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

Background of MIECHV

The Maternal, Infant and Early Childhood Home Visiting (MIECHV) program provides an unprecedented opportunity for collaboration and partnership at the Federal, State, and community levels to improve health and development outcomes for at-risk children through evidence-based home visiting programs

PURPOSE

Support the delivery of coordinated and comprehensive high-quality voluntary early childhood home visiting services to eligible families.

GOALS

  1. Strengthen and improve the program and activities carried out under Title V of the Social Security Act
  2. Improve coordination of services for at-risk communities
  3. Identify and provide comprehensive services to improve outcomes for eligible families who reside in at-risk communities.

 

Indiana MIECHV Program Goal

In Indiana, The Indiana State Department of Health and the Department of Child Services serve as co-lead partnering agencies on the MIECHV project to improve health and development outcomes for children and families who are at risk.

 

This state goal will be accomplished through the following objectives:

Provide appropriate home visiting services to women residing in Indiana (based on need) who are low-income and high-risk, as well as their infants and families;

  • Develop a system of coordinated services statewide of existing and newly developed home visiting programs in order to provide appropriate, targeted, and unduplicated services and referrals to all children, mothers, and families who are high-risk throughout Indiana;
  •  
  • Coordinate necessary services outside of home visiting programs to address needs of participants, which may include: mental health, primary care, dental health, children with special needs, substance use, childhood injury prevention, child abuse/neglect/maltreatment, school readiness, employment training, and adult education programs.

 

These goals will be measured in six Federal benchmark areas:

  • Improved maternal and newborn health;
  • Reduction in child injuries, abuse, neglect, or maltreatmentand reduction of emergency department visits;
  • Improvements in school readiness and achievement;
  • Crime or domestic violence;
  • Family economic self-sufficiency;
  • Coordination and referrals for other community resources.

 

Indiana’s MIECHV

Indiana’s MIECHV grants are currently funding two evidence-based home visiting programs:

  • Healthy Families Indiana
    Healthy Families Indiana expanded services to MIECHV funded families in Elkhart, Grant, Lake, LaPorte, Marion, St. Joseph, Scott Counties based on the Indiana Needs Assessment for the Maternal, Infant and Early Childhood Home Visiting Program dated September 2010. (Healthy Families Indiana is also available statewide through other funding).
     
  • Nurse-Family Partnership
  • Nurse-Family Partnership exists in Delaware, Madison, and Marion County under MIECHV. (This program is also available in Lake, Tippecanoe and White counties supported by funding other than MIECHV).

 

Additionally, Indiana supports the following activities through MIECHV:

  • Rigorous evaluation of Interagency Collaboration and program-specific innovations
  • Continuous Quality Improvement
  • Indiana Home Visiting Advisory Board

Indiana's MIECHV Outcomes

As of September 30, 2016, Indiana has provided direct home visiting services funded by MIECHV Formula and Competitive grant dollars to 6,962 families through 146,338 home visits since the inception of MIECHV funding in 2011[1].

 [1] Enrollment and home visit data from DMCN (data collection system for NFP services provided by Goodwill Industries, verified by Indiana State Department of Health) and FamilyWise provided by Datatude, Inc.; gathered over time from Oct 1, 2011 – September 30, 2016; compiled by MIECHV grant coordinators 19January 2017

Indiana was identified by HRSA as 1 of 12 states with a notable achievement highlighted in the HRSA MEICHV Program Brief.  In Indiana, nearly 95% of enrolled women were screened for intimate partner violence at enrollment.

During Year 5[1] of MIECHV (October 1, 2015 –September 30, 2016) 2663 households within the identified target population received MIECHV services.

  •  Average number of weeks gestation when pregnant women began to receive prenatal care when pregnant woman was enrolled by 28 weeks gestation was 8.7 weeks.
  • 89.9% of moms enrolled by 28 weeks gestation indicated they had initiated breastfeeding.
  • 96.3% of moms were screened for maternal depressive symptoms within 6 months postpartum.
  • 97.6% of families were provided information or training around prevention of child injuries throughout the project period.
  • Of those women who were identified for the presence of domestic violence, 86.4% were referred to outside, relevant domestic violence services
  • 56.9% of families with less than 12 years of education increased their educational attainment by one year post enrollment
    • 92.3%[2] of households identified for need of additional services (beyond home visiting services for which they were enrolled) at the first home
      • 100% of these households received referral to an available community resource within 6 months post-enrollment
      • 75.7% of households receiving referrals confirmed receipt of referral services by one-year postpartum
 

[1] Indiana Demographic and Service Utilization Data for Enrollees and Children and Grantee Performance Measures for Reporting Period 10/1/2015 – 9/30/2016

[2] 1335 of 1447 newly enrolled households

 

Documents:

Please click on the following links to view the following documents pertaining to the MIECHV grant:

Indiana’s Needs Assessment for the MIECHV Program - 2010
Indiana’s MIECHV Updated State Plan - 2011

Competitive Grant D89 (FY11) Final Report – 2016

Formula Grant X02 (FY11) Final Report – 2015

Formula Grant X02 (FY13) Final Report – 2016

Formula Grant X02 (FY14) Final Report – 2017

Project Abstract FY16 Formula Application

Project Abstract FY17 Formula Application

Project Abstract FY16 Competitive Application (Innovation Grant)

Indiana’s Updated Needs Assessment for the MIECHV Program – 2017

For more information about the federal MIECHV grant, please go to: http://mchb.hrsa.gov/

 

Questions:

For more information about MIECHV in Indiana or for general questions, please contact ISDHMCHPROGRAMS@isdh.in.gov.

For more information about the programs mentioned, please click on the following links or logos (press Control + left click):

Healthy Families America: http://www.healthyfamiliesamerica.org/home/index.shtml
Healthy Families Indiana: http://www.in.gov/dcs/2459.htm

 

Nurse Family Partnership

 

http://www.nursefamilypartnership.org/http://www.nursefamilypartnership.org/locations/Indiana

http://www.goodwillindy.org/health/

 

  

 

Nurse Family Partnership

Nurse Family Partnership in Indiana

What is Nurse-Family Partnership?

  • Evidence-based, community health program
  • Transforming lives of vulnerable first-time mothers living in poverty
  • Improving prenatal care, quality of parenting and life prospects for mothers by partnering them with a registered nurse
  • Results from more than 37 years of research show how this unique relationship is turning lives around

Program Goals

  • Improve pregnancy outcomes by helping women engage in good preventative health practices, including thorough prenatal care from their healthcare providers, improving their diets and reducing their use of cigarettes, alcohol and illegal substance
  • Improve child health and development by helping parents provide responsible and competent care
  • Improve parents/families’ economic self-sufficiency of the family by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find work

 

Positive Outcomes* for Indiana NFP:

93% of children at age 12 months are fully immunized

90% of babies we born full term

90% were born at a healthy weight – at or above 2500g (5.5 lbs)

85% of mothers initiated breastfeeding

 

Information reference is from: goodwillindy.org/nfp

 

Healthy Families Indiana

Healthy Families Indiana is a voluntary home visitation program designed to promote healthy families and healthy children through a variety of services, including child development, access to health care and parent education.

A Vision for Indiana Families

 

“Indiana will view children and families as the highest priority.”

The Indiana Department of Child Services established a vision for Indiana that the state will “view children and families as the highest priority.” In keeping with the statewide vision, the Healthy Families Indiana Think Tank, a public/private partnership, developed its own vision for Indiana families.  The Think Tank envisions a situation in which Indiana implements a comprehensive program of home-based services for families in order to create an environment in which all children and families have the opportunity to reach their highest potential.

Assumptions Underlying the Healthy Families Indiana Vision

  •   Parents are responsible for their children.
  •   Families have strengths that need to be recognized.
  •   When services are delivered, families should be actively involved in decisions that affect their lives.
  •   Service systems should be available to intervene early and should be preventive in order to avoid family crisis.
  •   Successful Healthy Families programs are locally driven, collaborative in nature and build on and strengthen existing and new partnerships.

Mission Statement:

The mission of Healthy Families Indiana is to promote supportive environments that optimize child growth and development and encourage resilient, healthy families.

Consistent with that mission, the following outcomes are expected for families participating in the Healthy Families Indiana statewide system.

  •   Prevention of negative outcomes:
  •   Increase in parenting skills/behaviors:
  •   Increase in healthy pregnancy practices:
  •   Increase in ongoing health care practices:
  •   Increase in mental health indicators:
  •   Increase in social support systems:
  •   Improvement of family environment factors:

As some of these outcomes indicate, the HFI Think Tank believes delivery of comprehensive services to Indiana families results not only in short-term benefits, but also can lead to far-reaching positive results over the long term such as: a reduction in domestic violence, a reduction in child abuse and neglect, an increase in the number of children entering school ready to learn, a reduction in public expenditures for intervention and treatment, a reduction in the need for out-of-home placement, reduced rates of juvenile crime, improved employment rates, and improvements in child health indicators.