Division of Public Health receives $5.6M Maternal, Infant and…

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT PROJECT TITLE: DELAWARE’S FY25 MIECHV GRANT ? ADDRESS: DELAWARE DIVISION OF PUBLIC HEALTH: 417 FEDERAL STREET DOVER, DE 19901 ? PROJECT DIRECTOR: CRYSTAL SHERMAN, MIECHV PROJECT DIRECTOR ? PHONE NUMBERS: (302) 608-5742 ? E-MAIL ADDRESS: [email protected] PURPOSE: THE PURPOSE OF THIS PROJECT IS TO DEVELOP, IMPLEMENT AND SUSTAIN A CONTINUUM OF HOME VISITING SERVICES STATEWIDE WITH PRIORITY SERVICE GIVEN TO SIX HIGH RISK ZONES. PROJECT ACTIVITIES INCLUDE CONTINUING CONTRACTS FOR 4 LIAS, COORDINATION OF COMPREHENSIVE SERVICES, PROFESSIONAL DEVELOPMENT, CQI, DATA COLLECTION AND SUB-RECIPIENT MONITORING. THE 2020 MIECHV NEEDS ASSESSMENT IDENTIFIED HIGH RISK ZONES ACCORDING TO KEY HEALTH AND SOCIOECONOMIC INDICATORS THAT WOULD BENEFIT FROM HOME VISITING SERVICES AND DE DOES NOT HAVE SUFFICIENT CAPACITY AND/OR RESOURCES. GOALS AND OBJECTIVES: DEVELOP, IMPLEMENT AND SUSTAIN A CONTINUUM OF HOME VISITING SERVICES STATEWIDE WHERE THE NEEDS OF FAMILIES ARE MET BY THE MOST APPROPRIATE PROGRAM. • THROUGH THE HOME VISITING COMMUNITY ADVISORY BOARD, COLLABORATE WITH EVIDENCE-BASED HOME VISITING PROGRAMS, MATERNAL HEALTH AND EARLY CHILDHOOD PARTNERS, COMMUNITY AGENCIES AND ADVOCATES THAT FACILITATE THE SUCCESS OF THE HOME VISITING CONTINUUM OF SERVICES TO IMPLEMENT ULTIMATE SYSTEMS IMPROVEMENTS. • INCREASE ACCESS TO THE EARLY CHILDHOOD CONTINUUM OF SERVICES ENSURING APPROPRIATE AND TIMELY REFERRALS AND REDUCTION OR ELIMINATION OF DUPLICATION ACROSS HOME VISITING PROGRAMS. IMPROVE MATERNAL, INFANT AND EARLY CHILDHOOD OUTCOMES THROUGH TARGETED HOME VISITING. • ALL HOME VISITORS WILL BE TRAINED AND WILL PROVIDE VOLUNTARY INTENSIVE LONG-TERM HOME VISITING SERVICES TO PREGNANT WOMEN INITIATED PRENATALLY TO ADDRESS CERTAIN RISK FACTORS ASSOCIATED WITH POOR BIRTH OUTCOMES. • PROVIDE EXPERT GUIDANCE AS WE CONTINUE TO INTEGRATE IECMHC INTO HOME VISITING. • PROVIDE AND ASSIGN IECMHC CONSULTANTS TO ALL MIECHV LIAS. MONITOR HOME VISITING SYSTEM CHANGES AND CHALLENGES TO ENSURE LONG-TERM SUSTAINABILITY. • DEVELOP AND DISSEMINATE AN UPDATED STATEWIDE HOME VISITING REPORT THAT IS INCLUSIVE OF ALL HOME VISITING PROGRAMS REGARDLESS OF HOW THEY ARE FUNDED. • MONITOR IMPLEMENTATION OF MEDICAID REIMBURSEMENT FOR HFA AND NFP. APPROACH: CONTINUE CONTRACTS WITH FOUR LIAS IMPLEMENTING HEALTHY FAMILIES AMERICA AND PARENTS AS TEACHERS. THE PROGRAMS PROVIDE SERVICES STATEWIDE WITH ALL THREE OF OUR COUNTIES BEING IDENTIFIED AS BENEFITING FROM EVIDENCE-BASED HOME VISITING. HOWEVER, SPECIFIC HIGH-RISK AREAS ARE GIVEN PRIORITY SERVICE. THE PROGRAM WILL CONTINUE TO SUPPORT BENCHMARK AND MODEL SPECIFIC DATA COLLECTION EFFORTS, CQI SUPPORT AND PROFESSIONAL DEVELOPMENT ACTIVITIES. THE PROPOSED CASELOAD FOR FY26 IS 569. WE HAVE A PAT RFP PUBLISHED CURRENTLY WHICH WILL ALLOW US TO INCREASE CAPACITY IN FY27 FROM 569. OVER 80% OF ALL HOME VISITS ARE BEING CONDUCTED IN PERSON, WITH LESS THAN 20% BEING CONDUCTED VIRTUALLY. CURRENTLY, DE-MIECHV PROGRAM HAS ALMOST 500 FAMILIES ENROLLED IN A PAT, HFA OR NFP PROGRAM. EACH LIA IS A MEMBER OF THE HOME VISITING COMMUNITY ADVISORY BOARD WHICH IS A STRONG COALITION OF COMMUNITY SERVICE PROVIDERS THAT MEET REGULARLY. THE HOME VISITING COMMUNITY ADVISORY BOARD WILL CONTINUE TO MONITOR REFERRALS, CAPACITY OF EACH LIA AS WELL AS THE RELATIONSHIPS THE LIAS HAVE WITH EACH OTHER AND HMG TO ENSURE FAMILIES RECEIVE THE CARE COORDINATION AND COMMUNITY REFERRALS TO ADDITIONAL SERVICES AS NEEDED.