
llow
fo
r 2
ho
urs
(tr
avel
an
d d
ocu
men
tati
on
incl
ud
ed)
Ho
spit
al v
isit
s: a
llow
2 h
ou
r p
er 1
-2 v
isit
s, t
ho
ugh
th
is v
arie
s w
ide
ly
Cla
sse
s an
d s
up
po
rt g
rou
p m
eeti
ngs
: al
low
2 h
ou
rs (
incl
ud
ing
clas
s se
t-u
p a
nd
pre
p t
ime)
Star
t Sm
all
The
be
st r
ule
of
thu
mb
is t
o s
tart
sm
all.
As
the
pro
gram
gro
ws
and
as
pee
r co
un
selo
rs g
row
in t
hei
r co
mfo
rt w
ith
th
e p
rogr
am, t
hey
will
be
mo
re e
ffic
ien
t at
han
dlin
g la
rger
nu
mb
ers
of
clie
nts
.
As
the
pro
gram
gro
ws,
a n
atu
ral r
esu
lt is
mo
re b
reas
tfee
din
g w
om
en.
You
may
th
en n
eed
to
co
nsi
der
hir
ing
mo
re p
eer
co
un
selo
rs o
r in
cre
asin
g th
eir
ho
urs
so
th
ey c
an a
cco
mm
od
ate
the
gro
win
g n
eed
s w
ith
in t
hei
r co
mm
un
ity.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Sect
ion
6:
Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Sco
pe
of
Pra
ctic
e
Pee
r co
un
selin
g p
rovi
des
an
imp
ort
ant
adju
nct
to
th
e u
sual
WIC
pro
gram
se
rvic
es.
The
WIC
loca
l age
ncy
co
mp
eten
t p
rofe
ssio
nal
au
tho
rity
(C
PA
) co
nd
uct
s a
com
ple
te W
IC b
reas
tfe
edin
g as
sess
men
t u
sin
g va
lue
Enh
ance
d n
utr
itio
n
Ass
essm
ent
pri
nci
ple
s an
d t
ech
niq
ues
. Th
e C
PA
pro
vid
es
app
rop
riat
e ed
uca
tio
n
and
ref
erra
ls t
o la
ctat
ion
pro
fess
ion
als
as n
ece
ssar
y.
The
pee
r co
un
selo
rs s
up
ple
men
t, b
ut
do
no
t re
pla
ce, t
he
wo
rk o
f C
PA
s an
d
lact
atio
n p
rofe
ssio
nal
s.
Pee
r co
un
selo
rs c
an h
elp
fill
th
e ga
ps
sin
ce t
hey
can
are
ava
ilab
le o
uts
ide
the
usu
al c
linic
ho
urs
.
Thei
r sc
op
e o
f p
ract
ice
is t
o p
rovi
de
bas
ic in
form
atio
n a
nd
su
pp
ort
to
new
m
om
s, a
nd
to
mak
e re
ferr
als
wh
en t
hey
are
exp
erie
nci
ng
pro
ble
ms
bey
on
d
thei
r tr
ain
ing.
Wh
at M
oth
ers
Exp
ect
in t
he
Ear
ly d
ays
Man
y m
oth
ers
hav
e u
nre
alis
tic
exp
ecta
tio
ns
abo
ut
wh
at b
reas
tfee
din
g w
ill b
e lik
e. O
r th
eir
info
rmat
ion
may
be
bas
ed o
n w
hat
fri
end
s an
d f
amily
hav
e sa
id
rath
er t
han
fac
ts.
They
may
hav
e re
ceiv
ed li
ttle
ed
uca
tio
n d
uri
ng
pre
gnan
cy a
nd
, wh
en t
he
bab
y is
b
orn
, may
hav
e en
cou
nte
red
ho
spit
al p
ract
ices
th
at d
o n
ot
sup
po
rt
bre
astf
eed
ing.
Mo
ther
s o
ften
rep
ort
th
ey f
eel o
verw
hel
med
an
d m
ay g
o h
om
e to
fam
ily
me
mb
ers
wh
o a
re le
ss t
han
su
pp
ort
ive
of
bre
astf
eed
ing.
Pe
er
Co
un
selo
rs F
ill t
he
Gap
Pee
r co
un
selo
rs p
rovi
de
pre
nat
al b
reas
tfe
edin
g p
rom
oti
on
an
d s
up
po
rt
me
ssag
es t
imed
to
mo
ther
s w
hen
th
ey n
eed
it m
ost
.
They
co
nn
ect
mo
ther
s to
oth
er h
ealt
h p
rogr
ams
and
ser
vice
s th
at c
an h
elp
d
uri
ng
pre
gnan
cy a
nd
bey
on
d.
They
cal
l or
visi
t m
oth
ers
in t
he
ho
spit
al t
o t
rou
ble
sho
ot
earl
y co
nce
rns.
They
co
nta
ct m
oth
ers
in t
he
ear
ly d
ay h
om
e fr
om
th
e h
osp
ital
.
They
mak
e re
ferr
als
as n
eed
ed
.
They
pro
vid
e o
ngo
ing
sup
po
rt a
s b
aby
gro
ws
to h
elp
gro
w m
om
’s c
on
fid
ence
.
Act
ivit
y: F
illin
g th
e G
ap
(Id
enti
fyin
g co
nce
rns
at v
ario
us
stag
es.
)
Div
ide
into
sm
all g
rou
ps:
p
regn
ancy
, ear
ly d
ays,
fir
st
mo
nth
, an
d b
eyo
nd
th
e fi
rst
mo
nth
Iden
tify
em
oti
on
al n
eed
s o
f m
om
s d
uri
ng
tho
se s
tage
s, a
nd
h
ow
a p
eer
cou
nse
lor
cou
ld
hel
p.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Ho
w P
ee
r C
ou
nse
lors
He
lp:
Pre
gnan
cy
Pee
r co
un
selo
rs c
an p
rovi
de
add
itio
nal
val
ue
to t
he
usu
al p
ren
atal
co
un
selin
g se
rvic
es in
WIC
by
exp
lori
ng
a m
oth
er’s
ind
ivid
ual
bar
rier
s to
bre
astf
eed
ing
that
ar
e lik
ely
to c
han
ge a
s h
er p
regn
ancy
un
fold
s.
They
als
o h
elp
mo
ther
s ex
plo
re o
pti
on
s fo
r m
axim
izin
g th
e b
enef
its
of
bre
astf
eed
ing
and
low
erin
g th
e m
oth
er’s
bar
rier
s.
Pee
r co
un
selo
rs e
du
cate
mo
ther
s ab
ou
t b
asic
bre
astf
eed
ing
tech
niq
ue,
ho
w t
o
get
a go
od
sta
rt w
ith
bre
astf
eed
ing
in t
he
ho
spit
al, a
nd
tip
s fo
r as
suri
ng
a go
od
m
ilk p
rod
uct
ion
.
Pee
r co
un
selo
rs m
ake
refe
rral
s to
WIC
sta
ff a
nd
th
e W
IC d
esi
gnat
ed
bre
astf
eed
ing
exp
ert
if p
rob
lem
s co
nti
nu
e o
r ar
e b
eyo
nd
he
r b
asic
sco
pe.
Co
nta
ctin
g W
IC M
om
s
Res
earc
h s
ho
ws
hig
her
bre
astf
eed
ing
rate
s w
ith
hig
h in
ten
sity
pee
r su
pp
ort
in
itia
tive
s w
hic
h in
clu
de
mak
ing
con
tact
s ea
rly
in p
regn
ancy
, wit
h m
ore
fr
equ
ent
con
tact
s as
th
e d
ue
dat
e ap
pro
ach
es.
Res
earc
h s
ho
ws
mo
st w
om
en m
ake
thei
r in
fan
t fe
edin
g d
ecis
ion
s b
efo
re o
r d
uri
ng
the
firs
t tr
imes
ter
of
pre
gnan
cy.
Ho
wev
er, w
om
en w
ho
init
ially
dec
ide
to
form
ula
fee
d o
ften
ch
ange
th
eir
min
d w
ith
info
rmat
ion
an
d s
up
po
rt f
rom
a p
eer
cou
nse
lor.
Esta
blis
hin
g a
rela
tio
nsh
ip w
ith
th
e m
oth
er b
efo
re h
er
bab
y is
bo
rn c
an h
elp
her
p
rep
are
for
the
earl
y d
ays
of
bre
astf
eed
ing.
It is
no
t u
nco
mm
on
fo
r p
eer
cou
nse
lors
to
exp
erie
nce
man
y d
isco
nn
ecte
d
ph
on
es, w
ron
g n
um
ber
s, o
r u
nre
turn
ed m
ess
ages
. P
eer
cou
nse
lors
sh
ou
ld b
e re
alis
tic
in r
ealiz
ing
that
dif
ficu
lty
reac
hin
g cl
ien
ts is
no
rmal
. Th
e fa
ct t
hat
WIC
m
om
s o
ften
do
no
t re
turn
cal
ls is
a p
rim
ary
reas
on
pee
r co
un
selo
rs s
ho
uld
al
way
s b
e th
e o
ne
s to
init
iate
co
nta
ct.
Ho
w P
ee
r C
ou
nse
lors
He
lp:
The
Ear
ly D
ays
Du
rin
g th
e ea
rly
day
po
stp
artu
m, p
eer
cou
nse
lors
are
an
inva
luab
le li
nk
to h
elp
an
d s
up
po
rt f
or
new
mo
ms.
The
CD
C r
epo
rted
in it
s “I
nfa
nt
Feed
ing
Pra
ctic
es S
urv
ey’ t
hat
fo
ur
ou
t o
f fi
ve
pre
gnan
cy w
om
en w
ant
to b
reas
tfee
d, b
ut
man
y d
isco
nti
nu
e ea
rly
du
e to
m
ater
nit
y ca
re p
ract
ices
th
at m
ake
it d
iffi
cult
to
co
nti
nu
e. M
oth
ers
wh
o d
eliv
er
in h
osp
ital
s w
ith
un
sup
po
rtiv
e p
ract
ices
are
8 t
ime
s m
ore
like
ly t
o d
isco
nti
nu
e.
Ph
on
e ca
lls a
nd
vis
its
to t
he
ho
spit
al c
an h
elp
ad
dre
ss e
arly
co
nce
rns.
Pee
r co
un
selo
rs f
req
uen
tly
de
al w
ith
bas
ic is
sue
s su
ch a
s p
osi
tio
nin
g an
d la
tch
.
Som
e p
eer
co
un
selin
g p
rogr
ams
pro
vid
e h
om
e vi
sits
to
ass
ess
bre
astf
eed
ing.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Co
nta
ctin
g W
IC M
om
s
Res
earc
h s
ho
ws
that
co
nta
cts
wit
h n
ew m
oth
ers
in t
he
earl
y d
ays
sho
uld
occ
ur
freq
uen
tly:
Ever
y 2
-3 d
ays
in t
he
firs
t w
eek
Wit
hin
24
ho
urs
if t
he
mo
ther
rep
ort
s b
reas
tfe
edin
g p
rob
lem
s
Res
earc
h s
ho
ws
the
mo
st c
riti
cal w
ean
ing
win
do
w is
th
e fi
rst
wee
k.
The
de
man
ds
and
str
esse
s ca
n b
e so
gre
at t
hat
stu
die
s sh
ow
¼ o
f n
ew W
IC
bre
astf
eed
ing
mo
ther
s b
egi
n s
up
ple
men
tin
g b
efo
re t
he
firs
t w
eek
has
en
ded
, an
d ½
hav
e st
arte
d s
up
ple
me
nti
ng
by
the
end
of
the
seco
nd
wee
k.
Pee
r co
un
selo
rs s
ho
uld
be
pre
par
ed t
o d
iscu
ss c
om
mo
n r
easo
ns
for
sup
ple
men
tin
g an
d w
ean
ing
du
rin
g th
is p
erio
d: c
on
cern
s ab
ou
t m
ilk p
rod
uct
ion
an
d u
nco
mfo
rtab
le b
reas
ts.
“Sca
ling
up
” p
rogr
ams
(to
incl
ud
e h
osp
ital
vis
its,
ho
me
visi
ts, o
r m
ore
inte
nsi
ve
ph
on
e fo
llow
-up
) to
pro
vid
e m
ore
inte
nsi
ve f
ace
-to
-fac
e as
sist
ance
can
be
con
sid
ered
by
agen
cies
if f
un
ds
allo
w.
Ho
w P
ee
r C
ou
nse
lors
He
lp:
The
Fir
st M
on
th
Pee
r co
un
selo
rs c
an c
on
tin
ue
to o
ffer
on
goin
g h
elp
an
d s
up
po
rt t
hro
ugh
ou
t th
e cr
itic
al f
irst
mo
nth
wh
en m
ilk p
rod
uct
ion
is b
ein
g es
tab
lish
ed
an
d m
om
s ar
e ad
just
ing
to t
he
dem
and
s o
f m
oth
erh
oo
d a
nd
bre
astf
eed
ing.
This
is a
n id
eal t
ime
for
pee
r co
un
selo
rs t
o p
rom
ote
th
e W
IC f
oo
d p
acka
ges
for
fully
bre
astf
eed
ing
mo
ther
s an
d t
o a
nsw
er t
hei
r m
any
qu
esti
on
s.
They
can
hel
p m
oth
ers
gain
co
nfi
den
ce in
th
eir
milk
pro
du
ctio
n, a
nd
en
cou
rage
th
em if
th
ey d
o n
ot
hav
e fr
ien
ds
or
fam
ily m
emb
ers
wh
o s
up
po
rt t
hem
.
We
igh
ing
Bab
y
Som
e ag
enci
es
pro
vid
e b
aby
scal
es f
or
pee
r co
un
selo
rs t
o u
se in
rea
ssu
rin
g n
ew
m
oth
ers
that
th
eir
bab
y is
gro
win
g an
d t
hey
are
mak
ing
ple
nty
of
milk
.
Scal
es
are
som
etim
es
use
d o
n h
om
e vi
sits
or
as p
art
of
po
stp
artu
m g
rou
p
me
etin
gs a
s a
way
of
attr
acti
ng
mo
ther
s to
ne
w m
om
s’ g
rou
ps
wh
ere
they
can
ac
cess
in-p
erso
n s
up
po
rt.
FNS
allo
ws
agen
cies
to
use
pe
er c
ou
nse
ling
fun
ds
to p
urc
has
e sc
ale
s; h
ow
ever
, it
is s
tro
ngl
y re
com
men
ded
th
at a
gen
cie
s ex
erci
se p
rud
ent
jud
gmen
t. A
deq
uat
e tr
ain
ing
and
su
per
visi
on
sh
ou
ld b
e p
rovi
ded
, wit
h a
pp
rop
riat
e re
ferr
als
mad
e.
Po
licie
s sh
ou
ld a
lso
be
in p
lace
NSA
fu
nd
s m
ust
be
use
d t
o p
urc
has
e sc
ale
s fo
r u
se b
y st
aff
oth
er t
han
pee
r co
un
selo
rs.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Co
nta
ctin
g W
IC M
om
s
Co
nta
cts
wit
h W
IC m
oth
ers
sho
uld
co
nti
nu
e fr
equ
entl
y d
uri
ng
the
firs
t m
on
th:
Wee
kly
afte
r b
reas
tfee
din
g is
go
ing
smo
oth
ly
Wit
hin
24
ho
urs
if m
oth
ers
exp
erie
nce
pro
ble
ms
Freq
uen
t, r
egu
lar
calls
will
hel
p m
oth
ers
gain
co
nfi
den
ce t
hey
are
do
ing
wel
l, an
d a
llow
pee
r co
un
selo
rs t
o a
dd
ress
ch
angi
ng
situ
atio
ns
that
may
aff
ect
the
mo
ther
’s p
erce
pti
on
s ab
ou
t h
ow
bre
astf
eed
ing
is g
oin
g.
Ho
w P
ee
r C
ou
nse
lors
He
lp:
Be
yon
d t
he
Fir
st M
on
th
Aft
er t
he
firs
t m
on
th, m
oth
ers
con
tin
ue
to h
ave
qu
esti
on
s an
d c
on
cern
s as
bab
y gr
ow
s an
d a
s th
ey b
egin
to
ge
t b
ack
to p
re-b
aby
rou
tin
es s
uch
as
retu
rnin
g to
w
ork
or
sch
oo
l. P
eer
co
un
selo
rs c
an:
Co
nti
nu
e to
off
er o
ngo
ing
hel
p a
nd
su
pp
ort
Off
er b
reas
t p
um
ps
and
str
ateg
ies
for
com
bin
ing
wo
rk o
r sc
ho
ol w
ith
b
reas
tfee
din
g
Hel
p m
om
s d
eal w
ith
co
mm
on
ch
alle
nge
s (e
x: b
reas
tfee
din
g in
pu
blic
)
Pro
mo
te t
he
WIC
fo
od
pac
kage
s
Mak
e re
ferr
als
Co
nn
ect
mo
the
rs t
o o
ther
mo
ms
in t
he
com
mu
nit
y
Co
nta
ctin
g W
IC M
om
s
Bey
on
d t
he
firs
t m
on
th, p
eer
cou
nse
lors
can
init
iate
co
nta
cts
wit
h m
om
s:
Mo
nth
ly, a
s lo
ng
as t
hin
gs a
re g
oin
g w
ell
Aro
un
d 1
-2 w
eek
s b
efo
re t
he
mo
ther
pla
ns
to r
etu
rn t
o w
ork
/sch
oo
l an
d a
day
or
two
aft
er s
he
retu
rns.
On
ce b
reas
tfe
edin
g is
wel
l est
ablis
hed
, mo
ther
s co
nti
nu
e to
hav
e q
ues
tio
ns.
Focu
sin
g co
nta
cts
be
fore
an
d a
fter
th
ey r
etu
rn t
o w
ork
or
sch
oo
l hel
ps
them
p
rep
are.
Re
sear
ch s
ho
ws
man
y w
om
en w
ean
so
on
aft
er t
hey
ret
urn
to
wo
rk.
Pee
r co
un
selo
rs h
elp
mo
ther
s w
ith
man
y o
ther
qu
esti
on
s th
at a
rise
as
bab
y gr
ow
s, a
nd
pro
vid
e in
form
atio
n t
o h
elp
mo
ms
feel
co
nfi
de
nt
con
tin
uin
g to
b
reas
tfee
d.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pe
er
Co
un
selo
r Jo
b D
esc
rip
tio
n
WIC
pro
gram
s w
ith
su
cce
ssfu
l pee
r co
un
selin
g p
rogr
ams
are
gen
eral
ly in
ag
ree
men
t th
at p
eer
cou
nse
lors
are
mo
st h
elp
ful i
n p
rovi
din
g b
asic
b
reas
tfee
din
g in
form
atio
n a
nd
su
pp
ort
to
WIC
mo
ther
s.
The
sam
ple
job
des
crip
tio
n o
utl
ines
bas
ic a
ctiv
itie
s p
eer
cou
nse
lors
may
do
in
clu
din
g co
un
selin
g m
oth
ers
, do
cum
enti
ng
con
tact
s, m
akin
g re
ferr
als,
at
ten
din
g st
aff
mee
tin
gs, g
row
ing
her
ow
n k
no
wle
dge
ab
ou
t b
reas
tfe
edin
g, a
nd
fu
nct
ion
ing
as a
par
t o
f th
e W
IC t
eam
.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
Jo
b D
escr
ipti
on
3: W
IC B
reas
tfee
din
g P
eer
Co
un
selo
r
Bas
ic S
cop
e o
f P
ract
ice
The
pee
r co
un
selo
r sc
op
e o
f p
ract
ice
is li
mit
ed t
o s
up
po
rtin
g n
orm
al
bre
astf
eed
ing,
wh
ich
mea
ns
pro
vid
ing
bas
ic in
form
atio
n a
nd
su
pp
ort
.
The
pee
r co
un
selo
r tr
ain
ing,
“Lo
vin
g S
up
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey T
oge
ther
– F
or
Trai
nin
g W
IC P
eer
Co
un
selo
rs,”
ad
dre
sse
s th
e b
asic
ed
uca
tio
n a
nd
su
pp
ort
ro
le f
or
pee
r co
un
selo
rs, a
nd
sh
ow
s si
tuat
ion
s w
hic
h
mu
st b
e yi
eld
ed t
o b
reas
tfe
edin
g ex
per
ts.
Sup
ervi
sors
sh
ou
ld c
on
tin
ue
to a
dd
ress
th
e p
eer
co
un
selo
r sc
op
e th
rou
gho
ut
the
men
tori
ng
ph
ase
of
her
em
plo
ymen
t. C
ase
scen
ario
s at
mo
nth
ly s
taff
m
eet
ings
can
als
o b
e u
sed
fo
r o
ngo
ing
dis
cuss
ion
.
Loca
l WIC
age
nci
es s
ho
uld
no
t ex
pec
t p
eer
cou
nse
lors
to
pro
vid
e se
rvic
es
bey
on
d t
hei
r sc
op
e o
f p
ract
ice.
WIC
sta
ff w
ho
are
hea
lth
pro
fess
ion
als
sho
uld
b
e tr
ain
ed in
bre
astf
eed
ing
man
agem
ent
to a
ssis
t w
ith
pro
ble
ms
that
ari
se.
Teac
h p
eer
co
un
selo
rs w
ho
th
eir
refe
rral
so
urc
es
are
du
rin
g in
itia
l tra
inin
g, a
nd
in
clu
de
them
in m
on
thly
sta
ff m
eet
ings
to
dis
cuss
ref
erra
l sit
uat
ion
s.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
St
affi
ng
and
Su
per
visi
on
5: S
cop
e o
f P
ract
ice
for
WIC
Pe
er C
ou
nse
lors
St
affi
ng
and
Su
per
visi
on
6: S
cop
e o
f P
ract
ice
for
WIC
IBC
LCs
Wh
en
to
Yie
ld
Pee
r co
un
selo
rs s
ho
uld
ref
er s
itu
atio
ns
bey
on
d t
hei
r tr
ain
ing
or
com
fort
leve
l, co
mm
on
pro
ble
ms
that
do
no
t b
egin
imp
rovi
ng
wit
hin
24
ho
urs
of
the
inte
rven
tio
n, o
r w
hen
th
ere
are
med
ical
sit
uat
ion
s fo
r th
e m
oth
er o
r in
fan
t.
This
is im
pe
rati
ve in
red
uci
ng
the
risk
of
liab
ility
.
The
refe
rral
co
nce
pt
is c
alle
d “
yiel
din
g” a
s a
rem
ind
er t
hat
so
me
situ
atio
ns
req
uir
e a
pee
r co
un
selo
r to
“h
and
off
” a
mo
ther
to
mo
re e
xper
ien
ced
p
rofe
ssio
nal
s. W
ebst
er’
s d
efin
es “
yiel
d”
as “
to g
ive
pla
ce o
r p
rece
den
ce
ackn
ow
led
ge t
he
sup
erio
rity
of
som
eon
e el
se; t
o g
ive
way
to
bec
om
e su
cce
eded
by
som
eon
e o
r so
met
hin
g el
se.”
To “
yiel
d”
do
es n
ot
mea
n t
he
pee
r co
un
selo
r te
lls t
he
mo
ther
to
cal
l th
e la
ctat
ion
co
nsu
ltan
t o
r ex
per
t; t
he
pee
r co
un
selo
r sh
ou
ld m
ake
that
ref
erra
l.
The
pee
r co
un
selo
r co
nti
nu
es
to t
rave
l alo
ngs
ide
the
mo
the
r.
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
6: W
hen
to
Yie
ld
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
6 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Do
cum
en
tin
g C
on
tact
s
Do
cum
enti
ng
con
tact
s is
an
inte
gral
par
t o
f th
e p
eer
cou
nse
lor’
s jo
b d
uti
es.
Rec
ord
of
the
advi
ce g
iven
Met
ho
d t
o r
efer
pro
ble
ms
to a
pp
rop
riat
e W
IC s
taff
Mea
sure
men
t fo
r ef
fect
iven
ess
Just
ific
atio
n f
or
pay
ing
pee
r co
un
selo
rs f
or
serv
ice
s p
rovi
de
d
Pee
r co
un
selo
rs u
sual
ly k
eep
a lo
g fo
r ea
ch m
oth
er t
hey
fo
llow
, do
cum
enti
ng
all
con
tact
s, in
form
atio
n c
ove
red
, an
d r
efer
rals
mad
e. T
he
se lo
gs o
ften
bec
om
e p
art
of
the
mo
ther
’s p
erm
ane
nt
reco
rd.
They
are
oft
en f
iled
alp
hab
etic
ally
in a
bin
der
by
mo
ther
’s n
ame
or
du
e d
ate.
In s
om
e St
ates
, pe
er c
ou
nse
lors
do
cum
ent
elec
tro
nic
ally
.
Sup
ervi
sors
sh
ou
ld r
evie
w d
ocu
men
tati
on
logs
mo
nth
ly t
o a
ssu
re t
hey
are
m
akin
g ti
me
ly a
nd
ap
pro
pri
ate
con
tact
s an
d r
efe
rral
s. O
ngo
ing
feed
bac
k h
elp
s re
du
ce t
he
risk
of
liab
ility
an
d p
rovi
des
su
per
viso
rs a
n o
pp
ort
un
ity
to a
dd
ress
co
nfi
den
tial
ity
po
licie
s an
d p
ote
nti
al t
rain
ing
nee
ds.
Som
e ag
enci
es
pro
vid
e lo
cked
file
bo
xes
to s
tore
do
cum
enta
tio
n.
If a
co
mp
ute
r is
use
d o
r p
rovi
ded
, pee
r co
un
selo
rs s
ho
uld
be
trai
ned
to
clo
se
do
wn
th
e co
mp
ute
r so
th
at a
mo
ther
’s c
on
fid
enti
al in
form
atio
n is
no
t re
adily
vi
sib
le t
o o
ther
fam
ily m
em
be
rs o
r in
div
idu
als.
Han
do
ut:
R
epo
rt f
orm
1:
Pee
r C
ou
nse
lor
Co
nta
ct
Log
Oth
er
Do
cum
en
tati
on
Pee
r co
un
selo
rs o
ften
file
th
eir
con
tact
logs
alp
hab
etic
ally
an
d o
rgan
ize
tick
ler
card
s b
y d
ue
dat
e o
r ag
e o
f th
e b
aby
as r
emin
der
s o
f w
hen
mo
ther
s n
eed
to
be
con
tact
ed.
Mo
st a
gen
cies
req
uir
e p
eer
co
un
selo
rs t
o c
om
ple
te a
wee
kly
acti
vity
sh
eet
to
no
te c
on
tact
s m
ade
and
th
e am
ou
nt
of
tim
e ch
arge
d.
This
bec
om
es
thei
r p
roo
f o
f h
ou
rs w
ork
ed a
nd
en
able
s th
em t
o b
e p
aid
.
Mo
st a
gen
cies
als
o r
equ
ire
sup
ervi
sors
to
co
nd
uct
sp
ot
che
cks
of
nam
es
reco
rded
on
th
e w
eek
ly a
ctiv
ity
shee
ts, e
spec
ially
if t
he
pee
r co
un
selo
rs a
re
wo
rkin
g fr
om
ho
me.
Th
ese
spo
t ch
ecks
ver
ify
con
tact
s an
d a
ssu
re t
hat
mo
ther
s ar
e re
ceiv
ing
app
rop
riat
e as
sist
ance
.
Han
do
ut:
R
epo
rt F
orm
2: S
sam
ple
Pe
er C
ou
nse
lor
Wee
kly
Act
ivit
y Lo
g
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
7 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
De
velo
pin
g a
Car
ee
r P
ath
fo
r P
ee
r C
ou
nse
lors
– S
ho
wca
se:
Texa
s W
IC
Rec
ogn
izin
g th
at p
eer
cou
nse
lors
gro
w in
th
eir
kno
wle
dge
, ski
lls, a
nd
exp
erie
nce
b
eyo
nd
th
e b
asic
s, s
om
e W
IC a
gen
cie
s p
rovi
de
care
er
pat
h p
rogr
ams
to k
eep
p
eer
cou
nse
lors
en
gage
d a
nd
exc
ited
ab
ou
t th
e p
rogr
am.
Res
earc
h s
ho
ws
care
er la
dd
ers
incr
ease
ret
enti
on
of
pee
r co
un
selo
rs a
nd
giv
es
them
po
siti
ve g
oal
s to
wo
rk t
ow
ard
.
Texa
s W
IC h
as a
lon
g-ru
nn
ing
succ
ess
ful c
are
er la
dd
er w
ith
th
ree
leve
ls:
Bas
ic e
ntr
y-le
vel p
eer
co
un
selo
r
Ad
van
ced
pee
r co
un
selo
r (s
enio
r p
eer
cou
nse
lor,
lead
pee
r co
un
selo
r,
or
lact
atio
n s
pec
ialis
t)
Lact
atio
n c
on
sult
ant
(IB
CLC
)
Job
Du
tie
s fo
r Se
nio
r P
ee
r C
ou
nse
lors
In s
om
e ag
enci
es
sen
ior
leve
l pee
r co
un
selo
rs h
ave
wo
rked
as
entr
y-le
vel p
eer
cou
nse
lors
fo
r at
leas
t si
x m
on
ths,
hav
e re
ceiv
ed a
dd
itio
nal
tra
inin
g, a
nd
hav
e re
cogn
ized
ski
lls in
bre
astf
eed
ing
sup
po
rt.
Each
age
ncy
will
nee
d t
o d
eter
min
e p
olic
ies
for
adva
nci
ng
a p
eer
cou
nse
lor
to a
sen
ior
po
siti
on
.
Job
du
ties
can
incl
ud
e:
Ass
isti
ng
wit
h t
rain
ing
new
pe
er c
ou
nse
lors
Ass
isti
ng
wit
h m
ento
rin
g n
ew
pee
r co
un
selo
rs
Teac
hin
g cl
asse
s an
d s
up
po
rt g
rou
p m
eeti
ngs
Rec
eiv
ing
refe
rral
s o
f si
tuat
ion
s th
at d
o n
ot
req
uir
e yi
eld
ing
to a
WIC
d
esig
nat
ed b
reas
tfee
din
g ex
per
t
Issu
ing
ele
ctri
c o
r m
anu
al b
reas
t p
um
ps
Mai
nta
inin
g b
reas
t p
um
p in
ven
tory
Mak
ing
ho
me
visi
ts
Pro
vid
ing
ho
spit
al v
isit
s w
ith
new
mo
ther
s
Trai
nin
g re
qu
ire
men
ts v
ary,
bu
t ca
n in
volv
e fo
rmal
tra
inin
g b
eyo
nd
th
e in
itia
l p
eer
cou
nse
lor
trai
nin
g th
rou
gh e
arn
ing
CEU
s th
rou
gh c
on
fere
nce
s, s
elf-
stu
dy,
o
r co
mp
leti
ng
a la
ctat
ion
co
urs
e.
Han
do
uts
Jo
b D
escr
ipti
on
4:
WIC
Sen
ior
Bre
astf
eed
ing
Pee
r C
ou
nse
lor
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
8 Se
ctio
n 6
: Sco
pe
of
Pra
ctic
e
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Job
Du
tie
s fo
r La
ctat
ion
Co
nsu
ltan
ts
IBC
LCs
are
cred
enti
aled
in la
ctat
ion
an
d r
equ
ire
con
tin
uin
g ed
uca
tio
n, h
ou
rs o
f p
ract
ice
cou
nse
ling
mo
ther
s, a
nd
su
cces
sfu
l co
mp
leti
on
of
the
IBC
LC e
xam
.
A c
red
enti
aled
lact
atio
n c
on
sult
ant
wo
rkin
g in
th
e W
IC p
eer
cou
nse
ling
pro
gram
is
ab
le t
o p
rovi
de
mo
re h
igh
-ris
k as
sist
ance
to
mo
ther
s, in
clu
din
g m
anag
ing
pro
ble
ms
bey
on
d t
he
sco
pe
of
pee
r co
un
selo
rs.
IBC
LCs
are
able
to
sec
ure
per
son
al li
abili
ty c
ove
rage
.
IBC
LCs
follo
w t
hei
r p
rofe
ssio
nal
Sco
pe
of
Pra
ctic
e fr
om
th
e cr
eden
tial
ing
org
aniz
atio
n, t
he
Inte
rnat
ion
al B
oar
d o
f La
ctat
ion
Co
nsu
ltan
t Ex
amin
ers
(IB
LCE)
.
Pee
r co
un
selo
rs w
ho
bec
om
e IB
CLC
s m
ay a
ssu
me
add
itio
nal
du
ties
su
ch a
s:
Ref
erra
l so
urc
e fo
r n
ew
mo
ther
s e
xper
ien
cin
g p
rob
lem
s b
eyo
nd
th
e p
eer
cou
nse
lors
’ sco
pe
of
pra
ctic
e
Mak
ing
rou
nd
s at
loca
l ho
spit
als
Mak
ing
ho
me
visi
ts w
ith
ne
w m
oth
ers
exp
erie
nci
ng
dif
ficu
ltie
s w
ith
b
reas
tfee
din
g
Issu
ing
bre
astf
eed
ing
de
vice
s fo
r m
ore
co
mp
lex
bre
astf
eed
ing
situ
atio
ns
Serv
ing
as t
he
WIC
de
sign
ated
bre
astf
eed
ing
exp
ert
for
the
WIC
clin
ic
or
agen
cy
Trai
nin
g, m
ento
rin
g, a
nd
su
pe
rvis
ing
pee
r co
un
selo
rs
Pro
vid
ing
bre
astf
eed
ing
in-s
ervi
ces
for
loca
l hea
lth
car
e p
rovi
der
s
Teac
hin
g cl
asse
s an
d le
adin
g su
pp
ort
gro
up
mee
tin
gs
Co
ord
inat
ing
bre
astf
eed
ing
acti
viti
es
in t
he
loca
l age
ncy
Han
do
uts
Jo
b D
escr
ipti
on
5:
WIC
Lac
tati
on
C
on
sult
ant
Re
com
me
nd
atio
ns
for
Car
ee
r P
ath
Pro
gram
Stat
es s
uch
as
Texa
s, M
issi
ssip
pi,
and
Mic
hig
an w
ith
tie
red
car
eer
op
po
rtu
nit
ies
for
pee
r co
un
selo
rs p
rovi
de
reco
mm
end
atio
ns
that
can
en
sure
su
cce
ss:
On
ly e
nco
ura
ge f
orw
ard
mo
vem
ent
wh
en y
ou
can
pro
vid
e p
osi
tio
ns.
Hir
e p
eer
cou
nse
lors
as
entr
y le
vel s
taff
bef
ore
mo
vin
g th
em
into
ad
van
ced
ro
les
so t
hey
are
fam
iliar
wit
h t
he
vari
ou
s p
osi
tio
ns.
Esta
blis
hed
a d
efin
ed jo
b d
escr
ipti
on
an
d s
cop
e o
f p
ract
ice
and
pay
ra
te f
or
each
leve
l.
Co
nsi
der
dif
fere
nt
nam
es
that
ack
no
wle
dge
th
e ex
pan
ded
ro
le a
nd
th
at
may
allo
w t
hem
to
bec
om
e in
tegr
ated
into
th
e St
ate
per
son
nel
sys
tem
. Th
is c
an h
elp
mak
e p
osi
tio
ns
mo
re p
erm
anen
t an
d h
elp
tak
e th
e w
ork
load
off
oth
er s
taff
po
siti
on
s.
Bec
ause
no
t to
bec
om
e to
o “
top
hea
vy”
wit
h a
dva
nce
d le
vel p
eer
cou
nse
lors
an
d la
ctat
ion
co
nsu
ltan
ts o
r th
e p
rogr
am w
ill lo
se t
he
imp
ort
ant
par
apro
fess
ion
al n
atu
re o
f m
oth
er-t
o-m
oth
er s
up
po
rt.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Sect
ion
7:
Pra
ctic
e S
ett
ing
for
Pe
er C
ou
nse
lors
Sl
ide
M
ain
Me
ssag
es
Act
ivit
ies
and
Han
do
uts
Pra
ctic
e S
ett
ings
fo
r P
ee
r C
ou
nse
lors
Pee
r co
un
selo
rs w
ork
in a
var
iety
of
loca
tio
ns
to s
erve
th
e n
eed
s o
f th
e W
IC
com
mu
nit
y. T
his
incl
ud
es b
oth
wit
hin
an
d b
eyo
nd
th
e W
IC c
linic
an
d u
sual
WIC
cl
inic
ho
urs
in h
osp
ital
s, p
riva
te c
linic
s, in
co
mm
un
ity
site
s, b
y te
lep
ho
ne
and
in
mo
ther
’s h
om
es.
Soci
al m
edia
is b
oo
min
g am
on
g yo
un
g m
oth
ers
and
pee
r co
un
selo
rs a
nd
has
b
eco
me
a q
uic
k an
d e
asy
way
to
co
nn
ect.
Each
age
ncy
sh
ou
ld d
eter
min
e th
e u
niq
ue
nee
ds
of
the
WIC
mo
ther
s in
th
eir
com
mu
nit
y to
det
erm
ine
wh
at s
etti
ngs
an
d s
trat
egi
es
will
be
mo
st e
ffec
tive
.
Po
licie
s ca
n t
hen
be
stru
ctu
red
to
ad
dre
ss t
he
iden
tifi
ed s
trat
egie
s.
Life
line
Be
yon
d W
IC W
alls
Res
earc
h w
ith
WIC
age
nci
es, p
eer
cou
nse
lors
, an
d m
oth
ers
has
fo
un
d t
hat
th
e ke
y to
su
cce
ss w
ith
pee
r co
un
selin
g is
bei
ng
avai
lab
le t
o m
oth
ers
wh
en t
hey
n
eed
it m
ost
.
Bre
astf
eed
ing
pro
ble
ms
do
no
t al
way
s o
ccu
r d
uri
ng
usu
al b
usi
nes
s h
ou
rs, a
nd
p
eer
cou
nse
lors
pro
vid
e im
po
rtan
t su
pp
ort
bey
on
d u
sual
WIC
ser
vice
s.
Pee
r co
un
selo
rs h
elp
fill
th
e ga
p in
bre
astf
eed
ing
serv
ices
, par
ticu
larl
y in
are
as
wh
ere
ther
e ar
e lim
ite
d W
IC h
ealt
h p
rofe
ssio
nal
su
pp
ort
re
sou
rce
s b
eyo
nd
re
gula
r w
ork
ing
ho
urs
.
Bei
ng
avai
lab
le b
eyo
nd
th
e W
IC c
linic
ho
urs
an
d e
nvi
ron
me
nt
is a
key
co
mp
on
ent
of
the
Lovi
ng
Su
pp
ort
© M
od
el.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
Tele
ph
on
e A
cce
ss
Tele
ph
on
e ca
lls a
re c
on
sid
ere
d t
he
cen
terp
iece
of
mo
st p
eer
cou
nse
ling
pro
gram
s in
WIC
to
day
. D
esp
ite
the
wid
esp
read
use
of
soci
al m
edia
, th
e h
um
an
voic
e is
sti
ll co
nsi
der
ed a
n in
tegr
al w
ay t
o b
uild
imp
ort
ant
con
nec
tio
ns
wit
h
wo
men
.
Tele
ph
on
e ca
lls e
nab
le p
eer
cou
nse
lors
to
be
avai
lab
le a
t ti
me
s o
f cr
isis
wh
en
mo
ther
s ar
e m
ost
vu
lner
able
an
d li
kely
to
dis
con
tin
ue
bre
astf
eed
ing.
Bei
ng
avai
lab
le o
uts
ide
regu
lar
clin
ic h
ou
rs g
ives
mo
ther
s a
lifel
ine
to s
up
po
rt
and
hel
p w
hen
oth
er h
ealt
h s
ervi
ces
may
no
t b
e ac
cess
ible
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Be
yon
d R
egu
lar
Clin
ic H
ou
rs
Bei
ng
avai
lab
le b
eyo
nd
clin
ic h
ou
rs c
an b
e w
ork
able
wit
h t
ho
ugh
tfu
l pla
nn
ing.
Mo
st m
oth
ers
do
no
t p
ho
ne
at in
con
ven
ien
t ti
mes
.
Mo
ther
s m
ay f
eel v
uln
erab
le a
nd
bel
ieve
th
at c
allin
g fo
r h
elp
is a
n
adm
issi
on
of
failu
re.
Fam
ily m
emb
ers
are
clo
ser
at h
and
an
d t
rust
ed s
ou
rce
s o
f in
form
atio
n.
It is
ext
rem
ely
imp
ort
ant
for
pee
r co
un
selo
rs t
o in
itia
te c
alls
.
The
mo
st li
kely
tim
e w
hen
mo
ther
s m
igh
t ca
ll at
an
inco
nve
nie
nt
tim
e te
nd
s to
b
e in
th
e ea
rly
day
s p
ost
par
tum
, a v
ery
limit
ed w
ind
ow
of
tim
e.
Rec
om
men
dat
ion
s fo
r m
anag
ing:
Let
WIC
wo
men
kn
ow
th
e b
est
tim
es t
o c
all.
If a
cal
l co
mes
at
an in
op
po
rtu
ne
tim
e, le
t th
e m
oth
er k
no
w y
ou
will
re
turn
her
cal
l at
a m
ore
co
nve
nie
nt
tim
e.
Nev
er g
ive
ou
t p
erso
nal
info
rmat
ion
.
Turn
off
th
e p
ho
ne
du
rin
g u
nav
aila
ble
tim
es.
Ch
eck
me
ssag
es a
nd
re
turn
cal
ls p
rom
ptl
y.
Pro
vid
e ce
ll p
ho
nes
th
at p
eer
cou
nse
lors
sh
are
wh
en o
ther
s ar
e aw
ay
or
ou
t si
ck.
Pro
vid
e p
ager
s so
pe
er c
ou
nse
lors
can
ret
urn
cal
ls.
(Ho
wev
er, m
oth
ers
oft
en w
ill n
ot
leav
e m
ess
age
s o
n p
ager
s.)
Staf
f a
24
-ho
ur
ho
tlin
e an
d r
ota
te p
eer
cou
nse
lors
to
sta
ff.
Exam
ple
: Te
xas
Loca
l Age
ncy
34
-01
, Ab
ilen
e-T
aylo
r C
ou
nty
WIC
.
Ce
ll P
ho
ne
s
Man
y W
IC a
gen
cie
s th
at o
nce
pro
vid
ed p
ager
s h
ave
no
w s
wit
ched
to
pro
vid
e ce
ll p
ho
nes
wit
h v
oic
emai
l an
d t
exti
ng
op
tio
ns
inst
ead
. B
en
efit
s ar
e:
Mo
re c
ost
eff
ecti
ve a
s it
incr
eas
es
avai
lab
ility
to
mo
ther
s
Enh
ance
s sa
fety
fo
r th
e p
eer
cou
nse
lor
Elim
inat
es p
erso
nal
lon
g-d
ista
nce
ch
arge
s
Elim
inat
es t
he
ne
ed f
or
ite
miz
ed r
epo
rtin
g o
f p
erso
nal
cel
l ph
on
e u
sage
Pro
vid
es
mo
re o
pti
on
s fo
r p
eer
co
un
selo
rs t
o c
on
nec
t vi
a te
xtin
g an
d
soci
al m
edia
Teac
h p
eer
co
un
selo
rs a
pp
rop
riat
e u
se o
f ce
ll p
ho
nes
an
d c
on
fid
enti
alit
y.
To m
inim
ize
cost
s, s
om
e st
ate
s as
k p
eer
cou
nse
lors
to
fo
cus
calls
to
tim
es
wh
en
serv
ice
pro
vid
ers
allo
w f
ree
calls
.
Co
nsi
der
ph
on
es t
hat
may
be
“lo
cked
” w
hen
no
t in
use
.
Inst
ruct
pee
r co
un
selo
rs t
o in
clu
de
a si
gnat
ure
on
th
eir
ph
on
e.
Han
do
ut:
P
olic
ies
1:
Sam
ple
Cel
l Ph
on
e P
olic
y
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Text
ing
Pee
r co
un
selo
rs r
epo
rt t
exti
ng
is a
pri
mar
y w
ay W
IC m
oth
ers
wan
t to
co
mm
un
icat
e.
Som
e ag
enci
es
pro
vid
e u
nlim
ited
tex
tin
g p
lan
s, c
itin
g n
om
inal
co
sts.
(Ex
: on
e st
ate
fou
nd
an
nu
al c
ost
fo
r 8
-10
pee
r co
un
selo
rs is
$1
,50
0).
Mo
st s
tate
s al
low
ing
text
ing
ask
pee
r co
un
selo
rs t
o u
se it
fo
r in
itia
tin
g q
uic
k m
ess
ages
an
d c
on
tact
s (e
.g.,
cla
ss n
oti
ces,
WIC
ap
po
intm
ent
rem
ind
ers,
etc
.)
Man
y p
eer
cou
nse
lors
bel
ieve
tex
t m
ess
agin
g is
a v
alu
able
way
to
rec
eive
co
nta
cts
fro
m m
oth
ers
wh
o h
ave
qu
est
ion
s; t
he
se m
oth
ers
may
nev
er p
ho
ne
or
leav
e a
me
ssag
e w
ith
a p
ager
. Th
e p
eer
cou
nse
lor
can
th
en f
ollo
w u
p b
y p
ho
ne.
For
do
cum
enta
tio
n, e
ach
Sta
te/l
oca
l age
ncy
will
ne
ed t
o d
eter
min
e w
het
her
te
xt m
ess
age
s w
ill c
ou
nt
as p
eer
cou
nse
ling
con
tact
s, v
olu
me
calls
, etc
.
Ele
ctro
nic
Co
mm
un
icat
ion
Elec
tro
nic
co
mm
un
icat
ion
s ar
e w
idel
y u
sed
by
man
y p
eop
le t
o s
tay
con
nec
ted
, th
ou
gh f
or
WIC
par
tici
pan
ts, u
se o
f ce
ll p
ho
nes
is m
ore
co
mm
on
.
Man
y ex
celle
nt
bre
astf
eed
ing
web
site
s ar
e av
aila
ble
.
Pee
r co
un
selo
rs w
ho
wan
t to
em
ail m
oth
ers
sho
uld
be
give
n t
he
agen
cy’s
em
ail
po
licy
and
inst
ruct
ed o
n h
ow
to
kee
p m
ess
age
s sh
ort
an
d s
imp
le.
Som
e ag
enci
es
pro
vid
e iP
ads™
or
oth
er t
able
t d
evic
es
to e
nab
le q
uic
k d
ocu
men
tati
on
an
d t
o q
uic
kly
acce
ss in
form
atio
n.
The
“Lo
vin
g S
up
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey t
oge
ther
– f
or
Trai
nin
g W
IC P
eer
Co
un
selo
rs”
trai
nin
g p
rovi
des
gu
idel
ines
fo
r u
sin
g e
mai
l, te
xtin
g, a
nd
so
cial
med
ia.
Sho
wca
se:
Ne
w Y
ork
Bre
astf
ee
din
g P
artn
ers
The
Ne
w Y
ork
WIC
Pro
gram
has
op
erat
ed a
n e
xcel
len
t w
ebsi
te w
ith
b
reas
tfee
din
g re
sou
rce
s fo
r p
aren
ts a
nd
pee
r co
un
selo
rs.
The
site
beg
an in
20
04
an
d s
up
po
rts
loca
l age
ncy
pee
r co
un
selin
g ef
fort
s,
pro
vid
ing
sup
po
rt a
nd
res
ou
rces
fo
r th
ose
th
at d
id n
ot
yet
hav
e a
pe
er s
up
po
rt
pro
gram
in p
lace
.
The
site
pro
vid
es
a p
eer-
to-p
eer
sh
arin
g n
etw
ork
an
d a
n o
pp
ort
un
ity
for
pee
r co
un
selo
rs t
o c
on
tin
ue
thei
r jo
urn
ey o
f le
arn
ing
thro
ugh
rei
nfo
rce
men
t o
f b
asic
sk
ills
tau
ght
in t
hei
r in
itia
l tra
inin
g.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Soci
al M
ed
ia
Soci
al m
edia
is t
he
use
of
web
-bas
ed a
nd
mo
bile
te
chn
olo
gies
to
tu
rn
com
mu
nic
atio
n in
to in
tera
ctiv
e d
ialo
gue
and
bu
ild a
sen
se o
f co
mm
un
ity.
Mo
st e
xper
ts t
od
ay a
gree
th
at s
oci
al m
edia
has
bec
om
e a
fun
dam
enta
l sh
ift
in
the
way
peo
ple
co
mm
un
icat
e.
Co
mm
on
so
cial
med
ia t
ech
no
logi
es in
clu
de
Face
bo
ok™
, Tw
itte
r™, S
kyp
e™,
Lin
ked
In™
, an
d o
ther
em
ergi
ng
com
mu
nic
atio
n t
ech
no
logi
es.
Soci
al m
edia
has
en
larg
ed t
he
wo
rld
an
d c
reat
ed a
sen
se o
f co
mm
un
ity
wh
ere
rela
tio
nsh
ips
reig
n a
nd
idea
s ar
e fr
eel
y sh
ared
.
Mo
re t
han
50
% o
f th
e w
orl
d’s
po
pu
lati
on
is le
ss t
han
30
yea
rs o
ld.
96
% o
f m
illen
nia
l mo
ms
hav
e jo
ined
a s
oci
al n
etw
ork
.
1 in
8 c
ou
ple
s in
th
e U
.S. m
et v
ia s
oci
al m
edia
.
If F
aceb
oo
k™ w
ere
a co
un
try,
it w
ou
ld b
e th
e th
ird
larg
est
in t
he
wo
rld
(b
ehin
d In
dia
an
d C
hin
a).
80
% o
f co
mp
anie
s to
day
use
so
cial
med
ia t
o r
each
co
nsu
me
rs.
WIC
an
d S
oci
al M
ed
ia
WIC
mo
ther
s ar
e u
sin
g so
cial
med
ia.
A 2
01
0 w
ich
ealt
h.o
rg s
urv
ey o
f 7
1,0
00
WIC
par
tici
pan
ts f
ou
nd
th
at 8
9.2
% u
se
Face
bo
ok™
, 80
.4%
use
tex
t m
essa
gin
g, a
nd
78
.3%
use
th
eir
cell
ph
on
e to
co
mm
un
icat
e.
Texa
s W
IC d
ata
fou
nd
th
at a
mo
ng
WIC
par
tici
pan
ts:
66
% h
ave
acce
ss t
o t
he
Inte
rnet
77
% u
se t
ext
mes
sage
s to
co
mm
un
icat
e
54
% u
se e
mai
l
45
% r
egu
larl
y u
se F
aceb
oo
k™
35
% v
iew
on
line
vid
eos
Man
y p
eer
cou
nse
lors
hav
e p
erso
nal
Fac
ebo
ok™
pag
es, a
nd
so
me
WIC
p
rogr
ams
hav
e ag
ency
pag
es
or
gro
up
s fo
r W
IC m
om
s. A
“se
cret
” gr
ou
p a
llow
s fo
r p
riva
cy o
f gr
ou
p m
emb
ers
wit
h p
ost
s th
at c
an b
e vi
ew
ed
on
ly b
y th
e gr
ou
p.
Vid
eo
: “W
IC a
nd
So
cial
Med
ia”
(pro
du
ced
by
Texa
s W
IC)
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
De
velo
pin
g So
cia
l Me
dia
Gu
ide
line
s
Mo
st a
gen
cies
hav
e gu
idel
ine
s o
n s
oci
al m
edia
. R
efe
r to
exi
stin
g p
olic
ies.
Cle
ar g
uid
elin
es o
n a
pp
rop
riat
e u
se o
f te
chn
olo
gie
s ar
e im
po
rtan
t to
sh
are.
The
pee
r co
un
selo
r tr
ain
ing
curr
icu
lum
pro
vid
es
bas
ic in
stru
ctio
ns.
Co
nsi
der
atio
ns
in f
orm
ula
tin
g gu
idan
ce f
or
soci
al m
edia
:
Term
s o
f u
se
Ove
rsig
ht
and
up
keep
of
the
site
Site
mo
nit
ori
ng
Pu
rpo
se o
f so
cial
med
ia
Co
nte
nt
that
fal
ls o
uts
ide
that
pu
rpo
se
Ho
w t
o h
and
le in
app
rop
riat
e p
ost
s
Co
pyr
igh
t is
sue
s
Co
nfi
den
tial
ity
Rec
ord
s m
anag
em
ent
The
agen
cy s
ho
uld
als
o h
ave
usa
ge g
uid
elin
es f
or
tho
se u
sin
g so
cial
med
ia.
(e.g
., S
has
ta M
om
’s C
ircl
e in
clu
des
gu
idel
ine
s fo
r re
spe
ctin
g o
ne
ano
ther
, av
oid
ing
“ho
t b
utt
on
” is
sues
, no
fo
ul l
angu
age,
no
bas
hin
g o
f h
ealt
h c
are
pro
fess
ion
als,
an
d n
o a
dve
rtis
ing)
The
Cen
ters
fo
r D
isea
se C
on
tro
l an
d P
reve
nti
on
has
pu
blis
hed
mo
del
gu
idel
ines
.
Han
do
ut:
P
olic
ies
2:
Sam
ple
So
cial
Med
ia P
olic
y
Sho
wca
se:
Uta
h V
irtu
al P
ee
r C
ou
nse
ling
Pro
gram
The
Uta
h W
IC P
rogr
am h
as a
“vi
rtu
al p
eer
cou
nse
ling”
ad
apta
tio
n t
o t
hei
r w
ebsi
te t
hat
will
use
all
soci
al m
edia
co
mp
on
ents
, in
clu
din
g Fa
ceb
oo
k™ a
nd
P
alTa
lk™
.
Pee
r co
un
selo
rs a
nd
WIC
sta
ff c
an p
ost
, up
load
, an
d o
rgan
ize
bre
astf
eed
ing
re
sou
rces
by
top
ic o
r is
sue.
WIC
par
tici
pan
ts c
an m
ove
th
rou
gh a
n e
lect
ron
ic “
virt
ual
ed
uca
tor
dia
logu
e,”
can
vis
it e
du
cati
on
al li
nks
, an
d e
ven
co
nn
ect
wit
h a
pee
r co
un
selo
r to
dis
cuss
b
reas
tfee
din
g q
ue
stio
ns.
Ad
dit
ion
al c
licks
will
tak
e th
e p
arti
cip
ant
to a
pag
e fe
atu
rin
g th
e p
ho
to a
nd
b
iogr
aph
ical
info
rmat
ion
ab
ou
t th
e p
eer
cou
nse
lors
, an
d a
n o
pp
ort
un
ity
to
beg
in a
Sky
pe™
co
nve
rsat
ion
imm
edia
tely
, lea
ve a
n in
stan
t m
ess
age,
or
rece
ive
emai
l fo
llow
-up
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
6 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Ho
spit
al C
olla
bo
rati
on
Man
y W
IC a
gen
cie
s h
ave
beg
un
pla
cin
g p
eer
cou
nse
lors
in h
osp
ital
set
tin
gs t
o
pro
vid
e d
irec
t o
ne
-on
-on
e as
sist
ance
in t
he
crit
ical
fir
st f
ew
day
s p
ost
par
tum
.
Som
e vi
sit
the
ho
spit
al a
s “f
rien
ds”
or
“vis
ito
rs”
to g
reet
mo
ther
s an
d m
ake
a
WIC
ref
erra
l. O
ther
s vi
sit
un
der
mo
re f
orm
aliz
ed g
uid
elin
es
thro
ugh
th
e h
osp
ital
vo
lun
teer
off
ice
or
oth
er a
rran
gem
ents
mu
tual
ly a
gree
d u
po
n.
In s
om
e h
osp
ital
s p
eer
cou
nse
lors
co
me
on
ly w
hen
th
e h
osp
ital
ph
on
es t
hat
a
mo
ther
nee
ds
assi
stan
ce.
In s
om
e co
mm
un
itie
s th
e h
osp
ital
fax
es a
list
of
WIC
mo
the
rs t
o t
he
WIC
off
ice
follo
win
g co
nfi
den
tial
ity
agre
emen
ts e
stab
lish
ed b
etw
een
th
e tw
o
org
aniz
atio
ns.
Pee
r co
un
selo
r th
en c
hec
k th
e lis
t an
d b
egin
fo
llow
-up
.
Han
do
ut:
Jo
b D
escr
ipti
on
6:
WIC
Pe
er C
ou
nse
lor
in
the
Ho
spit
al
Sho
wca
se:
Ala
me
da
Co
un
ty M
ed
ical
Ce
nte
r an
d W
IC
WIC
pee
r co
un
selo
rs in
Ala
me
da
Co
un
ty (
Oak
lan
d, C
alif
orn
ia)
wo
rk c
lose
ly w
ith
th
eir
loca
l ho
spit
al.
The
arra
nge
men
t w
as c
aref
ully
pla
nn
ed a
nd
exe
cute
d w
ith
an
off
icia
l Me
mo
ran
du
m o
f U
nd
erst
and
ing
sign
ed b
y b
oth
par
ties
. A
cle
ar
sco
pe
of
pra
ctic
e w
as n
ego
tiat
ed a
nd
tra
inin
g p
rovi
ded
to
pee
r co
un
selo
rs.
Pee
rs c
om
ple
te t
he
ho
spit
al’s
vo
lun
teer
pro
gram
an
d w
ork
un
der
dir
ect
sup
ervi
sio
n o
f th
e la
ctat
ion
co
nsu
ltan
t.
The
ho
spit
al r
epo
rts
that
pee
r co
un
selo
rs a
re a
tre
men
do
us
asse
t as
th
ey c
an
bu
ild r
elat
ion
ship
s w
ith
ne
w m
om
s.
The
exp
erie
nce
has
bee
n s
o p
osi
tive
th
at o
ther
ho
spit
als
are
no
w a
skin
g ab
ou
t h
avin
g p
eer
cou
nse
lors
in t
hei
r fa
cilit
ies.
Be
ne
fits
of
Ho
spit
al C
olla
bo
rati
on
Ben
efit
s to
WIC
mo
ther
s:
Rei
nfo
rces
pre
nat
al e
du
cati
on
Allo
ws
her
to
me
et h
er p
eer
cou
nse
lor
to e
nh
ance
rel
atio
nsh
ip b
uild
ing
Esta
blis
he
s an
inti
mat
e re
lati
on
ship
du
rin
g a
sen
siti
ve t
ime
Hel
ps
mo
ms
gain
co
nfi
den
ce w
ith
bre
astf
eed
ing
Edu
cate
s th
e en
tire
fam
ily
Ben
efit
s to
th
e h
osp
ital
:
Imp
rove
s q
ual
ity
care
Save
s ti
me
for
bu
sy n
urs
ing
staf
f an
d f
ree
s th
em
fo
r o
ther
du
ties
Imp
rove
s p
atie
nt
sati
sfac
tio
n w
ith
th
eir
ho
spit
al e
xper
ien
ce
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
7 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pro
mo
tin
g P
ee
r C
ou
nse
ling
to t
he
Ho
spit
al
Beg
in b
y co
nta
ctin
g th
e h
osp
ital
lact
atio
n c
on
sult
ant
or
oth
er k
ey c
on
tact
s.
Set
a fo
rmal
me
etin
g b
etw
een
th
e W
IC D
irec
tor
and
pee
r co
un
selin
g co
ord
inat
or
wit
h t
he
ho
spit
al d
irec
tor
of
nu
rsin
g, la
ctat
ion
co
nsu
ltan
t, a
nd
oth
er
key
staf
f.
Dis
cuss
:
WIC
’s g
oal
s an
d m
issi
on
, an
d d
esir
e to
incr
ease
bre
astf
eed
ing
rate
s.
Ro
le o
f th
e p
eer
co
un
selo
rs.
Exam
ple
s o
f h
osp
ital
s su
cce
ssfu
lly u
sin
g p
eer
cou
nse
lors
.
Trai
nin
g cu
rric
ulu
m u
sed
to
tra
in p
eer
cou
nse
lors
.
Sco
pe
of
pra
ctic
e o
f p
eer
cou
nse
lors
.
Bre
astf
eed
ing
rate
s o
f W
IC m
oth
ers
in t
he
com
mu
nit
y.
Liab
ility
co
vera
ge t
hat
may
be
avai
lab
le w
ith
th
e lo
cal a
gen
cy.
Follo
w t
he
ho
spit
al’s
lead
an
d o
ffer
to
pro
vid
e m
ore
info
rmat
ion
.
A f
orm
al a
gree
men
t ca
n b
e u
sed
to
cla
rify
ro
les
of
the
pee
r co
un
selo
rs
com
mu
nic
atio
n, a
nd
ref
erra
ls.
Han
do
ut:
P
olic
ies
3: S
amp
le M
emo
ran
du
m o
f U
nd
erst
and
ing
wit
h H
osp
ital
s
The
Ho
spit
al C
ircl
e o
f C
are
fo
r N
ew
Mo
ms
Wh
ile in
th
e h
osp
ital
th
e p
eer
cou
nse
lor
resp
ects
th
e en
tire
tea
m c
arin
g fo
r th
e m
oth
er.
Her
ro
le in
th
e h
osp
ital
sh
ou
ld b
e cl
earl
y id
enti
fied
wit
h t
he
ho
spit
al t
eam
.
In m
any
ho
spit
als,
pee
r co
un
selo
rs d
o n
ot
off
er h
and
s-o
n a
ssis
tan
ce, b
ut
sim
ply
m
eet
th
e m
oth
er in
per
son
, pro
vid
e en
cou
rage
men
t, a
nd
arr
ange
fo
r fo
llow
-up
b
y p
ho
ne.
In s
om
e h
osp
ital
s, p
eer
cou
nse
lors
hel
p m
oth
ers
po
siti
on
an
d la
tch
th
e b
aby.
All
pee
r co
un
selo
rs s
ho
uld
re
po
rt a
ny
con
cern
s to
th
e la
ctat
ion
tea
m le
ader
or
des
ign
ated
ho
spit
al c
on
tact
, as
we
ll as
th
eir
WIC
su
per
viso
r.
Trai
nin
g P
ee
r C
ou
nse
lors
to
Wo
rk in
th
e H
osp
ital
Man
y W
IC a
gen
cie
s d
o n
ot
pla
ce p
eer
cou
nse
lors
in t
he
ho
spit
al u
nti
l th
ey h
ave
wo
rked
fo
r at
leas
t si
x m
on
ths
to h
elp
incr
ease
co
nfi
den
ce a
nd
ski
lls.
Mo
st h
osp
ital
s as
k p
eer
cou
nse
lors
to
go
th
rou
gh v
olu
nte
er p
rogr
am.
Pee
r co
un
selo
rs s
ho
uld
als
o r
ecei
ve t
rain
ing
fro
m s
up
ervi
sors
.
The
pee
r co
un
selo
r tr
ain
ing
pro
gram
, Lo
vin
g S
up
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey T
oge
ther
– F
or
Trai
nin
g W
IC P
eer
Co
un
selo
rs, i
ncl
ud
es
a m
od
ule
(M
od
ule
#1
3)
spec
ific
ally
fo
cuse
d o
n t
rain
ing
pee
r co
un
selo
rs t
o w
ork
in
oth
er s
etti
ngs
su
ch a
s th
e h
osp
ital
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
8 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
WIC
Clin
ic C
on
tact
s
The
WIC
clin
ic p
rovi
de
s an
oth
er o
pp
ort
un
ity
for
face
-to
-fac
e co
nta
ct w
ith
WIC
m
oth
ers.
Mo
ther
s w
ho
me
et t
hei
r p
eer
cou
nse
lor
in t
he
WIC
clin
ic a
re m
ore
like
ly t
o v
iew
th
em a
s p
art
of
the
WIC
sta
ff a
nd
fee
l mo
re c
om
fort
able
late
r w
ith
tel
eph
on
e co
nta
cts.
Pee
r co
un
selo
rs m
od
el b
reas
tfee
din
g in
th
e w
aiti
ng
roo
m, t
each
cla
sse
s an
d
oft
en s
ee
mo
the
rs r
ou
tin
ely
as p
art
of
the
no
rmal
clin
ic f
low
.
Clin
ic L
ogi
stic
s
Exam
ine
the
clin
ic a
pp
oin
tme
nt
syst
em t
o d
eter
min
e w
het
her
ap
po
intm
ents
fo
r W
IC p
ren
atal
par
tici
pan
ts a
nd
bre
astf
eed
ing
par
tici
pan
ts c
an b
e gr
ou
ped
on
p
arti
cula
r d
ays
to m
axim
ize
the
pee
r co
un
selo
r’s
tim
e in
th
e c
linic
.
Iden
tify
wo
rk s
pac
e in
th
e cl
inic
fo
r a
pee
r co
un
selo
r.
If s
pac
e is
a p
rem
ium
, co
nsi
de
r:
Pro
vid
ing
a la
pto
p c
om
pu
ter
to d
ocu
men
t o
ffsi
te.
Allo
w p
eer
co
un
selo
rs t
o w
ork
fro
m h
om
e d
uri
ng
no
n-o
ffic
e h
ou
rs.
Wo
rk w
ith
cle
rks
to c
on
solid
ate
WIC
ap
po
intm
ents
on
th
e sa
me
day
.
Invi
te p
eer
cou
nse
lors
to
mee
t w
ith
mo
ther
s in
th
e w
aiti
ng
roo
m o
n
mat
ern
ity
day
s.
Ho
me
Vis
its
In t
he
earl
y d
ays
of
bre
astf
ee
din
g, a
tel
eph
on
e ca
ll m
ay n
ot
fully
rev
eal i
nco
rrec
t p
osi
tio
nin
g o
r la
tch
of
an in
fan
t, t
he
pri
mar
y ca
use
of
bre
astf
eed
ing
pro
ble
ms.
Idea
lly a
mo
ther
can
get
to
th
e W
IC c
linic
fo
r o
ne
-on
-on
e as
sess
men
t; t
his
is n
ot
alw
ays
po
ssib
le.
Stat
e an
d lo
cal W
IC a
gen
cies
sh
ou
ld d
iscu
ss n
eed
s in
yo
ur
com
mu
nit
y an
d s
et
guid
elin
es t
hat
fo
llow
age
ncy
po
licie
s fo
r h
om
e vi
sits
.
In s
om
e st
ates
pee
r co
un
selo
rs o
nly
vis
it m
oth
ers
they
kn
ow
in t
hei
r n
eigh
bo
rho
od
du
e to
saf
ety
or
liab
ility
co
nce
rns.
Ho
me
visi
ts c
an b
e ex
pen
sive
on
a li
mit
ed b
ud
get.
New
pee
r co
un
selo
rs m
ay n
ot
be
trai
ned
or
exp
erie
nce
d e
no
ugh
to
ad
dre
ss
com
ple
x p
rob
lem
s th
at m
ay b
e en
cou
nte
red
wh
en s
eei
ng
a m
oth
er a
t h
om
e.
Safe
ty is
sue
s sh
ou
ld a
lway
s b
e ad
dre
ssed
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
9 Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Op
tio
ns
for
Ho
me
Vis
its
Allo
w p
eer
co
un
selo
rs t
o a
cco
mp
any
oth
er h
ealt
h p
rofe
ssio
nal
s m
akin
g h
om
e vi
sits
(su
ch a
s h
om
e vi
siti
ng
nu
rses
or
die
titi
ans)
.
Co
llab
ora
te w
ith
ho
me
visi
tin
g ag
enci
es
in y
ou
r co
mm
un
ity.
Trai
n h
om
e vi
siti
ng
nu
rse
s to
co
nd
uct
bas
ic b
reas
tfee
din
g as
sess
men
ts a
nd
m
anag
e ea
rly
pro
ble
ms.
Ref
er t
o o
ther
hea
lth
pro
fess
ion
als
in t
he
com
mu
nit
y w
ho
mak
e h
om
e vi
sits
w
ith
new
mo
ther
s.
Sho
wca
se:
Mic
hig
an S
tate
Un
ive
rsit
y Ex
ten
sio
n
The
Mic
hig
an S
tate
Un
iver
sity
Ext
ensi
on
Pro
gram
pro
vid
es a
n e
xten
sive
ho
me
visi
tin
g p
rogr
am a
s p
art
of
its
com
mu
nit
y-b
ased
ed
uca
tio
nal
mo
del
. M
SU
pro
vid
es d
ay-t
o-d
ay s
up
ervi
sio
n o
f p
eer
cou
nse
lors
an
d in
volv
es
them
in m
akin
g h
om
e vi
sits
wit
h e
nro
lled
clie
nts
.
Pee
r co
un
selo
rs p
rovi
de
at le
ast
thre
e h
om
e vi
sits
to
en
rolle
d p
arti
cip
ants
.
The
pro
gram
has
res
ult
ed in
a h
igh
rat
e o
f b
reas
tfee
din
g, w
ith
mo
re t
han
90
%
of
enro
lled
par
tici
pan
ts b
reas
tfee
din
g an
d o
ver
40
% e
xclu
sive
ly b
reas
tfe
edin
g to
3
mo
nth
s.
MSU
’s h
om
e vi
siti
ng
po
licie
s an
d p
roto
cols
can
eas
ily b
e re
plic
ated
in W
IC lo
cal
agen
cie
s. T
he
ir r
eco
mm
end
atio
ns
incl
ud
e:
Star
t sm
all b
y o
ffer
ing
ho
me
visi
ts o
nly
on
an
“as
nee
ded
” b
asis
.
Wo
rk o
ut
the
kin
ks b
efo
re e
xpan
din
g h
om
e vi
siti
ng
op
tio
ns.
Am
ou
nt
of
tim
e n
eed
ed v
arie
s fr
om
1 h
ou
r fo
r p
ren
atal
vis
its
to 2
h
ou
rs f
or
po
stp
artu
m v
isit
s. H
om
e v
isit
s lo
nge
r th
an 2
ho
urs
are
an
in
dic
atio
n t
hat
a d
esig
nat
ed b
reas
tfee
din
g ex
per
t m
ay n
eed
to
be
invo
lved
.
Follo
w s
tan
dar
d s
afet
y p
reca
uti
on
s.
Mo
de
l Pra
ctic
es
for
Ho
me
Vis
its
Mak
e co
nta
ct w
ith
th
e m
oth
er
bef
ore
han
d.
Dre
ss a
pp
rop
riat
ely
and
car
ry a
s lit
tle
as p
oss
ible
.
Leav
e je
wel
ry a
nd
oth
er v
alu
able
s at
ho
me.
Alw
ays
no
tify
WIC
clin
ic s
taff
of
the
des
tin
atio
n a
nd
ret
urn
tim
e.
Car
ry a
fu
lly c
har
ged
cel
l ph
on
e fo
r e
mer
gen
cie
s.
Pla
n t
he
rou
te c
aref
ully
to
avo
id g
etti
ng
lost
.
Ask
ab
ou
t p
ets
and
an
y p
reca
uti
on
s o
r ar
ran
gem
ents
nee
ded
.
Gu
ard
aga
inst
illn
ess
an
d in
fect
iou
s d
isea
ses.
MSU
pro
vid
es m
ore
det
aile
d s
afet
y p
ract
ice
s.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
10
Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Sup
po
rt G
rou
ps
An
oth
er im
po
rtan
t as
pec
t o
f m
oth
er-t
o-m
oth
er s
up
po
rt is
co
nn
ecti
ng
mo
ther
s to
on
e an
oth
er t
hro
ugh
gro
up
mee
tin
gs a
t th
e W
IC o
ffic
e o
r in
th
e co
mm
un
ity.
This
en
able
s W
IC s
taff
to
be
avai
lab
le t
o a
nsw
er q
ue
stio
ns
of
new
mo
ms
and
fo
r th
e gr
ou
p t
o g
ain
co
nfi
den
ce a
s th
ey s
ee
oth
er m
om
s w
ork
th
rou
gh is
sue
s.
WIC
age
nci
es o
ften
fin
d t
hat
fo
r th
ese
gro
up
s to
be
succ
ess
ful t
hey
nee
d t
o b
e ca
lled
so
met
hin
g o
ther
th
an “
sup
po
rt g
rou
ps.
”
Pee
r co
un
selo
rs o
ften
lead
th
e m
eet
ings
, wit
h v
ario
us
top
ics
pre
sen
ted
.
Gro
up
mee
tin
gs c
ann
ot
be
cou
nte
d a
s se
con
d n
utr
itio
n e
du
cati
on
un
less
a C
PA
is
pro
vid
ing
the
edu
cati
on
.
Sho
wca
se:
Cal
ifo
rnia
Riv
ers
ide
“Si
stah
” P
rogr
am
The
Cal
ifo
rnia
-Riv
ersi
de
Co
un
ty L
oca
l WIC
Age
ncy
is o
ne
of
Cal
ifo
rnia
’s ‘s
tar’
ag
enci
es
that
men
tors
oth
er a
gen
cie
s b
egin
nin
g p
eer
co
un
selin
g p
rogr
ams,
an
d
assi
sts
the
se a
gen
cie
s to
set
up
a g
rou
p p
rogr
am s
imila
r to
th
eirs
.
They
hav
e im
ple
men
ted
a m
od
el s
up
po
rt p
rogr
am f
or
Afr
ican
Am
eric
an
mo
ther
s ca
lled
th
e “S
ista
h C
on
nec
tio
n”
that
is a
mo
del
fo
r o
ther
age
nci
es.
The
“Sis
tah
Co
nn
ecti
on
” is
so
su
cce
ssfu
l it
has
gro
wn
to
mo
re t
han
30
act
ive
gro
up
s m
eet
ing
mo
nth
ly in
9 W
IC c
linic
s.
The
gro
up
has
incr
ease
d b
reas
tfe
edin
g ra
tes
dra
mat
ical
ly a
mo
ng
Afr
ican
A
mer
ican
mo
ther
s. I
n 2
01
0, 3
8%
of
Afr
ican
Am
eric
an m
oth
ers
wer
e ex
clu
sive
ly
bre
astf
eed
ing
at 2
mo
nth
s, a
nd
nea
rly
20
% c
on
tin
ue
to 6
mo
nth
s, f
ar h
igh
er
than
th
e n
atio
nal
WIC
rat
e.
Wh
y it
Wo
rks
The
secr
et t
o t
he
gro
up
’s s
ucc
ess
is a
sim
ple
pro
cess
of
kee
pin
g m
oth
ers
toge
ther
eac
h m
on
th.
Aft
er c
erti
fica
tio
n, m
oth
ers
mee
t w
ith
oth
er w
om
en f
or
gro
up
ed
uca
tio
n.
Pee
r co
un
selo
rs f
acili
tate
th
e gr
ou
p t
o b
egin
bu
ildin
g re
lati
on
ship
s an
d t
rust
.
Mo
ther
s ar
e is
sued
mo
nth
ly v
ou
cher
s at
th
e en
d o
f th
e gr
ou
p; t
he
nex
t ap
po
intm
ent
is t
he
follo
win
g m
on
th o
n t
he
sam
e d
ay a
nd
tim
e w
ith
th
e sa
me
gro
up
of
wo
men
.
On
ce t
he
mo
ther
del
iver
s h
er
bab
y, s
he
con
tin
ues
to
mee
t w
ith
th
e sa
me
gro
up
fo
r as
lon
g as
sh
e is
exc
lusi
vely
bre
astf
eed
ing.
If t
he
mo
ther
ch
oo
ses
to b
egin
rec
eivi
ng
form
ula
vo
uch
ers
fro
m W
IC, h
er
par
tici
pat
ion
in t
he
gro
up
is d
isco
nti
nu
ed.
Man
y o
f th
e w
om
en f
orm
a s
pec
ial b
on
d a
nd
co
nti
nu
e to
me
et o
uts
ide
the
WIC
gr
ou
p m
eeti
ng
tim
es.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
11
Se
ctio
n 7
: P
ract
ice
Sett
ings
fo
r P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Gro
up
Ed
uca
tio
n
Pee
r co
un
selo
rs o
ften
ass
ist
wit
h p
ren
atal
an
d p
ost
par
tum
gro
up
ed
uca
tio
n
even
ts t
o h
elp
mo
ther
s p
rep
are
for
bre
astf
eed
ing
and
han
dle
ear
ly c
hal
len
ges.
Cla
sse
s ca
n h
ave
form
al a
gen
das
, bu
t m
ost
age
nci
es
fin
d t
hat
mo
re in
form
al
stru
ctu
res
that
fac
ilita
te d
iscu
ssio
n a
re m
ore
eff
ecti
ve w
ith
WIC
mo
ther
s.
Sho
wca
se:
Mia
mi-
Dad
e W
IC P
rogr
am
The
Mia
mi-
Dad
e W
IC P
rogr
am, w
hic
h s
erve
s a
larg
e p
op
ula
tio
n o
f m
ore
th
an
90
,00
0 W
IC m
om
s, h
and
les
nu
trit
ion
ed
uca
tio
n t
hro
ugh
gro
up
ed
uca
tio
n in
th
e W
IC c
linic
s. P
eer
cou
nse
lors
are
an
imp
ort
ant
par
t o
f th
e gr
ou
p e
du
cati
on
.
Mo
ther
s ar
e ap
po
inte
d t
o t
he
clin
ic b
y ce
rtif
icat
ion
sta
tus,
wh
ich
en
able
s gr
ou
p
edu
cati
on
to
be
con
du
cted
in g
rou
ps
of
wo
men
wh
o a
re a
t th
e sa
me
stag
e.
WIC
nu
trit
ion
sta
ff p
rovi
de
bas
ic n
utr
itio
n in
form
atio
n.
The
lact
atio
n c
on
sult
ant
wh
o h
ead
s th
e ag
ency
lact
atio
n t
eam
pro
vid
es
inst
ruct
ion
on
bre
astf
eed
ing
tech
niq
ue
and
milk
pro
du
ctio
n.
Pee
r co
un
selo
rs o
ffer
tip
s an
d s
trat
egie
s fo
r ge
ttin
g a
goo
d s
tart
wit
h b
reas
tfe
edin
g an
d w
ays
to h
elp
th
ings
ru
n s
mo
oth
ly.
The
mo
de
l has
wo
rked
wel
l fo
r an
age
ncy
han
dlin
g su
ch a
larg
e ca
selo
ad.
Re
sou
rce
s
The
Lovi
ng
Su
pp
ort
© T
hro
ugh
Pee
r C
ou
nse
ling:
A J
ou
rney
To
geth
er –
Fo
r Tr
ain
ing
WIC
Pe
er C
ou
nse
lors
tra
inin
g p
rovi
des
an
op
tio
nal
mo
du
le, “
Wo
rkin
g in
O
ther
Set
tin
gs,”
th
at c
an b
e u
sed
to
tra
in p
eer
cou
nse
lors
on
mak
ing
ho
me
visi
ts, p
arti
cip
atin
g in
an
d le
adin
g m
oth
er’s
gro
up
s, a
nd
co
nd
uct
ing
ho
spit
al
visi
ts.
Oth
er r
eso
urc
es in
clu
de:
Cal
ifo
rnia
-Riv
ersi
de
“Sis
tah
Pro
gram
” p
rovi
de
s le
sso
n p
lan
s fo
r su
pp
ort
gr
ou
p m
eeti
ngs
.
MSU
Ext
ensi
on
Pro
gram
tra
inin
g m
ater
ials
incl
ud
e h
om
e vi
siti
ng
guid
elin
es.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
Th
is p
ag
e in
ten
tio
na
lly b
lan
k
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 8
: Tr
ain
ing
Pee
r C
ou
nse
lors
Sect
ion
8:
Trai
nin
g P
ee
r C
ou
nse
lors
Sl
ide
M
ain
Me
ssag
es
Act
ivit
ies
and
Han
do
uts
Trai
nin
g P
ee
r C
ou
nse
lors
Effe
ctiv
e tr
ain
ing
of
pee
r co
un
selo
rs is
cri
tica
l to
th
e su
cces
s o
f a
pee
r co
un
selin
g p
rogr
am.
It is
cri
tica
l th
at t
hey
giv
e m
oth
ers
accu
rate
info
rmat
ion
an
d u
se c
ou
nse
ling
skill
s th
at a
re s
ensi
tive
an
d p
arti
cip
ant-
focu
sed
.
Trai
nin
gs w
ill v
ary
fro
m a
gen
cy t
o a
gen
cy, b
ut
key
elem
ents
mu
st b
e ta
ugh
t.
The
curr
icu
lum
, Lo
vin
g S
up
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey T
oge
ther
–
for
Trai
nin
g W
IC P
eer
Co
un
selo
rs is
bas
ed o
n r
ese
arch
fin
din
gs w
ith
WIC
pe
er
cou
nse
ling
pro
gram
s ac
ross
th
e co
un
try,
an
d in
clu
des
th
e la
test
evi
den
ce in
la
ctat
ion
man
agem
ent.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
Ho
w P
ee
r C
ou
nse
lors
Le
arn
Pee
r co
un
selo
rs o
ften
co
me
into
th
e jo
b w
ith
mu
ch o
f th
eir
bre
astf
eed
ing
kno
wle
dge
bas
ed o
n t
hei
r o
wn
per
son
al e
xper
ien
ces
and
th
ose
of
frie
nd
s an
d
fam
ily.
The
se m
ay n
ot
be
gro
un
ded
in e
vid
ence
-bas
ed p
ract
ices
.
Pee
r co
un
selo
r tr
ain
ing
hel
ps:
Bro
aden
th
eir
kno
wle
dge
bas
e.
Pro
vid
e a
scie
nti
fic
bas
e to
th
eir
un
der
stan
din
g o
f b
reas
tfe
edin
g.
Bu
ild s
kills
th
at h
elp
gai
n c
on
fid
ence
.
Co
rrec
t m
yth
s an
d m
isco
nce
pti
on
s ab
ou
t b
reas
tfe
edin
g
Imp
rove
co
un
selin
g sk
ills
Enh
ance
ref
erra
ls t
o W
IC
Pee
r co
un
selo
rs h
igh
ly v
alu
e th
eir
trai
nin
g ex
per
ien
ce a
nd
fee
l it
is c
ruci
al t
o
hel
pin
g th
em f
eel c
on
fid
ent
and
co
mfo
rtab
le in
th
eir
job
.
Wh
ile W
IC a
gen
cie
s m
ay f
eel i
t is
eas
ier
to a
sk p
eer
cou
nse
lors
to
do
th
eir
trai
nin
g th
rou
gh s
elf-
stu
dy
or
ind
epen
den
t le
arn
ing,
th
e m
ess
age
fro
m r
ese
arch
w
ith
pee
r co
un
selo
rs is
th
at t
hey
pre
fer
in-p
erso
n, i
nte
ract
ive
trai
nin
g o
pp
ort
un
itie
s w
her
e th
ey c
an m
eet
sta
ff, a
sk q
ues
tio
ns,
an
d p
ract
ice
skill
s.
Face
-to
-fac
e le
arn
ing
also
en
able
s th
e tr
ain
ers
to a
sses
s ea
ch p
eer
cou
nse
lor’
s p
rogr
ess
in le
arn
ing,
an
d t
o a
dd
ress
str
engt
hs
and
are
as f
or
imp
rove
men
t.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 8
: Tr
ain
ing
Pee
r C
ou
nse
lors
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Wh
o S
ho
uld
Att
en
d P
ee
r C
ou
nse
lor
Trai
nin
gs?
Man
y St
ates
incl
ud
e lo
cal W
IC c
linic
sta
ff in
new
pe
er c
ou
nse
lor
trai
nin
g ev
ents
so
th
ey w
ill a
ll h
ear
the
sam
e in
form
atio
n a
nd
be
awar
e o
f th
e ro
le a
nd
sco
pe
of
pra
ctic
e fo
r p
eer
co
un
selo
rs.
Cer
tain
po
rtio
ns
of
the
pe
er c
ou
nse
ling
trai
nin
g ca
n b
e h
elp
ful f
or
loca
l sta
ff.
Ho
we
ver,
th
e FN
S cu
rric
ulu
m, “
Usi
ng
Lovi
ng
Su
pp
ort
© t
o G
row
& G
low
in W
IC:
Bre
astf
eed
ing
Trai
nin
g fo
r Lo
cal W
IC S
taff
,” s
ho
uld
gen
eral
ly b
e u
sed
to
tra
in
no
n-p
eer
WIC
sta
ff.
Som
e ag
enci
es
also
invi
te h
ealt
h c
are
pro
fess
ion
als
fro
m t
he
com
mu
nit
y to
b
uild
bu
y-in
an
d s
up
po
rt f
or
the
pee
r co
un
selin
g p
rogr
am.
Wh
o S
ho
uld
Tra
in P
ee
r C
ou
nse
lors
?
Stat
e st
aff
cou
ld in
clu
de
the
bre
astf
eed
ing
coo
rdin
ato
r, p
eer
cou
nse
lor
coo
rdin
ato
r, o
r b
reas
tfee
din
g ed
uca
tor.
Loca
l age
ncy
sta
ff c
ou
ld in
clu
de
the
bre
astf
eed
ing
coo
rdin
ato
r, p
eer
cou
nse
lor
coo
rdin
ato
r, o
r p
eer
cou
nse
lor
sup
ervi
sor.
Man
y su
cces
sfu
l pro
gram
s p
refe
r to
use
IBC
LCs
on
sta
ff o
r o
n c
on
trac
t.
Oth
er o
pti
on
s co
uld
incl
ud
e lo
cal n
utr
itio
nis
ts, L
a Le
che
Leag
ue
lead
ers,
p
hys
icia
ns,
or
nu
rses
.
Man
y W
IC a
gen
cie
s in
vite
exp
erie
nce
d p
eer
cou
nse
lors
to
ass
ist
wit
h t
he
trai
nin
g. T
hey
can
sh
are
per
spec
tive
s an
d s
ucc
essf
ul s
trat
egi
es.
Trai
nin
g O
pti
on
s
Fact
ors
to
co
nsi
de
r in
tra
inin
g o
pti
on
s:
Nu
mb
er o
f p
eer
cou
nse
lors
an
d t
rain
ers.
Per
son
al s
itu
atio
n o
f th
e p
eer
cou
nse
lors
(av
aila
ble
tra
nsp
ort
atio
n,
old
er c
hild
ren
, etc
.)
Op
tio
ns
that
hav
e b
een
use
d:
Ho
ld t
rain
ing
in a
cen
tral
ized
loca
tio
n e
very
qu
arte
r.
Ho
ld r
egio
nal
tra
inin
gs a
s n
ew
hir
es c
om
e o
n b
oar
d.
Trai
n o
n a
n “
as n
eed
ed”
bas
is o
ne
-on
-on
e, if
ne
cess
ary.
Trai
n f
ull
day
s, e
nd
ing
in t
ime
to r
etri
eve
old
er c
hild
ren
fro
m s
cho
ol.
Trai
n f
or
hal
f d
ays
mo
re f
req
uen
tly.
Allo
w f
or
the
fact
man
y ad
ult
lear
ner
s ar
e “d
elay
ed p
roce
sso
rs.”
Ver
mo
nt
WIC
ask
s p
eer
s to
re
ad t
he
nar
rati
ve s
um
mar
y o
f th
e cu
rric
ulu
m f
irst
, an
d t
hen
sch
edu
les
trai
nin
gs o
n c
on
secu
tive
Sat
urd
ays.
In
fan
ts in
arm
s ar
e w
elco
med
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 8
: Tr
ain
ing
Pee
r C
ou
nse
lors
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Be
fore
th
e T
rain
ing
Wh
ile w
aiti
ng
for
a fo
rmal
tra
inin
g ev
ent,
th
ere
are
man
y th
ings
pee
r co
un
selo
rs
can
do
to
pre
par
e.
The
Trai
nin
g 1
: Be
fore
th
e Tr
ain
ing
Ch
eckl
ist
is b
ased
on
an
Ind
ian
a W
IC
do
cum
ent
use
d t
o k
eep
pe
er c
ou
nse
lors
en
gage
d u
nti
l th
eir
trai
nin
g o
ccu
rs.
Idea
s in
clu
de:
Att
end
ing
bre
astf
eed
ing
clas
ses
and
su
pp
ort
gro
up
mee
tin
gs.
Vis
it o
ther
pe
er c
ou
nse
lor
pro
gram
s.
Rea
din
g re
sou
rce
s p
rovi
ded
by
WIC
.
Wat
chin
g vi
deo
s p
rovi
ded
by
WIC
.
Shad
ow
ing
pee
r co
un
selo
rs m
akin
g p
ho
ne
calls
wit
h n
ew m
om
s.
Vis
itin
g re
leva
nt
web
site
s o
n b
reas
tfee
din
g.
Ver
mo
nt
WIC
ask
s p
eer
co
un
selo
rs t
o r
evi
ew
th
e n
arra
tive
su
mm
ary
bef
ore
han
d.
A n
arra
tive
su
mm
ary
of
each
mo
du
le is
incl
ud
ed in
th
e “P
eer
Co
un
selo
r H
and
bo
ok”
ed
itio
n o
f th
e cu
rric
ulu
m.
Han
do
ut:
Tr
ain
ing
1:
Bef
ore
th
e Tr
ain
ing
Ch
eckl
ist
Trai
nin
g 2
: P
eer
Co
un
selo
r Tr
ain
ing
Du
rin
g Fo
rmal
Tra
inin
g
Pee
r co
un
selo
rs o
verw
hel
min
gly
rep
ort
th
ey p
refe
r in
tera
ctiv
e, f
un
, liv
ely
trai
nin
g p
rogr
ams
that
allo
w t
hem
to
hav
e h
and
s-o
n e
xper
ien
ce in
tera
ctin
g w
ith
o
ne
ano
ther
an
d p
ract
icin
g n
ew s
kills
.
Teac
hin
g p
eer
co
un
selo
rs in
a c
om
fort
able
, un
hu
rrie
d p
ace
allo
ws
for
del
ayed
p
roce
ssin
g an
d c
reat
es
an e
nvi
ron
men
t th
at e
nco
ura
ges
lear
nin
g.
Smal
l-gr
ou
p, i
nte
ract
ive
inst
ruct
ion
al a
pp
roac
hes
are
mo
st e
ffec
tive
.
Be
sen
siti
ve t
o p
eer
co
un
selo
rs w
ith
low
lite
racy
ski
lls o
r w
ho
may
ass
oci
ate
clas
sro
om
lear
nin
g w
ith
pre
vio
us
neg
ativ
e ed
uca
tio
nal
exp
erie
nce
s.
Lovi
ng
Su
pp
ort
© T
hro
ugh
Pe
er
Co
un
selin
g: A
Jo
urn
ey
Toge
the
r
The
FNS
curr
icu
lum
, Lo
vin
g S
up
po
rt©
Th
rou
gh P
eer
Co
un
selin
g: A
Jo
urn
ey
Toge
ther
– F
or
Trai
nin
g W
IC P
eer
Co
un
selo
rs, i
s b
ased
on
ad
ult
lear
nin
g p
rin
cip
les
and
res
earc
h o
n e
ffec
tive
str
ateg
ies.
The
them
e fo
cuse
s o
n t
he
jou
rney
th
at e
very
new
pe
er c
ou
nse
lor
mak
es in
le
arn
ing
new
ski
lls, t
he
jou
rne
y n
ew m
om
s w
ill m
ake,
an
d t
he
way
s p
eer
cou
nse
lors
tra
vel w
ith
mo
ms
to p
rovi
de
sup
po
rt a
nd
hel
p t
hem
rea
ch t
hei
r go
als.
The
con
ten
t is
evi
den
ce-b
ase
d w
ith
sci
enti
fic
bas
is f
or
tech
niq
ue
and
m
anag
emen
t.
The
app
roac
h is
hig
hly
inte
ract
ive
and
incl
ud
es in
no
vati
ve t
each
ing
app
roac
hes
.
Co
mp
lete
inst
ruct
ion
s ar
e p
rovi
ded
wit
h t
he
Trai
nin
g Fa
cilit
ato
r G
uid
e.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 8
: Tr
ain
ing
Pee
r C
ou
nse
lors
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Cu
rric
ulu
m S
tru
ctu
re
The
curr
icu
lum
is d
ivid
ed in
to f
ou
r m
ajo
r se
ctio
ns,
wit
h a
to
tal o
f 1
2 t
each
ing
mo
du
les
and
on
e o
pti
on
al m
od
ule
on
pro
vid
ing
pee
r co
un
selin
g in
oth
er
sett
ings
bes
ides
WIC
clin
ics
and
ho
me
-bas
ed t
elep
ho
ne
pro
gram
s.
Sect
ion
1:
The
WIC
Pe
er C
ou
nse
lor
Pro
gram
Sect
ion
2:
Co
un
selin
g an
d C
om
mu
nic
atio
n S
kills
Sect
ion
3:
Get
tin
g St
arte
d w
ith
Bre
astf
eed
ing
Sect
ion
4:
Talk
ing
wit
h M
oth
ers
Ab
ou
t B
reas
tfee
din
g
Aft
er
the
Tra
inin
g: In
de
pe
nd
en
t St
ud
y
Aft
er t
he
init
ial t
rain
ing
pee
r co
un
selo
rs c
an c
on
tin
ue
to b
uild
th
eir
bre
astf
eed
ing
kno
wle
dge
th
rou
gh h
om
e st
ud
y le
arn
ing
at t
hei
r o
wn
pac
e.
Ind
epen
den
t st
ud
y is
no
t m
ean
t to
rep
lace
fo
rmal
tra
inin
g, b
ut
rein
forc
e it
.
The
curr
icu
lum
tex
t, B
rea
stfe
edin
g: A
Pa
ren
t’s
Gu
ide,
by
Am
y Sp
angl
er, p
rovi
des
sh
ort
, sim
ple
rea
din
gs t
hat
can
be
do
ne
as h
om
ewo
rk.
Oth
er o
pti
on
s ca
n in
clu
de
the
Wo
ma
nly
Art
of
Bre
ast
feed
ing
, Bre
ast
feed
ing
A
nsw
ers
Ma
de
Sim
ple
, an
d C
ou
nse
ling
th
e N
urs
ing
Mo
ther
.
Pee
r co
un
selo
rs c
an d
ow
nlo
ad o
nlin
e m
od
ule
s fr
om
WIC
Wo
rks
such
as
“Bre
astf
eed
ing
Bas
ics,
” “S
ecre
ts o
f B
aby
Beh
avio
r,”
and
oth
er m
od
ule
s.
Aft
er
the
Tra
inin
g: O
bse
rvat
ion
al L
ear
nin
g
Res
earc
h w
ith
pe
er c
ou
nse
lors
re
veal
s th
ey e
spec
ially
val
ue
op
po
rtu
nit
ies
to
lear
n b
reas
tfee
din
g te
chn
iqu
es b
y sh
ado
win
g o
ther
s in
volv
ed
in s
up
po
rtin
g m
oth
ers
wit
h b
reas
tfe
edin
g.
Reg
ula
r an
d m
ult
iple
op
po
rtu
nit
ies
to o
bse
rve
hel
p b
uild
pee
r co
un
selo
rs’
con
fid
ence
an
d s
kills
in r
eal-
life
lear
nin
g si
tuat
ion
s. E
xper
ts t
o c
on
sid
er:
Exp
erie
nce
d W
IC p
eer
co
un
selo
rs a
nd
nu
trit
ion
sta
ff.
IBC
LCs
and
oth
er la
ctat
ion
exp
erts
.
WIC
bre
astf
eed
ing
coo
rdin
ato
rs.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 8
: Tr
ain
ing
Pee
r C
ou
nse
lors
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Ob
serv
atio
nal
Le
arn
ing
Op
tio
ns
Pro
vid
e sh
ado
win
g o
pp
ort
un
itie
s:
Exp
erie
nce
d p
eer
co
un
selo
rs m
akin
g p
ho
ne
calls
wit
h n
ew m
om
s.
Bre
astf
eed
ing
exp
erts
in t
he
clin
ic, h
osp
ital
, or
ho
me
visi
t.
WIC
CP
A c
ou
nse
ling
a m
oth
er a
nd
issu
ing
a fo
od
pac
kage
.
Pu
blic
hea
lth
nu
rse
or
oth
er s
taff
mak
ing
a h
om
e vi
sit
wit
h a
mo
m.
Exp
erie
nce
s sh
ou
ld b
e w
ith
in t
he
fram
ew
ork
of
the
trai
ne
es’ o
vera
ll le
arn
ing.
Ob
serv
atio
nal
Le
arn
ing
Logi
stic
s
Tailo
r sh
ado
win
g o
pp
ort
un
itie
s to
me
et t
he
lear
nin
g n
eed
s o
f p
eer
cou
nse
lors
.
The
per
son
bei
ng
shad
ow
ed s
ho
uld
intr
od
uce
th
e p
eer
cou
nse
lor
to t
he
wo
man
an
d in
dic
ate
she
is le
arn
ing
mo
re a
bo
ut
hel
pin
g m
om
s w
ith
bre
astf
eed
ing.
The
pee
r co
un
selo
r sh
ou
ld n
ot
init
ially
par
tici
pat
e in
co
un
selin
g th
e m
oth
er a
nd
in
stea
d, s
ho
uld
rec
ord
her
th
ou
ghts
an
d im
pre
ssio
ns.
Aft
er t
he
shad
ow
ing
is c
om
ple
ted
, th
e su
per
viso
r ca
n h
old
a d
ebri
efin
g w
ith
th
e p
eer
cou
nse
lor
to r
evie
w h
er u
nd
erst
and
ing
of
wh
at s
he
ob
serv
ed t
o d
eter
min
e if
ad
dit
ion
al s
had
ow
ing
op
po
rtu
nit
ies
are
ne
eded
.
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
8:
Shad
ow
ing
Bre
astf
eed
ing
Exp
erts
– P
eer
Co
un
selo
r Lo
g St
affi
ng
and
Su
per
visi
on
9:
Shad
ow
ing
Bre
astf
eed
ing
Exp
erts
- D
ebri
efin
g
Aft
er
the
Tra
inin
g: M
on
thly
Sta
ff M
ee
tin
gs
Mo
nth
ly s
taff
mee
tin
gs f
or
WIC
pee
r co
un
selin
g st
aff
are
he
lpfu
l in
ret
ain
ing
pee
r co
un
selo
rs a
nd
sti
mu
lati
ng
job
sat
isfa
ctio
n.
Pee
r co
un
selo
rs p
lace
a h
igh
val
ue
on
mo
nth
ly s
taff
mee
tin
gs a
s a
tim
e to
n
etw
ork
wit
h o
ther
pee
r co
un
selo
rs, l
earn
fro
m m
ore
exp
erie
nce
d s
taff
, sh
are
com
mo
n c
on
cern
s, b
rain
sto
rm s
olu
tio
ns,
hea
r p
rogr
am u
pd
ates
, an
d le
arn
new
te
chn
iqu
es.
Mo
nth
ly m
eeti
ngs
als
o a
llow
fo
r fa
ce t
ime
bet
wee
n s
up
ervi
sors
an
d p
eer
cou
nse
lors
to
ass
ess
pro
gre
ss a
nd
ad
dre
ss a
ny
con
cern
s.
Mo
nth
ly M
ee
tin
g Lo
gist
ics
Mee
tin
gs c
an in
clu
de
a co
mb
inat
ion
of
bre
astf
eed
ing
con
tin
uin
g ed
uca
tio
n
top
ics
and
op
po
rtu
nit
ies
for
soci
al in
tera
ctio
n.
Co
nsi
der
me
etin
g in
loca
tio
ns
wh
ere
pe
er c
ou
nse
lors
will
fe
el c
om
fort
able
.
Allo
w t
ime
and
op
po
rtu
nit
y to
bu
ild a
nd
nu
rtu
re r
elat
ion
ship
s.
Pro
vid
e a
sho
rt e
du
cati
on
al s
ess
ion
to
ad
dre
ss c
om
mo
n is
sues
bei
ng
face
d.
Vie
w v
ideo
s yo
u w
ere
un
able
to
sh
ow
du
rin
g th
e tr
ain
ing.
(e.
g., U
SDA
Fat
her
s an
d B
reas
tfee
din
g, M
agic
al B
on
d o
f B
reas
tfee
din
g, L
aid
-Bac
k B
reas
tfe
edin
g, A
P
ree
mie
Ne
eds
His
Mo
ther
, or
oth
er v
ideo
sn
ipp
ets
incl
ud
ed
in t
he
pla
tfo
rm).
Rev
iew
th
e p
eer
cou
nse
lor
con
tact
logs
an
d d
iscu
ss c
ase
stu
die
s.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
6 Se
ctio
n 8
: Tr
ain
ing
Pee
r C
ou
nse
lors
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
On
goin
g Tr
ain
ing
Pee
r co
un
selo
rs a
re m
ore
like
ly t
o r
emai
n e
nga
ged
wit
h t
he
WIC
pro
gram
wh
en
they
rec
eive
th
e co
nti
nu
ing
ed
uca
tio
n t
o k
eep
th
eir
skill
s sh
arp
an
d w
hen
th
ey
hea
r in
spir
ing
spea
kers
an
d m
eet
oth
er b
reas
tfe
edin
g ad
voca
tes.
Op
tio
ns
incl
ud
e:
Incl
ud
e p
eer
cou
nse
lors
in p
erti
nen
t tr
ain
ings
off
ere
d t
o W
IC s
taff
.
Ho
ld a
n a
nn
ual
pee
r co
un
selo
r co
nfe
ren
ce w
ith
mo
tiva
tio
nal
sp
eake
rs
and
co
nti
nu
ing
edu
cati
on
sp
ecif
ic t
o c
om
mo
n is
sue
s o
f cl
ien
ts.
Rei
mb
urs
e p
eer
co
un
selo
rs w
ho
att
end
bre
astf
eed
ing
con
fere
nce
s.
Bri
ng
pee
r co
un
selo
rs t
o W
IC s
tate
co
nfe
ren
ce a
nd
eve
nts
, an
d in
clu
de
them
in lo
cal a
gen
cy m
on
thly
sta
ff m
eet
ings
to
fee
l par
t o
f th
e te
am.
Allo
w t
he
m t
o a
tten
d S
tate
, reg
ion
al, o
r lo
cal b
reas
tfee
din
g tr
ain
ings
.
Enco
ura
ge t
hem
to
att
end
La
Lech
e Le
agu
e m
eeti
ngs
.
Gra
du
atio
n!
Cel
ebra
te s
ucc
esse
s b
y st
agin
g a
grad
uat
ion
eve
nt
for
pee
r co
un
selo
rs!
Gra
du
atio
n e
ven
ts a
t th
e co
ncl
usi
on
of
the
pee
r co
un
selo
r’s
form
al t
rain
ing
reco
gniz
e h
er a
cco
mp
lish
men
ts a
nd
pro
vid
e a
con
fid
ent
star
t to
her
new
job
.
Gra
du
atio
ns
hel
p b
uild
a s
ense
of
pri
de
and
en
thu
sias
m.
They
als
o c
om
mu
nic
ate
a se
nse
of
imp
ort
ance
to
th
e p
eer
cou
nse
lors
, th
eir
fam
ilies
, lo
cal W
IC s
taff
, an
d t
he
com
mu
nit
y to
gen
erat
e su
pp
ort
.
Han
do
ut:
Tr
ain
ing
3:
Cer
tifi
cate
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 9
: M
ento
rin
g an
d S
up
ervi
sin
g P
eer
Co
un
selo
rs
Sect
ion
9:
Me
nto
rin
g an
d S
up
ervi
sin
g P
ee
r C
ou
nse
lors
Sl
ide
M
ain
Me
ssag
es
Act
ivit
ies
and
Han
do
uts
Me
nto
rin
g an
d S
up
ervi
sin
g P
ee
r C
ou
nse
lors
WIC
age
nci
es t
hro
ugh
th
e ye
ars
hav
e fo
un
d t
hat
men
tori
ng
and
on
goin
g su
per
visi
on
of
pe
er c
ou
nse
lors
is in
tegr
al t
o s
ust
ain
ing
a su
cces
sfu
l pe
er
cou
nse
ling
pro
gram
.
Sup
ervi
sio
n r
equ
ire
s ca
refu
l att
enti
on
an
d g
uid
ance
, co
nti
nu
al a
vaila
bili
ty t
o
pee
r co
un
selo
rs, a
nd
on
goin
g su
pp
ort
.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
De
dic
ate
d S
up
erv
iso
rs a
re K
ey
Res
earc
h s
ho
ws
that
hav
ing
des
ign
ated
co
ord
inat
ors
/man
ager
s an
d s
up
ervi
sors
w
ith
ded
icat
ed t
ime
allo
cate
d t
o s
up
ervi
se p
eer
co
un
selo
rs a
re im
po
rtan
t to
p
rogr
am s
ucc
ess.
Wh
o s
ho
uld
th
ese
de
sign
ated
su
per
viso
rs b
e? M
ost
pro
gram
s ar
e m
anag
ed a
t th
e lo
cal l
evel
, wit
h s
tate
wid
e s
tan
dar
ds
issu
ed f
or
sup
ervi
sin
g an
d m
on
ito
rin
g th
e p
rogr
am.
Sup
ervi
sors
ten
d t
o b
e:
Loca
l age
ncy
bre
astf
eed
ing
coo
rdin
ato
rs.
Reg
ion
al o
r lo
cal p
eer
cou
nse
ling
coo
rdin
ato
rs.
Loca
l age
ncy
nu
trit
ion
ists
.
Staf
f o
r co
ntr
act
lact
atio
n c
on
sult
ants
.
Reg
ion
al o
r d
istr
ict
leve
l bre
astf
eed
ing
coo
rdin
ato
rs.
Tim
e C
om
mit
me
nt
The
tim
e co
mm
itm
ent
invo
lve
d in
su
per
visi
ng
the
wo
rk o
f p
eer
cou
nse
lors
can
b
e si
gnif
ican
t, d
epen
din
g o
n h
ow
man
y p
eer
cou
nse
lors
are
hir
ed, a
gen
cy
case
load
, deg
ree
of
pap
erw
ork
req
uir
ed b
y th
e St
ate,
an
d o
ther
fac
tors
.
Som
e St
ates
hav
e re
po
rted
th
at a
t le
ast
.25
FTE
is r
equ
ired
fo
r m
anag
ing
a lo
cal
pro
gram
of
3-5
pee
r co
un
selo
rs.
Oth
ers
say
that
a f
ull-
tim
e FT
E is
req
uir
ed f
or
sup
ervi
sin
g 5
-7 p
eer
co
un
selo
rs d
ue
to t
rain
ing,
men
tori
ng,
mo
nit
ori
ng,
fo
llow
-u
p, s
po
t ch
ecks
, etc
.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 9
: M
ento
rin
g an
d S
up
ervi
sin
g P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Be
com
ing
a G
oo
d S
up
ervi
sor
No
t al
l pee
r co
un
selo
r su
per
viso
rs h
ave
exp
erie
nce
in a
su
per
viso
ry r
ole
an
d
may
fee
l un
easy
.
Ver
y fe
w p
eop
le a
re b
orn
wit
h in
nat
e su
per
viso
ry s
kills
.
Thes
e sk
ills
are
usu
ally
lear
ne
d a
nd
pra
ctic
ed.
Ch
eck
ou
t su
per
viso
ry t
rain
ing
reso
urc
es t
hat
may
be
avai
lab
le t
hro
ugh
yo
ur
Stat
e D
epar
tmen
t o
f H
ealt
h a
nd
en
cou
rage
su
per
viso
rs t
o t
ake
the
tim
e to
lear
n a
nd
pra
ctic
e s
kills
at
mo
tiva
tin
g an
d m
ento
rin
g o
ther
s.
Han
do
ut:
A
ctiv
ity
Wo
rksh
eet
4:
Bu
ildin
g Su
per
viso
ry S
kills
A
ctiv
ity
Wo
rksh
eet
5:
Wo
rds
fro
m P
eer
C
ou
nse
lors
A
ctiv
ity:
Su
pe
rvis
ory
Se
nse
(R
ead
ing
qu
ote
s fr
om
pe
er c
ou
nse
lors
)
Pro
vid
e w
ork
she
et w
ith
qu
ote
s.
Wri
te d
ow
n k
ey w
ord
s th
at t
ell
the
sto
ry o
f th
e p
eer
cou
nse
ling
on
a f
lip c
har
t.
Dis
cuss
co
mm
on
wo
rds
and
w
ays
sup
ervi
sors
can
max
imiz
e th
ese
mo
tiva
tors
in m
ento
rin
g an
d s
up
ervi
sin
g p
eer
cou
nse
lors
.
The
Ear
ly D
ays
of
Sup
erv
isio
n
The
Staf
fin
g an
d S
up
ervi
sio
n 1
0:
Pee
r C
ou
nse
lor
Ob
serv
atio
n T
oo
l can
be
use
d
as a
gu
ide
wh
en o
bse
rvin
g th
e p
eer
cou
nse
lor’
s in
itia
l cal
ls.
Peo
ple
are
eas
ily m
oti
vate
d w
hen
th
ey f
eel t
hey
are
lear
nin
g n
ew t
hin
gs a
nd
are
gr
ow
ing
in p
osi
tive
way
s.
Effe
ctiv
e su
per
viso
rs p
rovi
de
op
po
rtu
nit
ies
for
that
typ
e o
f p
erso
nal
gro
wth
.
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
10
: Pee
r C
ou
nse
lor
Ob
serv
atio
n T
oo
l
Trai
nin
g
Tell
her
wh
at t
he
exp
ecta
tio
ns
are
thro
ugh
pro
per
tra
inin
g.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 9
: M
ento
rin
g an
d S
up
ervi
sin
g P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Shad
ow
ing
Sho
w h
er h
ow
th
e jo
b is
do
ne
th
rou
gh s
had
ow
ing.
Ask
her
to
ob
serv
e an
d t
ake
no
tes
abo
ut
wh
at s
he
see
s.
Let
he
r tr
y
Let
her
try
it o
n h
er o
wn
.
Fee
db
ack
Ob
serv
e h
er p
erfo
rman
ce a
nd
giv
e h
er h
elp
ful f
eed
bac
k.
Pra
ise
Pra
ise
her
pro
gres
s so
sh
e ca
n b
e p
rou
d o
f th
e th
ings
sh
e is
lear
nin
g an
d w
ays
she
is g
row
ing.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
4 Se
ctio
n 9
: M
ento
rin
g an
d S
up
ervi
sin
g P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Me
nto
rin
g vs
. Su
pe
rvis
ion
Mo
st W
IC p
eer
co
un
selo
r su
per
viso
rs h
ave
fou
nd
it e
ffec
tive
to
fu
nct
ion
as
“men
tors
” in
th
e fi
rst
six
mo
nth
s o
f a
pee
r co
un
selo
r’s
job
wh
ile s
he
is le
arn
ing
new
ski
lls.
In C
alif
orn
ia, t
he
IBC
LCs
serv
e as
“m
ento
rs”
to h
elp
pee
r co
un
selo
rs
bu
ild t
hei
r sk
ills,
wh
ich
is o
fte
n w
her
e tr
ue
men
tori
ng
is n
eed
ed.
This
d
isti
ngu
ish
es
thei
r ro
le f
rom
su
per
viso
r.
To g
ive
eff
ecti
ve f
eed
bac
k, t
he
sup
ervi
sor/
men
tor
sho
uld
be
kno
wle
dge
able
an
d
skill
ed in
bre
astf
eed
ing.
A m
ento
r is
so
meo
ne
wh
o s
erve
s as
a c
oac
h, p
rovi
din
g gu
idan
ce, r
eso
urc
es,
trai
nin
g, a
nd
su
pp
ort
as
the
pee
r co
un
selo
r gr
ow
s h
er s
kills
.
A m
ento
r m
ake
s al
low
ance
s in
th
e b
egin
nin
g as
th
ey a
re le
arn
ing
thei
r jo
b.
Trea
tin
g th
em
wit
h r
esp
ect
will
hel
p t
hem
gai
n c
on
fid
ence
.
A g
oo
d m
ento
r:
Mai
nta
ins
freq
uen
t co
nta
ct f
or
man
y o
pp
ort
un
itie
s to
deb
rief
.
List
ens
and
ask
s q
ues
tio
ns
to e
xplo
re h
er f
eelin
gs a
bo
ut
the
job
.
Enco
ura
ges
her
to
pro
ble
m s
olv
e so
luti
on
s to
pro
ble
ms
she
enco
un
ters
.
Ch
alle
nge
s h
er t
o t
ry n
ew t
hin
gs a
nd
use
her
ski
lls.
Pro
vid
es
info
rmat
ion
, gu
idan
ce, a
nd
su
pp
ort
.
Pra
ise
an
d A
ffir
m
Ob
serv
e th
e p
eer
co
un
selo
r d
uri
ng
earl
y co
nta
cts
wit
h m
oth
ers
in t
he
clin
ic t
o
guid
e an
d p
rais
e.
On
ce s
he
has
dem
on
stra
ted
sh
e ca
n m
anag
e ca
lls w
ell,
she
can
beg
in h
and
ling
con
tact
s o
n h
er o
wn
.
Mai
nta
in w
eekl
y co
nta
cts
by
ph
on
e o
r cl
inic
. (S
taff
ing
and
Su
per
visi
on
11
: Q
ues
tio
ns
for
Men
tors
can
be
use
d.)
Exp
lore
her
pro
gres
s an
d c
on
cern
s.
Hel
p h
er t
rou
ble
sho
ot
any
chal
len
ges
of
wo
rkin
g th
e jo
b in
to h
er li
fe.
Be
pat
ien
t an
d g
entl
e w
hen
pee
r co
un
selo
rs d
o n
ot
per
form
as
exp
ecte
d.
Ne
w
job
ski
lls t
ake
tim
e to
lear
n!
Mo
del
eff
ecti
ve c
ou
nse
ling
skill
s b
y u
sin
g o
pen
-en
ded
qu
est
ion
s an
d a
ffir
mat
ion
in
yo
ur
con
vers
atio
ns
wit
h h
er.
Off
er a
dd
itio
nal
tra
inin
g an
d s
had
ow
ing
op
po
rtu
nit
ies
as n
eed
ed.
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
St
affi
ng
and
Su
per
visi
on
11
: Q
ues
tio
ns
for
Men
tors
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
5 Se
ctio
n 9
: M
ento
rin
g an
d S
up
ervi
sin
g P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Oth
er
Sup
erv
iso
ry S
kills
Sett
ing
goal
s:
Go
als
are
a ro
adm
ap; a
ssu
rin
g p
eers
are
hea
ded
in t
he
righ
t d
irec
tio
n.
Go
als
hel
p p
eer
co
un
selo
rs s
ee
wh
en im
pro
vem
ents
are
ne
eded
, an
d
feel
pri
de
wh
en t
he
goal
s ar
e re
ach
ed.
Go
od
su
per
viso
rs s
et e
xpec
tati
on
s w
hile
en
cou
ragi
ng
pee
r co
un
selo
rs
to t
ake
ow
ner
ship
in s
etti
ng
thei
r o
wn
go
als
for
gro
wth
.
Feed
bac
k:
Pee
r co
un
selo
rs n
eed
co
nti
nu
ou
s fe
edb
ack
fro
m t
he
sup
erv
iso
r.
Co
nta
cts
hel
p t
hem
rea
lize
they
are
no
t al
on
e.
Bei
ng
avai
lab
le a
s a
reso
urc
e w
hen
th
ey e
nco
un
ter
new
sit
uat
ion
s h
elp
s th
em g
row
co
nfi
den
ce.
Pro
vid
e a
per
form
ance
rev
iew
to
ch
eck
in w
ith
pee
r co
un
selo
rs a
nd
p
rovi
de
feed
bac
k. T
he
sam
ple
Sta
ffin
g an
d S
up
ervi
sio
n 1
2:
Pee
r C
ou
nse
lor
Men
tori
ng
Too
l can
be
use
d.
Pra
ise
:
Pee
r co
un
selo
rs n
eed
pra
ise
for
big
an
d li
ttle
acc
om
plis
hm
en
ts.
Cel
ebra
tin
g su
cce
sse
s h
elp
s th
em f
eel p
rou
d a
nd
mo
tiva
ted
.
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
12
: P
eer
Co
un
selo
r M
ento
rin
g To
ol
On
goin
g Su
pp
ort
Aft
er a
rou
nd
six
mo
nth
s, w
he
n t
he
pee
r co
un
selo
r h
as d
em
on
stra
ted
sh
e is
fu
nct
ion
ing
wel
l, yo
ur
rela
tio
nsh
ip w
ith
th
e p
eer
cou
nse
lor
can
sh
ift
to m
ore
of
a su
per
viso
ry r
ole
.
Dis
cuss
th
is c
han
gin
g re
lati
on
ship
an
d a
llow
her
to
set
ne
w g
oal
s fo
r w
her
e sh
e w
ou
ld li
ke t
o b
e, a
nd
su
pp
ort
sh
e w
ill n
eed
to
get
th
ere.
Let
her
kn
ow
sh
e is
re
spo
nsi
ble
fo
r d
oin
g h
er p
aper
wo
rk p
rop
erly
, att
end
ing
staf
f m
eet
ings
wit
ho
ut
bei
ng
rem
ind
ed, a
nd
fo
llow
ing
pro
ced
ure
s.
Reg
ula
r co
nta
cts
rem
ain
imp
ort
ant,
esp
ecia
lly if
th
ey w
ork
fro
m h
om
e.
Pee
r co
un
selo
rs c
on
tin
ue
to g
row
wh
en t
hey
are
allo
wed
to
lear
n m
ore
an
d
stre
tch
th
eir
po
ten
tial
wit
h n
ew c
hal
len
ges.
(e.
g., a
llow
th
em
to
men
tor
ne
w
pee
r co
un
selo
rs, h
elp
wit
h t
rain
ing
even
ts, a
ssis
t in
a p
ren
ata
l cla
ss, r
esea
rch
an
d p
rese
nt
a b
reas
tfee
din
g to
pic
fo
r st
aff
me
etin
gs, e
tc.)
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
6 Se
ctio
n 9
: M
ento
rin
g an
d S
up
ervi
sin
g P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Mo
nth
ly S
taff
Me
eti
ngs
Mo
nth
ly s
taff
mee
tin
gs h
elp
pee
r co
un
selo
rs k
eep
th
eir
trai
nin
g sk
ills
shar
p.
Thes
e m
eeti
ngs
are
key
to
mo
st s
ucc
essf
ul p
rogr
ams
as a
way
of
tou
chin
g b
ase
wit
h p
eer
cou
nse
lors
an
d a
ssu
rin
g th
at a
ccu
rate
info
rmat
ion
is b
ein
g gi
ven
an
d
to b
rain
sto
rm c
reat
ive
solu
tio
ns.
WIC
age
nci
es f
ind
th
ese
me
etin
gs a
re a
n e
xtre
me
ly im
po
rtan
t w
ay t
o k
eep
pee
r co
un
selo
rs e
nga
ged
wit
h t
he
pro
gram
an
d p
rovi
de
soci
al in
tera
ctio
n.
Co
nsi
der
allo
win
g p
eer
cou
nse
lors
to
bri
ng
thei
r b
abie
s.
Rev
iew
pro
ced
ure
s an
d p
olic
ies,
pro
vid
e b
reas
tfee
din
g u
pd
ates
, an
d a
llow
th
em
to s
har
e sc
enar
ios
of
thei
r ex
per
ien
ces
and
dis
cuss
str
ateg
ies.
Cas
e S
cen
ario
s
Co
nd
uct
th
e a
ctiv
ity,
Ca
se S
cen
ari
os.
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
13
: Su
per
visi
on
C
ase
Stu
die
s A
ctiv
ity:
Cas
e S
cen
ario
s (D
iscu
ss c
ase
situ
atio
ns)
Dis
trib
ute
cas
e st
ud
ies.
Dis
cuss
so
luti
on
s.
Pe
er
Co
un
selo
r M
on
ito
rin
g
Sup
ervi
sors
are
re
spo
nsi
ble
fo
r m
on
ito
rin
g th
e w
ork
of
pee
r co
un
selo
rs.
This
ca
n b
e es
pec
ially
imp
ort
ant
if p
eer
cou
nse
lors
are
wo
rkin
g fr
om
ho
me.
Wee
kly
ph
on
e co
nta
cts
allo
w s
up
ervi
sors
to
be
on
to
p o
f th
e d
ay-t
o-d
ay w
ork
of
pee
r co
un
selo
rs a
nd
th
e cl
ien
ts t
hey
are
co
nta
ctin
g.
Reg
ula
rly
revi
ew
co
nta
ct lo
gs, r
and
om
ly s
elec
tin
g so
me
to r
evie
w e
ach
mo
nth
.
Spo
t ch
ecks
are
a c
ruci
al p
art
of
pro
gram
mo
nit
ori
ng,
par
ticu
larl
y fo
r st
aff
wh
o
are
wo
rkin
g fr
om
ho
me.
Th
e P
ho
ne
Feed
bac
k Fo
rm c
an b
e u
sed
.
Pee
r co
un
selo
rs s
ho
uld
be
told
fro
m t
he
ou
tset
if t
he
pro
gram
po
licie
s ar
e re
qu
irin
g sp
ot
chec
ks.
This
invo
lves
ran
do
mly
sel
ecti
ng
on
e o
r tw
o W
IC c
lien
t n
ames
fro
m t
he
we
ekly
tim
e re
po
rt, u
sual
ly f
ocu
sin
g o
n a
clie
nt
wh
o r
ecei
ved
a lo
t o
f p
ho
ne
con
tact
s o
r w
ho
had
qu
esti
on
s.
The
spo
t ch
eck
sh
ou
ld n
eve
r b
e co
nd
uct
ed a
s a
“ch
ecki
ng
up
” o
n t
he
pee
r co
un
selo
r; r
ath
er, i
t sh
ou
ld f
ocu
s o
n m
akin
g su
re t
he
mo
ther
is
do
ing
oka
y an
d h
as r
ecei
ved
all
the
hel
p s
he
ne
eds.
Rem
emb
er t
hat
oft
en W
IC m
oth
ers
do
no
t re
me
mb
er t
he
nam
e o
f th
eir
pee
r co
un
selo
r an
d d
o n
ot
un
der
stan
d t
he
term
“p
eer
cou
nse
lor.
”
Co
nd
uct
ad
dit
ion
al s
po
t ch
ecks
if n
eed
ed.
Han
do
ut:
St
affi
ng
and
Su
per
visi
on
14
: P
eer
Co
un
selo
r P
ho
ne
Feed
bac
k Fo
rm
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
7 Se
ctio
n 9
: M
ento
rin
g an
d S
up
ervi
sin
g P
eer
Co
un
selo
rs
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Re
aso
ns
to D
ism
iss
a P
ee
r C
ou
nse
lor
Alt
ho
ugh
it is
no
t co
mm
on
, su
per
viso
rs o
ccas
ion
ally
mu
st r
ele
ase
a p
eer
cou
nse
lor
fro
m h
er d
uti
es.
Som
e re
aso
ns
mig
ht
be:
Frau
d.
No
t p
erfo
rmin
g jo
b d
uti
es.
Bre
akin
g co
nfi
den
tial
ity
(as
de
term
ined
by
you
r St
ate’
s p
olic
ies)
.
Inap
pro
pri
ate
con
du
ct f
or
a “r
ole
mo
del
” (i
ncl
ud
ing
sub
stan
ce a
bu
se).
Re
spe
ctin
g an
d E
mp
ow
eri
ng
Pe
er
Co
un
selo
rs
Sup
po
rtin
g p
eer
cou
nse
lors
sh
ou
ld b
e an
inte
gral
par
t o
f th
e p
rogr
am.
Pe
er
cou
nse
lors
are
oft
en in
dif
ficu
lt li
fe c
ircu
mst
ance
s an
d t
he
job
of
sup
po
rtin
g m
oth
ers
can
be
emo
tio
nal
ly d
rain
ing.
An
ad
ded
dif
ficu
lty
is t
he
iso
lati
on
of
pee
r co
un
selo
rs w
ork
ing
fro
m h
om
e.
Res
pec
t th
eir
un
iqu
e si
tuat
ion
s, in
clu
din
g:
Fin
anci
al c
on
cern
s.
Tran
spo
rtat
ion
issu
es.
Ch
ild c
are
nee
ds.
Sup
po
rtin
g P
ee
r C
ou
nse
lors
Co
nn
ecti
ng
pee
r co
un
selo
rs r
egu
larl
y to
th
e su
per
viso
r an
d o
ther
pee
r co
un
selo
rs h
elp
s th
em
re
mai
n m
oti
vate
d a
nd
en
gage
d w
ith
th
e p
rogr
am.
Mak
e ro
uti
ne
refe
rral
s o
f m
oth
ers
wh
o n
eed
fo
llow
-up
.
Sup
po
rt a
bre
astf
eed
ing-
frie
nd
ly e
nvi
ron
men
t in
th
e W
IC c
linic
.
Ho
ld m
on
thly
sta
ff m
eeti
ngs
.
Pro
vid
e ac
cess
to
th
e la
ctat
ion
co
nsu
ltan
t o
r co
ord
inat
or
for
imm
edia
te f
ollo
w-
up
wh
en m
oth
ers
hav
e p
rob
lem
s o
uts
ide
the
pee
r co
un
selo
r’s
sco
pe.
Mai
nta
in r
egu
lar,
sys
tem
atic
co
nta
ct.
Aff
irm
pee
r co
un
selo
rs c
on
tin
ual
ly.
Wh
en
Pe
er
Co
un
selo
rs L
eav
e
Wh
en a
pee
r co
un
selo
r le
aves
her
po
siti
on
, alw
ays
con
du
ct a
n e
xit
inte
rvie
w t
o
lear
n w
hat
fac
tors
are
invo
lve
d in
her
dec
isio
n a
nd
to
iden
tify
rec
om
men
dat
ion
s th
at c
an im
pro
ve t
he
pro
gram
.
Ask
wh
at c
ou
ld h
ave
be
en d
on
e to
bet
ter
sup
po
rt h
er.
Enco
ura
ge c
on
stru
ctiv
e cr
itic
ism
as
this
will
hel
p w
ith
bet
ter
sup
ervi
sio
n f
or
futu
re p
eer
cou
nse
lors
.
Staf
fin
g an
d S
up
ervi
sio
n 1
6: P
eer
Co
un
selo
r Ex
it S
urv
ey (
for
Pee
r C
ou
nse
lor
Sup
ervi
sor)
pro
vid
es id
eas
of
the
typ
es o
f q
ues
tio
ns
that
can
be
ask
ed.
In a
dd
itio
n t
o t
he
inte
rvie
w, r
equ
ire
that
th
e p
eer
cou
nse
lor
retu
rn a
ll W
IC
item
s is
sued
to
her
, in
clu
din
g h
er c
on
tact
logs
an
d s
up
plie
s.
Han
do
uts
St
affi
ng
and
Su
per
visi
on
15
: Pee
r C
ou
nse
lor
Exit
Su
rvey
(fo
r P
eer
Co
un
selo
rs)
Staf
fin
g an
d S
up
ervi
sio
n 1
6: P
eer
Co
un
selo
r Ex
it S
urv
ey (
for
Pee
r C
ou
nse
lor
Sup
ervi
sor)
St
affi
ng
and
Su
per
visi
on
3:
Pe
er
Co
un
selo
r Eq
uip
men
t an
d M
ater
ials
Is
sued
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
Th
is p
ag
e in
ten
tio
na
lly b
lan
k
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
1 Se
ctio
n 1
0:
Ret
ain
ing
Pe
er C
ou
nse
lors
Sect
ion
10
: R
eta
inin
g P
ee
r C
ou
nse
lors
Sl
ide
M
ain
Me
ssag
es
Act
ivit
ies
and
Han
do
uts
Re
tain
ing
Pe
er
Co
un
selo
rs
Pee
r co
un
selo
rs t
ypic
ally
love
th
eir
job
s an
d f
eel t
hei
r w
ork
is a
tru
e la
bo
r o
f lo
ve.
Man
y p
eer
cou
nse
lors
rep
ort
th
ey w
ou
ld b
e h
app
y if
no
thin
g ab
ou
t th
e p
rogr
am
chan
ged
. H
ow
ever
, th
e re
alit
y is
th
at m
any
do
no
t st
ay w
ith
th
e p
rogr
am a
fter
a
tim
e, w
hic
h c
an b
e fr
ust
rati
ng
for
pro
gram
man
ager
s.
This
sec
tio
n e
xam
ine
s ke
y re
aso
ns
pee
r co
un
selo
rs le
ave
and
str
ateg
ies
to b
uild
re
ten
tio
n.
Wh
y P
ee
r C
ou
nse
lors
Le
ave
If t
he
WIC
pee
r co
un
selin
g is
su
ch a
n id
eal d
ream
job
, wh
y d
o p
eer
cou
nse
lors
le
ave?
Act
ivit
y: W
hy
Pe
er
Co
un
selo
rs L
eav
e
(Dis
cuss
ion
)
Dra
w a
lin
e d
ow
n t
he
mid
dle
of
a fl
ip c
har
t sh
eet.
Dis
cuss
th
e p
ote
nti
al r
easo
ns
pee
r co
un
selo
rs le
ave
on
on
e co
lum
n, a
nd
str
ateg
ies
to
add
ress
in t
he
seco
nd
co
lum
n
Job
Re
late
d R
eas
on
s P
ee
r C
ou
nse
lors
Le
ave
Low
Wa
ges
: P
eer
cou
nse
lors
may
cit
e lo
w w
age
s as
a f
acto
r m
akin
g it
dif
ficu
lt
to c
on
tin
ue.
Bu
rno
ut:
As
a “g
ivin
g” p
rofe
ssio
n, t
he
dem
and
s o
f th
e jo
b c
an le
ad t
o b
urn
ou
t if
p
eer
cou
nse
lors
are
no
t ab
le t
o f
eel t
hey
can
co
ntr
ibu
te a
s a
mem
ber
of
the
WIC
tea
m, i
f th
e w
ork
is m
on
oto
no
us
(i.e
., t
hey
are
on
ly f
ollo
win
g o
ne
clas
sifi
cati
on
of
clie
nts
), t
hey
do
no
t fe
el v
alu
ed, t
hey
lack
per
son
al g
row
th
op
po
rtu
nit
ies,
or
they
bec
om
e d
isco
ura
ged
wh
en f
ew
wo
men
ch
oo
se t
o
bre
astf
eed
.
Iso
lati
on
: B
ecau
se m
any
pee
r co
un
selo
rs w
ork
fro
m h
om
e, it
can
be
easy
to
fee
l d
isco
nn
ecte
d.
Wh
en s
eve
ral o
f th
ese
fact
ors
are
co
mb
ined
wit
h t
he
chal
len
ge o
f b
alan
cin
g w
ork
wit
h t
he
nee
ds
of
fam
ily, p
eer
cou
nse
lors
can
eas
ily f
eel
dis
cou
rage
d.
This
is
wh
y fa
ce-t
o-f
ace
net
wo
rkin
g o
pp
ort
un
itie
s ar
e im
po
rtan
t to
hel
p p
eers
re
mai
n in
volv
ed.
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
2 Se
ctio
n 1
0:
Ret
ain
ing
Pe
er C
ou
nse
lors
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Pe
rso
nal
Re
aso
ns
Pe
er
Co
un
selo
rs L
eav
e
Som
etim
es
pe
er c
ou
nse
lors
leav
e fo
r re
aso
ns
that
are
to
tally
bey
on
d W
IC’s
co
ntr
ol.
Stre
ssfu
l per
son
al l
ife:
lack
of
fam
ily s
up
po
rt o
r fi
nan
cial
pre
ssu
res
may
fo
rce
them
to
se
ek a
se
con
d jo
b.
The
job
is n
ot
a g
oo
d f
it:
som
e c
om
e in
to t
he
job
wit
h u
nre
alis
tic
exp
ecta
tio
ns
of
wh
at t
he
job
will
be
like.
Seek
oth
er o
pp
ort
un
itie
s: o
ften
pee
r co
un
selo
rs le
ave
to r
etu
rn t
o s
cho
ol o
r to
ta
ke a
no
ther
pro
fess
ion
al jo
b in
an
oth
er c
apac
ity.
Turn
ove
r is
No
t N
ece
ssar
ily N
ega
tive
Alt
ho
ugh
dea
ling
wit
h s
taff
tu
rno
ver
can
be
fru
stra
tin
g, it
is h
elp
ful t
o s
ee
the
po
siti
ve a
spec
ts, w
hic
h o
ften
ind
icat
e p
rogr
am s
ucc
ess.
Pee
r co
un
selo
rs o
ften
gro
w p
rofe
ssio
nal
ly in
man
y w
ays
thro
ugh
th
eir
wo
rk
wit
h W
IC.
They
lear
n n
ew jo
b s
kills
, bec
om
e em
po
wer
ed a
s m
emb
ers
of
the
hea
lth
car
e te
am, a
nd
dev
elo
p p
rofe
ssio
nal
ly in
way
s th
at r
ead
y th
em f
or
new
jo
b c
hal
len
ges.
Man
y go
on
to
bec
om
e fu
ll-ti
me
WIC
sta
ff, a
tten
d n
urs
ing
sch
oo
l, en
roll
in
die
teti
c p
rogr
ams,
or
pu
rsu
e o
ther
ser
vice
occ
up
atio
ns.
On
ce p
eer
cou
nse
lors
leav
e th
e W
IC p
rogr
am, t
hey
oft
en c
on
tin
ue
to p
rovi
de
bre
astf
eed
ing
edu
cati
on
an
d s
up
po
rt w
ith
in t
hei
r co
mm
un
ity
for
nei
ghb
ors
, fa
mily
, an
d f
rien
ds.
Solu
tio
ns
for
Re
ten
tio
n
WIC
sta
ff s
up
po
rt
Incl
ud
ing
pee
r co
un
selo
rs a
s p
art
of
the
WIC
tea
m
Bre
astf
eed
ing
pro
mo
tio
n a
ctiv
itie
s
Sup
ervi
sio
n
Sen
siti
vity
to
per
son
al is
sue
s
Ad
equ
ate
com
pen
sati
on
Han
do
ut:
A
sses
smen
t an
d P
lan
nin
g 1
: Lo
vin
g
Sup
po
rt©
Mo
del
Faci
litat
or
Pro
mp
ts –
Man
ager
Tra
inin
g
3 Se
ctio
n 1
0:
Ret
ain
ing
Pe
er C
ou
nse
lors
Slid
e
Mai
n M
ess
age
s A
ctiv
itie
s an
d H
and
ou
ts
Ce
leb
rate
Su
cce
sse
s!
WIC
age
nci
es t
hat
cel
ebra
te s
ucc
esse
s ar
e ab
le t
o m
ain
tain
a p
osi
tive
en
viro
nm
ent
and
en
ergy
fo
r m
ovi
ng
forw
ard
.
Kee
p t
rack
of
bre
astf
eed
ing
dat
a to
sh
are
wit
h p
eer
cou
nse
lors
an
d c
olle
agu
es.
U
se t
his
dat
a to
pra
ise
pee
r co
un
selo
rs a
nd
sh
ow
th
em
ho
w t
hey
are
mak
ing
a d
iffe
ren
ce.
Hav
e a
par
ty p
erio
dic
ally
wh
en
new
mile
sto
ne
s ar
e ac
com
plis
hed
, at
pee
r co
un
selo
r gr
adu
atio
ns,
wh
en p
eer
cou
nse
lors
are
rea
dy
to m
ove
into
a m
ore
ad
van
ced
po
siti
on
, or
wh
en p
osi
tive
fee
db
ack
is r
ecei
ved
fro
m W
IC m
oth
ers
ab
ou
t th
e p
rogr
am.
Som
e ag
enci
es
pla
n a
nn
ual
pee
r co
un
selo
r co
nfe
ren
ces
for
pee
r co
un
selo
rs in
th
e St
ate.
Th
is a
llow
s fo
r le
arn
ing
op
po
rtu
nit
ies
that
insp
ire
pee
r co
un
selo
rs,
soci
al in
tera
ctio
n t
hat
can
re
-en
ergi
ze a
nd
re
-en
gage
pee
r co
un
selo
rs w
ho
are
fe
elin
g w
eary
, an
d p
ub
lic r
eco
gnit
ion
bef
ore
pee
rs.
Recommended
