More information on the MIECHV ARP awards, including program guidance and Frequently Asked Questions, is available on the MIECHV Technical Assistant webpage. Phase 2. The terms "parent" and "family" are used interchangeably throughout, except where the law and regulations require the work be done with parents. The law appropriated $1.5 billion in funding over the first five years (from FYs 2010-2014) of the program, with continued funding extensions through 2016. All families screened with a validated tool should be included in the numerator and denominator per the measure definitions (Measure 3, Measure 12, and Measure 14). Highlights Promoting First Relationships, a program consisting of a 10-week home-visiting intervention in which the provider videotapes parent-child interaction and watches the videos with the parent as an opportunity for reflective observation. Does the state have the capacity to maintain the program? Home Visitors should encourage families to be on the alert for signs of illness in children and any family member that lives or will be in the home and to notify the home visitor when they are sick. During the 2018 legislative sessionNew HampshirepassedSB 592that authorizedthe use of Temporary Assistance to Needy Families (TANF)funds to expand home visiting and child care services through familyresource centers. Offer neutrality-someone to discuss difficulties and challenges with. University of Chicago Therefore, HRSA is unable to offer no-cost extensions for MIECHV awards beyond the existing period of availability. Home visitors can provide families with information about the importance of COVID-19 vaccination as the most effective prevention strategy as well as other mitigation approaches. Use a positive, friendly, non-judgmental approach. Definition A home visit is defined as the process of providing the nursing care to patients at their doorsteps. Effective Governance and Coordination:Do state officials coordinate all their home visiting programs as well as connect them with other early childhood efforts such as preschool, child care, health and mental health? Initiation phase - clarify purpose of home visiting. EHS home-based services offer home visits and group socialization activities for parents and their children. Therefore, HRSA is unable to offer no-cost extensions for MIECHV awards beyond the existing period of availability. Introduction and Purpose. You can also visit NCSLs early care and education database which contains introduced and enacted home visiting legislation for all fifty states and the District of Columbia. Other times, the family works with staff from The Arc Minnesota to hold the meeting at a library, community center, or familiar place in their neighborhood. The quality of these early experiences shape brain development which impacts future social, cognitive and emotional competence. Intervention services provided include parenting education, parent-child attachment and maternal depression therapy, and any needed support services such as food, housing, and transportation. Address health disparities, family and community needs and social and structural determinants of health. These evaluations will add to the research base for effective home visiting programs.

In this handbook, we use the term "home visitor." Considerations for home visiting staff and supervisors include: Home visitors should be aware of recent gaps in general preventive care for children and partner with providers and families to make sure children catch up on their preventive well-child visits. A number of home visiting service delivery models have disseminated guidance to states and local organizations related to precautions and safeguards during a public health emergency. The deadline for submitting the MIECHV Quarter 2 Performance Report has been extended 30 days from May 15 to June 15, 2020 at 11:59pm ET. HRSA recognizes that this is a challenging time and the COVID-19 public health emergency is impacting home visiting service delivery in multiple ways, including the suspension of home visiting or alternative approaches to conducing visits. WebSometimes these visits are hosted by a family at their home. Home visiting is a prevention strategy used to support pregnant moms and new parents to promote infant and child health, foster educational development and school readiness, and help prevent child abuse and neglect. You are encouraged to reach out to your Project Officer to connect with a Technical Assistance Specialist to assist with strengthening fiscal policies and procedures. Note that data for performance measures, including data for the IPV screening and referral measures, will be reviewed and interpreted with the recognition that many programs will continue to experience significant challenges with completing these screenings during this time. On home phase - introduction him/her self -warm greeting. WebThe home visit is simply one more tool for easing your childs transition. MIECHV funds must continue to be used to support approved activities within the scope of the MIECHV grant. WebThe goals of the home visit include: Identifying and addressing the family's needs and concerns. Parents should pay particular attention to: Home Visiting programs are encouraged to have an Emergency Operations Plan (EOP) in place to protect children, staff, and families from the spread of illness and other emergencies. Recognizing the importance of these referrals, the Administration for Children and Families (ACF), in partnership with the Health Resources and Services Administration (HRSA), both of the U.S. Department of Health and Human Services (HHS), contracted with Child Trends and Trilogy Interactive to design a prototype for a tool to enhance home visiting stakeholders understanding of community connections in the home visiting context. (See. Rigorous evaluation of high-quality home visiting programs has also shown positive impact on reducing incidences of child abuse and neglect, improvement in birth outcomes such as decreased pre-term births and low-birthweight babies, improved school readiness for children and increased high school graduation rates for mothers participating in the program. Contact your Project Officer and Grants Management Specialist if you have any questions regarding appropriate use of grant funds. The home visiting programs reach pregnant women, expectant fathers, and parents and caregivers of children under the age of 5. WebThe goals of the home visit include: Identifying and addressing the family's needs and concerns. Community connections refer to relationships between home visiting programs and other community services providers, such as those offering mental health services, child care, and more. Accountability:Do home visiting programs report data on outcomes for families who participate in their programs? An awardee that began to experience service disruptions in March of 2020 may choose to submit a revised Form 2 submission for demonstration of improvement purposes that reflects a performance period of October 1, 2019 through March 1, 2020. Initiation phase - clarify purpose of home visiting. WebBuild positive relationships with family members. Identify strategies for managing family stress and family basic needs, and support family engagement. Localities should monitor community transmission, vaccination coverage, the occurrence of outbreaks, and local policies and regulations to guide decisions on the use of layered prevention strategies. Please reach out to your project officer and/or grants management specialist for clarification if needed. Please visit the MIECHV Data, Evaluation, and Continuous Quality Improvement page for more information on ARP reporting. HRSA recognizes that this is a challenging time and the COVID-19 public health emergency is impacting home visiting service delivery in multiple ways, including the suspension of home visiting or alternative approaches to conducting home visits. WebHome visits are recognized as a cost-effective means of promoting infant and child health, preventing maltreatment, and improving family functioning. Introduction and Purpose. On home phase - introduction him/her self -warm greeting. -determine family willingness -schedule home visiting. The AAP has issued guidance on providing well-child care vis telehealth during COVID-19. Reviews a study that was designed and pilot tested in the field for father involvement service enhancement Dads Matter intervention enhancement protocol, includes intervention manual, training package, and clinical supervision process, to support the implementation of the Dads Matter enhancement for future studies and implementation efforts in the field. WebThe home visit is simply one more tool for easing your childs transition. Encourage staff and families, including extended family members that have frequent contact with children in the home visiting program to get vaccinated against COVID-19 as soon as they can. HRSA anticipates providing more information in the near future. During the COVID-19 public health emergency, home visiting programs continue to play a vital role in addressing the needs of pregnant women, young children, and families, whether in Provide a listening ear. National, state and local guidance, policies and regulations, including mask mandates are subject to change. Awardees that do not meet the demonstration of improvement criteria using this data submission will have the option to submit revised Form 2 data that provides quantifiable justification of meeting the improvement criteria. However, we do recommend you discuss proposed changes with your PM/CQI Technical Assistance Specialist. View a list of significantenacted home visiting legislation from 2008-2021. Home visits can establish positive contact and communication with families. The teacher will arrive and her focus will be establishing a bond between her and the child. The deadline for reporting data demonstrating improvement in 4 of 6 benchmark areas by October 30, 2020 is also statutory; therefore, HRSA does not have discretion to delay or waive it. In this handbook, we use the term "home visitor." At this time, HRSA does not anticipate extending any deadlines in response to this new authority. During the COVID-19 public health emergency, HRSA encourages awardees and local implementing agencies (LIAs) to follow CDC, state and local health department, and model guidance, and supports appropriate use of alternate methods to conduct home visits in alignment with model fidelity standards. Do state and program officials use data to improve the quality and impact of services? The Role of Home Visiting During a Public Health Emergency. They offer a perspective on each individual familys struggles , what they are lacking, and what they find to be the most difficult challenges in their lives. Introduction and Purpose. MIECHV awardees should ensure that they comply with their own organizational policies when incorporating these new authorities, as well as federal requirements such as: For allowability considerations and awardee responsibilities related to subaward costs, please refer to the Important Home Visiting Information During COVID-19 FAQ on how MIECHV grant recipients can support subrecipients during a public health emergency. Home visitors can implement these practices and encourage clients to do so. Home visitors also conduct regular screenings to help parents identify possible health and developmental issues. HRSA is committed to ensuring the overall safety of home visitors and families during the COVID-19 public health emergency*.*. Examples include improving maternal and child health, increasing school readiness and/or reducing child abuse and neglect. MIECHV is up for reauthorization, set to expire on Sept. 30, 2022. Their visits focus on linking pregnant women with prenatal care, promoting strong parent-child attachment, and coaching parents on learning activities that foster their childs development and supporting parents role as their childs first and most important teacher. Home Visiting Listen Current as of: May 19, 2022 The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program facilitates collaboration and partnership at the federal, state, and community levels to improve the health of at-risk children through evidence-based home visiting programs. Families and staff who have symptoms of infectious illness, such as influenza (flu) or COVID-19, should stay home and be referred to their healthcare provider for testing and care. Families should be made aware to notify their home visitor if somebody in the home has symptoms and the home visitor should arrange for virtual or telephonic visits and other ways to provide services to meet family need during that time. Well-child telehealth visits completed according to the AAP schedule can be included as meeting the numerator criteria for performance measure 4. Be culturally sensitive/responsive. Among many other provisions, the bill includes language specific to the MIECHV Program and home visitings response to COVID-19. Technical Assistance Visit the Technical Assistance page to access Webinars, guidance, and other resources for grantees managing their programs. Because the deadline for the use of funds by eligible entities is a statutory deadline, HRSA does not have discretion to delay or waive it or allow for carryover of funds. The project team considered addressing this goal through complex analytic techniques such as social network analysis. The terms "parent" and "family" are used interchangeably throughout, except where the law and regulations require the work be done with parents. Both you and your subrecipients must document that you are following your respective organizational policies as well as HHS/HRSA grants policy. -review records. Home Visiting Listen Current as of: May 19, 2022 The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program facilitates collaboration and partnership at the federal, state, and community levels to improve the health of at-risk children through evidence-based home visiting programs. Phase 3. The Early Childhood database tracks and updates early childhood, care and learning legislation from 2019 through 2022 legislative sessions for 50 states and the territories. HRSAs Maternal and Child Health Bureau (MCHB) oversees the State MIECHV program, which includes grants to states, jurisdictions, and eligible non-profit organizations to develop and implement statewide home visiting programs. Details an early childhood program that works directly with children and families, community partners and the workforce to promote equitable opportunity for all children and families to thrive. Partner with other service systems and providers to promote access to resources such as child-care, early intervention, economic and mental health supports. You should not assume that additional funds for unanticipated costs will be made available if a funds shortage results from the re-budgeting request. WebVisit Home Visiting Overview to view information on program goals, grantees, funding, and impact overall and by state. The families served by home visiting programs often have many needs, and home visitors cannot address all of them. Below, HRSA addresses several upcoming requirements: HRSA recognizes that some MIECHV grant activities may be on hold or unable to be completed due to the ongoing impacts of COVID-19. Cost-benefit analyses show that high quality home visiting programs offer returns on investment ranging from $1.75 to $5.70 for every dollar spent due to reduced costs of child protection, K-12 special education and grade retention, and criminal justice expenses. HRSA acknowledges that even with the growing availability of virtual home visiting, many awardees and local programs will continue to experience major service delivery disruptions. Other times, the family works with staff from The Arc Minnesota to hold the meeting at a library, community center, or familiar place in their neighborhood.

Sustainability:Shifts in federal funding make it likely that states will have to maintain programswith state funding. Roles of a Home Visitor You come into the family's home weekly, exploring their child's growth and development and helping parents explore how their relationship supports their child's development. Employers should ensure that workers are aware of and understand these policies. The EOP should: During the COVID-19 pandemic home visitors and other home visiting program staff are experiencing increased levels of stress and anxiety. Staying home when sick with COVID-19 is essential to keep COVID-19 infections under control and prevent spread to others. Although COVID-19, colds, and flu illnesses have similar symptoms, they are different diseases. Several programs focus on specific age groups and racial populations. States must show improvement in the following areas: maternal and newborn health, childhood injury or maltreatment and reduced emergency room visits, school readiness and achievement, crime or domestic violence, and coordination with community resources and support. MIECHV statute requires that funds be made available to awardees only until the end of the second succeeding fiscal year after the award is made. Washington, DC: Office of Planning, Research, and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Specifically, FY 2018 MIECHV awards will end on 9/29/2020 with no option for extension beyond that date. WebThe home visit is simply one more tool for easing your childs transition. Respect families where they are at. Based on this information from stakeholders, as well as findings from other project activities, the team developed several iterations of the prototype. Is the system capable of linking data systems across public health, human services, and education to measure and track short and long-term outcomes? Strengthen and improve the programs and activities carried out under Title V of the Social Security Act; Improve coordination of services for at-risk communities; Identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities.

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You are responsible for your subrecipients determinations and interpretations of all applicable regulations and cost principles related to grant funds and should maintain documentation where determinations vary from normal operations. Identify and address barriers to families accessing preventive care, such as transportation or service availability. -review records. During the COVID-19 public health emergency, home visiting programs continue to play a vital role in addressing the needs of pregnant women, young children, and families, whether in-person or virtually. Implementation of Evidence-based Home Visiting Programs Aimed at Reducing Child Maltreatment: A Meta-analytic Review (special Issue: Issues and Solutions in the Implementation of Evidence-informed Child Welfare Practices), Casillas & Derkash & Fauchier & Garrido (2016). MIECHV is administered by the Health Resources and Services Administration (HRSA) in collaboration with ACF. The same information applies for reporting of virtual observations for Measure 10 (Parent-Child Interaction). Provide emergency supplies to families enrolled in the program, regardless of whether the provision of such supplies is within the scope of the approved program, such as diapers, formula, non-perishable food, water, hand soap, and hand sanitizer. Please note that MIECHV grant funding cannot be used to support salary costs for MIECHV-funded staff that are reassigned to non-MIECHV duties.