Yo Your Yo Your ur Fa ur Fa Family Co Family Co ly Coun ly - PDF document

Yo Your Yo Your ur Fa ur Fa Family Co Family Co ly Coun ly Coun unts unts ts ts A Multidisciplinary A Multidisciplina A Multidisciplinary A Multidisciplina y y Home Visiting P Home Visiting Program ram Home Visiting Program Home Visiting P ram Commiss Commission ion Meeting Meeting March 25, 2 March 25 , 2010 10 Every Every Child Child Co Coun unts Family Family S Suppo pport Services rt Services Alame Al ameda C a County Pu Public Health blic Health Dep Departme rtment nt family suppor family suppor fa fa mily support services mily support services t services t services Ba Bala lancing p ncing preve evention tion and targeted and targeted se service rvices… and di d direct rect services and sy d system stems cha s change ge Your Family Counts: Your Family Counts: Your Family Counts: Your Family Counts: An historical An historical perspective perspective An historical An historical perspective perspective 2001 U 01 Univer ersa sal 1 l 1-3 3 Home me Visit Visits De Develop velopment of the S t of the Specialty ecialty Provider Provider Te Team am Recon Reconfiguratio iguration n – Birth o irth of YFC YFC Child Development Training part 1 12.21.07 1

Who we are Who we are Your Family Counts Your Family Counts Your Family Counts Your Family Counts Al Alame ameda C a County P PHD D – Famil amily He y Health alth Service Services � 4 Public Health Nurses � 4 Family Advocates ECC Specialty ECC Specialty Provid Provider T er Team am � 1.5 Lactation Consultants � 1 Child Development Specialist � 2.5 Mental Health Specialists Your Family Counts Your Family Counts Your Family Counts Your Family Counts 2 week 2 week in intensiv ive, e, mult multid idis iscipl ciplin inar ary t train aining St Start arted s d serv rvin ing famil g families es September 22, 2008 September 22, 2008 Multidis idiscipl plin inary ary meetings - meetings - 3 t times/mo mes/mo On- On-goi oing tr ng trai aini ning ng Child Development Training part 1 12.21.07 2

YFC Program Model YFC Program Model Target services to prenatal and Targ et services to prenatal and postnatal postnatal high risk clients high risk c ients at: at: � 2 birthing hospitals � 2 high risk clinic � Prenat Prenatal – al – Family ily Advoc Advocate te and and Me Mental He ntal Health alth � Po Post stpart partum – – Lac actation Co Consultant nts, s, Pu Public blic Healt alth Nu Nurses, rses, Family Ad Family Advocates, vocates, Me Mental ntal Health, C Health, Child Develop ild Development t speciali specialists sts YFC Program Model YFC Program Model � Each fam Each family recei receives es at at leas east 3 v 3 visits ts � maximum length of care maximum length of care is 12 is 12 months mo nths Who we Serve Who we Serve Pren Prenat atal/Pos al/Postpar tpartum Crit m Criteri eria � Homel Homeless ss � Substance use Substance use � Depr Depres ession/ sion/mental ental ill illnes ess � Dome Domestic Viol stic Violence ence � De Devel velopmental Del pmental Delay � Im Immi migrant grant � Grief or Feta Grief or Fetal l loss History loss History � CP CPS – S – cur urrent or rent or hi history ory � Lac Lactation/F ation/Feed eeding Issu ing Issues es � NICU < NICU < 48 hou 48 hours (unl s (unles ess H s Highl ghland NICU) NICU) Child Development Training part 1 12.21.07 3

YFC Program YFC Program Model Model � Pregnant and postpartum women screened for maternal depression - Edinburgh � All families screened using the 4Ps Plus � Newborn Behavioral Observation Tool � All clients screened with ASQ twice before case closure at 6 months and at 12 months � Life Skills Progression Who we serve Who we serve 94 94 % (2 % (294 of 94 of 314) of 314) of f fami mili lies re refe ferr rred we were succe successf ssfully ully conta contacte ted Prenatal Cases Served 15% Postpartum Cases Served 85% Sept. 22, 2008 to Dec. 31, 2009 Families Enrolled Families Enrolled Race/Ethnicity Language Language Race/Ethnicity Hispanic English 50% 59% African Spanish 33% 25% American Asian Asian 9% 6% Languages Multi-Race 6% Other 3% White 5% Other 4% Sept. 22, 2008 to Dec. 31, 2009 Child Development Training part 1 12.21.07 4

Who we Serve Who we Serve At t At the t e time o me of en enro rollmen ent, t, famil families had on had one e or or mor more ri risk f sk factor ctors: s: Probl Problems ms br breas eastfeed eedin ing 82% 82% History of Hist ory of, or cur , or current ent depression depression 67% 67 Housing Unstable Housing Unstable 55% 55% History of Hist ory of, or cur , or current ent domest domestic vi ic violence ence 44% 44% Sept. 22, 2008 to Dec. 31, 2009 Wher ere familie e families live live Wher ere familie e families live live Oakland 71 71% Hayward 12% 12% San Leandro 7% 7% What we do What we do Child Development Training part 1 12.21.07 5

What we do What we do Wh What w What w Wh we do we do do do Build tru Build trust t Determin rmine “f e “fami amily’ y’s n needs eeds” Id Identi tify the the cri crisis sup supports ts Focus o Focus on fam family’s strengths ly’s strengths Focus o Focus on the infant the infant Sup Suppor port na navi viga gatin ting sys systems � Me Medi-Cal al � Othe Other ent entitl tlement pr ent programs ms (WIC, CC (WIC, CCS, R S, Regional onal Center, etc.) Center, etc.) � CP CPS Wh What w What w Wh we do we do do do Pa Parenti nting e educati ucation a n and suppor support Fostering relationsh Fostering relat onships ips Focu Fo cusi sing o ng on Ch Child/Fa Family Deve Develo lopment pment Assess As sessin ing fin g financia ncial f l fitness tness Pro Promotin oting heath and g heath and wellnes wellness Redu Re ducing iso isolatio ion Bu Buil ilding co ng commu mmunity ty Child Development Training part 1 12.21.07 6

First year Re Fi rst year Results sults Fi First year Re rst year Results sults # of face to face co # of face to fac contacts per fam ntacts per family ly Up to Up to 50 50 % of of ca case ses whe s where re 2 or 2 or mor more sta staff invo volve lved 84% 84% % of of ca case ses he s held ld mor more tha than 3 mon 3 months hs 50% 50% Conne Co nnecti cting to g to communi community ty se services - es -Top Re op Referr rrals: s: � Hea Health Insu th Insurance nce � Food ood and and basi basic needs c needs � Housing / Housing / Shelte Shelter � Me Mental hea ntal health supp th support ort Sept. 22, 2008 to Dec. 31, 2009 First Year results First Year results Child has Chil d has medic medical home home 97% 97 Chi Child up up to to d date te on i immuni mmuniza zati tion ons 93% 93 Child has Chil d has heal health in th insuran rance 99% 99 Sept. 22, 2008 to Dec. 31, 2009 The Referral Said The Referral Said Child Development Training part 1 12.21.07 7

Family Resilience Family Resilience What we Have learned What we Have learned � Serving Servi g much higher much higher risk than anticipated risk than anticipated � Multid Multidiscipli isciplinary ary team w team works rks � Low dr drop rate ( rate (6% c % compa mpared t ed to 22 22% % for 1 r 1- 3 program) 3 program) � more t more than an on one pers e person on who who can can conn connect ect t to famil family � more opt more options for famili ons for families es � Quality child care is Quality child care is key fo for man r many families families � Off Offers rs res respit ite � Gi Give ves chi s child othe other wa r ways of ys of engagin engaging with adults with adults What we Have learned What we Have learned � Id Iden entif tifyin ing p program m su sustainability options stainability options � Need to i Need to identif tify “ “next ext step” step” for whe or when ca case se is closed is closed � Iden Id entif tifyin ing co comm mmun unity ity/neig ighbo hborhood hood support pr rt progra rams � Not en t enough c gh community su ity suppo pport rts s for fathers fathers Child Development Training part 1 12.21.07 8

Your Family Counts Child Development Training part 1 12.21.07 9