Informing policy, Improving programs Healthy Families Evaluation Update 2014-15 Key Outcome and Service Findings Beth L. Green, Ph.D. Jerod Tarte, M.A. Beth.green@pdx.edu tarte@npcresearch.com www.npcresearch.com Best Beginnings Meeting March 10, 2016 Informing policy, Improving programs
Presentation Overview HFO Family Characteristics Key Outcome Findings Service Delivery Findings Looking Ahead 3/10/2016
Demographics of IS Families Families Served FY 2014-15 Are at High Risk for Negative Outcomes Demographics of IS Families 3/10/2016
Demographics of IS Families Healthy Families Oregon: Parent History and Other Risks Demographics of IS Families More screened families scored at high risk this year: 68% vs. 42% in 2011-12 3/10/2016
Status Report Outcomes Families Served FY2014-15 3/10/2016
Parenting Outcomes at 12 Months Reading to children decreased slightly— only 83% of parents nationally read to their young child 3 or more times per week - 67% for low income families. HOME scores improving generally Fewer families had complete HOMEs Slightly fewer families reported improved parenting skills 3/10/2016
Daily Reading Outcomes HFO parents much more likely to report reading daily to young children Especially true for Hispanic parents Randomized study found that HFO parents were significantly more likely to read daily compared to controls. 3/10/2016
Health Outcomes Overall health outcomes very strong, meet HFA standards Only 68-74% of Oregon 2-year olds fully immunized Insurance coverage has continually increased. 3/10/2016
Outcomes for Families Served Prenatally Statewide, only about 255 mothers screened AND served prenatally These mothers were more likely to be breastfeeding at 6 months. May be less likely to have premature birth Families served prenatally also remain in the program longer 3/10/2016
Child Development Most children are developing normally, although trend towards more delays indicated. Staff take appropriate action when delay indicated. % of children receiving ASQ screening has been decreasing (HFA standard) 3/10/2016
Service Delivery Findings 3/10/2016
Eligibility Screening: Numbers Screened Continues to Decline 3/10/2016
New Screening Target Population as of 2014-15: All Births 45,620 births last year statewide 17% (7,681) screened by HFO 92% of screens within 2 weeks of birth 90% of home visits within 3 months of birth Service improvement note: 262 families were not offered services because of incorrect NBQ scoring 3/10/2016
Program Acceptance Rates 70% of screened=eligible + interested 78% of those offered HFO 545 could not be located 98 “caseloads full” 38% of offered received first HV (e.g., “Accept”) 78% of these (1,151) did not have a reason for no visit Families more likely to get 1st HV if: Spanish speaking, Hispanic Married Regional variability in other factors 3/10/2016
Intensive Home Visiting Component Enrollment Decreased Slightly 3/10/2016
Program Retention Rates Overall, retention patterns are similar for last 3 cohorts 12-month retention varies by program (44%-81%) Spanish-speaking families have highest retention—77% at 12 months vs. 50% for English speaking. Older, married moms also somewhat higher retention 39% of teens retained at 12 months 3/10/2016
Why do Families Leave? 33% decline further service 22% age out 20% move out of county 14% “other” 11% cannot locate 3/10/2016
Program Strengths Engaging higher risk families and families of color (especially Hispanic/Latino) Parents reading to children Family HOME environment Health outcomes generally Outcomes for prenatally served moms 3/10/2016
Suggestions for Improvement Consider more prenatal screening & services Increase on-time ASQs Work on site-specific performance indicators Ensure accurate NBQ scoring, HOME completion, data systems improvements Monitor new service population 3/10/2016
Questions? Thoughts? Recommendations? 3/10/2016