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The New Mexico Home Visiting Program
Presented: June 13, 2018
FIT Annual Conference
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Objectives
• Provide an overview of The New Mexico’s Early Learning System
• Provide information to participants to deepen understanding of the New Mexico Home Visiting Program
• Identify strategies for coordination of services between CYFD home visiting and early intervention providers in the field
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Warm Up Reflection
• What is one thing you’d like to learn or understand better from today’s presentation?
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The Big Picture: The New Mexico’s Early Learning System
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The New Mexico’s Early Learning System
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The New Mexico Home Visiting Program
Supporting New Mexico families to raise children who are healthy,
happy and successful.
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The New Mexico Home Visiting Program
• CYFD is the Lead Agency for the New Mexico Home Visiting Program
• Universal and Voluntary, FREE to Families
• Designed to promote child well-being and prevent adverse childhood experiences
• Serving families prenatal and with children up to age three (five for federal programs)
• Services in all but one County (Catron)
• Research-based long-term outcomes and program standards
• Funded with State and Federal Funds
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The New Mexico Home Visiting Program
Program Strategy:
• Promotes positive parent-child relationships
• Offers information and strategies to support positive child development
• Provides support for parents, caregivers, babies and their family
• Connects families to resources in their community
• Supports families to accomplish their goals
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Long-Term Outcomes
• Babies are born healthy
• Children are nurtured by their parents and caregivers
• Children are physically and mentally healthy
• Children are ready for school
• Children and families are safe
• Families are connected to formal and informal supports in their
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Service Delivery: Level I
• Level I- Prevention and Promotion: Foundation for ALL levels of services
• Addresses the needs of the majority of children and their families
• Promotes safe nurturing relationships
• Monitors child-family development and wellbeing
• Implements strategies that prevent adverse childhood experiences
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Service Delivery: Level II
• Level II- Targeted Interventions: Designed to support parents deal with the demands and stress of parenting while addressing the quality of parent-child relationships and interactions
• Provided to families that are referred by community agencies (DOH-FIT, Protective Services, Drug Court, NICU, etc.) or identified during Level I services to be at risk and/or in need of a higher level of intervention
• Builds on the foundation of Level I services
• Does not create stigma for the families (seamless process)
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Service Delivery: Level II-NICU
• Project H.A.T.C.H. (Helping fAmilies To Come Home), currently at UNM-NICU adding Presbyterian and Lovelace Hospitals
• National studies have demonstrated that newborns discharged from intensive care are at an elevated risk for child maltreatment
• Promote the continuum of parent–infant needs, to support healthy parent–infant relationships both within the NICU and post-discharge
• Highly skilled HV staff provide families with the crucial support and parenting skills needed for bonding and caring for their infant from admission through discharge and beyond
• Goal is to transition the family to their community home visiting program upon returning home
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Eligibility for Services
• Universal and voluntary for families- Not entitlement program
• Expecting families
• Families with children up to age three (federally funded programs can serve to age five)
• Note: Local community programs may have additional eligibility criteria based on the curriculum/model being utilized.
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Screenings Administered
• Developmental: ASQ-3 and ASQ-Social-Emotional2
• Relationship Assessment Tool (Domestic Violence)
• Edinburgh Postnatal Depression Scale
• PICCOLO (Parenting Interactions with Children: Checklist of Observations Linked to Outcomes)
• Maternal-Child Health (Family History and Risk Assessment tool)
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Family Goal Setting and Service Plans
• Goals are developed in partnership with the family to determine focal points for services
• Families receive a minimum of one home visit per month and may receive more based on request for services, model implementation and/or family needs
• Results of screening tools are also used to inform services
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Referral Processes
• Result of Screening Tools
-Early Intervention
-Behavioral Health
• Identified by the family based on their goals and needs
-Child Care
-Nutrition Services (WIC, SNAP, etc.)
-Healthcare
-Recreation
-Other
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Other Considerations
• The Home Visiting Programs are required to partner with community agencies that may work with the same families:• to ensure coordination
• avoid duplication of services
• ensure each family's access to the necessary continuum of supports and services
• Home visiting programs in isolation are not effective in achieving improvements in child or family outcomes
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Reflection
• What has been your experience coordinating services with home visiting?
• How do you plan to approach collaboration to enhance the coordination of services to meet family needs and goals?
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Coordinating Services: What should happen when HV refers to EI?
• An ASQ-3 is completed with the family and results are discussed. If a risk is identified, the home visitor shares information on EI and offers the referral
• Family either chooses to engage with EI services or declines the referral
• If family accepts the referral: • Evaluation is conducted and IFSP meeting is scheduled
• If child is eligible, home visitor invited to the IFSP
• Home Visiting is added as a service on the IFSP
• IFSP team meetings, ongoing discussions and adjustments made as needed
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Coordinating Services: When should EI refer to HV?
• The child is not eligible for EI services
• The child qualifies for EI services under Environmental Risk
• A parent expresses interest in receiving additional parental support
• Through observation of the parent-child relationship, the EI provider identifies concerns that need additional support.
• A family requests services that EI may not be able to provide (ex: Circle of Security, Breastfeeding Supports, etc.)
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Where to find Home Visiting Program Information…
• NewMexicoKids Resource & Referral www.NewMexicoKids.org
• PullTogether: Am I Eligiblewww.pulltogether.org
Call: 1-800-691-9067
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What’s Next
• Early Intervention will present to Home Visiting Program Managers at the next Quarterly Meeting.
• Distribution of Home Visiting and Early Intervention Side by Side.
• Creation of a Community Forum to offer a venue for providers to share questions and receive input from others.
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Reflection
• What is one thing you learned today that will impact your work?
• What other questions do you have based on what was presented today?
• What suggestions do you have in support of coordinating services between Early Intervention and Home Visiting?
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Contact Information
New Mexico Home Visiting
Office of Child Development
Early Childhood Services Division
Children, Youth and Families Department
505-827-7946
Early Intervention- Family Infant Toddler Program
Child & Family Supports Bureau
Developmental Disabilities Supports Division
Department of Health
505-476-8842