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Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV)


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Title: Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV)


Maternal, Infant, and Early Childhood Home
Visiting Program(MIECHV) Supplemental
Information Request 2 (SIR 2) Virginia Updated
State Plan Regional Meetings March 21-30, 2010
Maternal, Infant, and Early Child Home Visiting
  • Purposes
  • to strengthen and improve the programs and
    activities carried out under Title V of the
    Social Security Act
  • to improve coordination of services for at-risk
    communities and
  • to identify and provide comprehensive services to
    improve outcomes for families who reside in
    at-risk communities

Application Process
  • Step 1 July 2010 State applications
  • Step 2 September 20, 2010 SIR 1
  • Statewide Needs Assessment
  • Step 3 Supplemental Information Request 2
  • Updated State Plan
  • Due June 8, 2011

Updated State Plan
  • Final designation of at-risk communities to be
    targeted by State HV Program
  • Detailed needs and resources assessment for
  • Plan for coordination among existing
  • Assessment of local and State capacity to
    integrate the proposed home visiting services
    into an early childhood system
  • A list of at-risk communities not selected for
    implementation in FY 2010

Updated State Plan
  • Goals and Objectives of Updated Plan
  • Strategies for Integrating Updated State Plan
    into other early childhood programs and systems
  • Logic model for State HV Program

Selection of Model
  • Selection of the model(s) should be in response
    to the needs of the targeted at-risk communities
  • Select a model(s) that meets criteria for
    evidence of effectiveness
  • Propose another model not reviewed by HomVEE
  • Request reconsideration of an already-reviewed
  • Propose use of up to 25 of funds for a promising

Evidence-based (EB) Models (2/08/2011)http//www.
  • Early Head Start- Home-based Option Only
  • Family Check-Up
  • Healthy Families America
  • Healthy Steps
  • Home instruction Program for Preschool Youngsters
  • Nurse Family Partnerships
  • Parents as Teachers

State Selection of Model
  • Within 45 days, States must secure approval by
    developer(s) to implement model(s) as proposed,
    including any acceptable adaptations
  • For the MIECHV program, an acceptable
    adaptation is one determined by the developer
    not to alter the core components related to
    program impacts

  • States must
  • Describe how the model(s) meets need of each
  • Describe States current and prior experience
    implementing model(s)
  • Submit a plan for ensuring implementation with
  • Discuss anticipated challenges to implementation

  • State must
  • Submit a plan for implementation of State HV
    Program and for ongoing monitoring of the quality
    of implementation at the community, agency, and
    participant level
  • Submit required assurances
  • Must agree to the Maintenance of Effort

Maintenance of Effort (MOE)
  • States must
  • Maintain the level of State General Funds
  • As of March 23, 2010

  • Maternal and Newborn Health
  • Child injuries child abuse, neglect, or
  • School readiness and achievement
  • Crime or domestic violence
  • Family economic self-sufficiency
  • Coordination and Linkages

  • State must
  • Collect data on all 6 benchmark areas
  • Collect data for all listed elements under each
    benchmark area
  • Show improvement in at least half of the elements
    under each benchmark area
  • Develop a continuous quality improvement plan
  • Report to HHS on benchmark progress at the 3-and
    5-year points

State Home Visiting Plan
  • A description of the administrative structure in
    place to support the program
  • A description of staffing and administration
  • A description of efforts to coordinate the
    program with other State early childhood plans

Continuous Quality Improvement
  • CQI is an approach utilizing regular data
    collection and the application of changes that
    may lead to performance improvements
  • The State must discuss a plan for CQI for their
    State HV Program
  • Technical assistance will be provided as needed
    on CQI strategies

Technical Assistance
  • HHS intends to provide TA and training to States
    throughout the grant application process and
    implementation phase of the MIECHV Program
  • States should provide a description of
    anticipated TA needs in the Updated State Plan
  • State level
  • Local communities

Memorandum of Concurrence Signed by
  • Director of the States Title V agency
  • Director of the States agency for Title II of
    the Child Abuse Prevention and Treatment Act
  • Director of the States child welfare agency
    (Title IV-E and IV-B), if this agency is not also
    administering Title II of CAPTA
  • Director of the States Single State Agency for
    Substance Abuse Services
  • States Child Care and Development Fund (CCDF)
  • Director of the States Head Start State
    Collaboration Office and

Memorandum of Concordance (continued)
  • State Advisory Council on Early Childhood
    Education and Care authorized by 642B(b)(1)(A)(i)
    of the Head Start Act
  • The States Individuals with Disabilities
    Education Act (IDEA) Part C and Part B Section
    619 lead agency(ies)
  • State Elementary and Secondary Education Act
    Title I or State pre-kindergarten program and
  • State Medicaid/Childrens Health Insurance
    program (or the person responsible for Medicaid
    Early Periodic Screening, Diagnosis, and
    Treatment (EPSDT) Program).

Additional Potential State Partners
  • State Domestic Violence Coalition
  • State identified agency charged with crime
  • State Temporary Assistance for Needy Families
  • States Supplemental Nutrition Assistance Program
  • State Injury Prevention and Control (Public
    Health Injury Surveillance and Prevention)

Federal Review
  • Justification of targeted communities at risk
  • How the model(s) addresses specific community
  • Plan for meeting benchmarks and collecting data
  • Overall feasibility of plan
  • Level of commitment and concurrence among
    required partners

Virginia Needs Assessment
  • Insufficient staff to provide for the unmet need
    for HV
  • Services for fathers
  • Services for teen parents
  • Services for diverse cultural populations
  • Unavailable mental health and substance use
    treatment resources for parents
  • Inadequate domestic violence prevention and
  • Insufficient parent support in crisis situations,
    especially to prevent abuse/neglect
  • Increased need for education/training for parents
    so that they can be self-sufficient
  • Addition Early and appropriate referral to Early

Virginia Plan
  • Parallel the Federal Requirements
  • Provide Technical Assistance to all 38 at-risk
  • Integrate Home Visiting Services into the Early
    Childhood system with staff training, data
    collection, evaluation
  • Require local Data Collection in the state
    project system
  • Develop Continuous Quality Improvement Plan (CQI)

Virginia Plan
  • Increase Quality, Effectiveness and Availability
    at the State and Local level
  • Increase services by Evidence-based (EB) Home
    Visiting Models in local communities
  • Show Improvements in the Lives of Vulnerable
    Families and Their Children as measured by
    Progress toward the Benchmark Goals within 3 to
    5 years

State Application Process
  • Eligible Applicants
  • 38 at risk Communities or
  • a zip code area or adjacent zip code areas which
    meet the same qualifications as the 38 at risk
  • Requirements Still being reviewed
  • Due date TBA

Virginia at-risk Communities
  • Accomack County
  • Bristol City
  • Campbell County
  • Charlotte County
  • Cumberland County
  • Danville City
  • Emporia City
  • Essex County
  • Fredericksburg City
  • Gloucester County
  • Greensville County
  • Halifax County
  • Hampton City
  • Henry County
  • Hopewell City
  • Lancaster County
  • Lunenburg County
  • Lynchburg City
  • Montgomery County
  • Newport News City
  • Norfolk City
  • Northampton County
  • Nottoway County
  • Orange County
  • Patrick County
  • Petersburg City
  • Portsmouth City
  • Radford City
  • Richmond City
  • Smyth County
  • Southhampton County
  • Staunton City
  • Suffolk City
  • Sussex County
  • Warren County
  • Waynesboro City
  • Williamsburg City
  • Winchester City

First Steps for Local Application
  • Meet with all local home visiting programs
  • Invite early childhood partners
  • Meet with the local Early Childhood Coalition
    (Smart Beginnings Coalition or others)

Identify Community Home Visiting Needs
  • Use existing needs assessments to begin
  • City/County Development Plan
  • Local Dept of Social Services
  • Local Health Department (MAPP)
  • Local Community Service Board
  • Local School System data or plans
  • Head Start Needs Assessment
  • Juvenile Justice Prevention Plan
  • Early Intervention Office
  • Early childhood Interagency Group
  • Housing Department
  • Boys and Girls Club etc

Ask parents other consumers
  • Parents/Families
  • Parents with children in Head Start and other
    early child education settings
  • WIC participants
  • New Parent Classes/Childbirth Classes
  • Community Advocacy Groups
  • Professionals
  • Local Obstetricians and Pediatricians Providers
    in Medical Homes Community health care centers
  • Teachers at early childhood centers
  • Business leaders
  • Hospitals

Identify Gaps in Local Home Visiting Services
(children ages 0-5 years old families)
  • Age Group
  • Risk factors
  • Neighborhood
  • Cultural factors

Identify Resources
  • Commitment to Improving Services
  • History of supporting Families
  • Experienced Staff
  • Successful Organizations
  • Communication Networks
  • Interagency Collaborative History
  • Relationships with other at-risk Localities
  • Community Opportunities

Identify a Target Population
  • Priority to Vulnerable Families
  • Low income
  • A Pregnant women who is less than 21 years old
  • A History of Child Abuse and Neglect
  • A History of Substance Abuse or in need of
  • A History of using Tobacco products in the Home
  • Low achievement, or have children with, Low
  • Those with children with Developmental Delays
  • Family members serving in the Armed Forces or on
    multiple deployments outside of the United State.

Selection of an Evidence-based Model
  • Identify the Community Goals
  • Review Community Needs
  • Consider Community Gaps
  • Identify Target Population
  • Commit Community Resources

In Selecting the Model(s)
  • Pay particular attention to the Target Population
    identified for each model
  • Review the Evidence-based Model report by
    Mathematica Policy Research
  • Review the HomVee website

Selection of the Model(s)
  • There is not one right selection.
  • A review of the Needs, Gaps, Resources, Community
    Experience and Target Populations could lead to
    the choice to expand an existing evidence-based
    program model or to add a new program model to
    the community continuum in order to best serve
    vulnerable families.
  • Consider where the community is interested in
    making an effort.
  • Make a clear logical explanation of the choice.

Local Community Applicant
  • Each community is likely to be asked to
  • Evidence of Efficiency and Effectiveness in Plan
  • Cost per Child / per Family
  • Evidence of Collaboration
  • Evidence of Experience and Solid Performance in
    providing HV services
  • Consumer/Community Interest/input/buy-in
  • Evidence of Commitment to Improvement on
  • Local Opportunities for Broader Partnership

Home Visiting Consortium
  • Ashley Barton - BabyCare, Department of Medical
    Assistance Services
  • Mary Mitchell - Medicaid Managed Care, DMAS
  • Johanna Schuchert - Healthy Families
  • Ann Childress Dept of Social Services (DSS)
  • Lisa Specter-Dunaway - CHIP of Virginia
  • Linda Foster - Virginia Healthy Start
    Initiative, Dept of Health (VDH)
  • Wenda Singer - Head Start/Early Head Start
    Collaborative, DSS
  • Phyllis Mondak - Special Education/Part B, Dept.
    of Education
  • Mary Ann Discenza Early Intervention/ Part C,
    Depart of Behavioral Health and Developmental
    Services (DBHDS)
  • Martha Kurgans Project Link, DBHDS
  • Catherine Bodkin - Resource Mothers, BabyCare
    Liaison, (VDH)

Useful Websites

www.homevisitingva.comSee Announcements or
Resources/Virginia documents
(No Transcript)
Click on Models
Outcomes by Models and Populations
43 Announcements and
Documents are posted here.
  • Contact
  • Any Member of the Virginia Home Visiting
  • or
  • Catherine Bodkin, LCSW, Chair of HVC
  • MIECHV Project Director
  • Virginia Department of Health
  • 804-864-7768

  • Thank you for participating today.