Grant Application Process Maternal, Infant & Early Childhood Home Visiting Programs

Home Visiting Program - Overview Home Visiting Programs The Patient Protection and Affordable Care Act was signed into law on March 23, The Act included amending Title V of the Social Security Act by adding Section 511 titled “Maternal, Infant, and Early Childhood Home Visiting Programs.” Language of the law: siting%20Program.pdf

Home Visiting Program - Overview Purposes of the Law (page 561, lines 10-17) (1) To strengthen and improve the programs and activities carried out under the title; (2) To improve coordination of services for at-risk communities (3) To identify and provide comprehensive services to improve outcomes for families who reside in at-risk communities

Home Visiting Program - Overview Needs Assessment (page 561, line 18 to page 564, line 12) The State must conduct a needs assessment that is separate from the Title V statewide needs assessment completed every 5 years The needs assessment must be completed by September 1, 2010

Home Visiting Program - Overview Needs Assessment: Components The needs assessment will identify: at-risk communities with concentrations of selected risk factors the quality and capacity of existing early childhood home visitation programs in the State the State’s capacity for providing substance abuse treatment and counseling to those in need

Home Visiting Program - Overview Needs Assessment: Process Step 1: Development of a comprehensive set of indicators to identify communities with concentrations of: at-risk prenatal, maternal, newborn, or child health high rates of high- school drop-outs povertysubstance abuse crimeunemployment domestic violencechild maltreatment

Home Visiting Program - Overview Needs Assessment: Process Step 2: Development of a local capacity assessment survey to identify: existing local home visitation programs and participation levels gaps in early childhood home visitation the extent to which such programs or initiatives are meeting the needs of eligible families

Home Visiting Program - Overview Coordination with Other Assessments (page 563, lines 9-25) The State shall coordinate with other appropriate needs assessments conducted by the State: Type of AssessmentSection of Law Most recent needs assessment Needs assessment in progress 505(a) of the Social Security Act (Title V Needs Assessment) Community-wide strategic planning and needs assessments 640(g)(1)(C) of the Head Start Act Inventory of current unmet needs Current community-based and prevention-focused programs to prevent child abuse & neglect Other family resource services 205(3) of the Child Abuse Prevention and Treatment Act

Home Visiting Program - Overview Requirements for HVP: Benchmarks (page 565, line 20 to page 575, line 12) Quantifiable, measurable improvements in benchmark areas after 3 and 5 years to demonstrate improvements for eligible families participating in the program: Improved maternal and newborn health Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction in emergency department visits Improvement in school readiness and achievement Reduction in crime or domestic violence Improvements in family economic self-sufficiency Improvements in the coordination and referrals for other community resources and supports

Home Visiting Program - Overview Requirements for HVP: Participant Outcomes (page 569 lines 15 to page 570 line 16) Improvements in outcomes for individual families in the following areas: Prenatal, maternal, and newborn health; Child health and development including prevention of child injuries and maltreatment and improvements in cognitive, language, social, emotional and physical development indicators; Parenting skills; Reduction of crime or domestic violence; School readiness and child academic achievement; The socioeconomic status of such families; Coordination of referrals and provision of community resources and supports.

Home Visiting Program - Overview Models for HVP (page 571, lines 1-25 to page 572, line 12) TypeGrant funding Descriptors Evidence-based75% to 100% In existence at least 3 years Research based Grounded in relevant, empirically-based knowledge Linked to program determined outcomes Associated with national organization or institute of higher education Demonstrated significant positive outcomes in benchmark areas in experimental or quasi-experimental research study Published in peer-reviewed journal New or promising model Max 25% Conforms to promising and new approach to achieving benchmark areas and participant outcomes Developed or identified by national organization or institute of higher education Will be evaluated through rigorous process

Home Visiting Program - Overview Application Requirements (page 575, line 13 to 577, line 25) Demonstrate how high risk populations will be served Give priority to low income eligible families who reside in at-risk communities identified in the statewide needs assessment State must select model or models that are consistent with federal guidelines State must establish quantifiable, measurable benchmarks Documentation systems must be developed Coordination with other State programs that include home visitation services

Home Visiting Program - Overview Maintenance of Effort (page 578, Lines 1-4) Funds shall supplement, and not supplant, funds from other sources for early childhood home visitation programs or initiatives

Home Visiting Program - Overview Evaluation (page 578, Line 5 to page 580, Line 4) A Federal, independent expert advisory panel will review and make recommendations on the design and plan for evaluation but the evaluation shall include an assessment of: the effect of early home visitation programs on outcomes the effectiveness of the programs on different populations the potential of programs to improve health care practices the potential of programs to eliminate health disparities the potential of programs to improve healthcare system quality and efficiencies the potential of programs to reduce costs

Home Visiting Program - Overview Other Provisions (page 580, Line 5 to page 584, Line 14) The Maternal and Child Health Bureau and the Administration for Children and Families are collaborating to provide federal guidance.

Home Visiting Program - Overview Appropriations (page 585, Line 18 to page 586, Line 21) $1.5 billion over 5 years for states, tribes, and territories to deliver services using one or more evidence-based home visitation programs Appropriations: $100 million for FY 2010 $250 million for FY 2011 $350 million for FY 2012 $400 million for FY 2013 $400 million for FY 2014 $1.5 billion TOTAL

Home Visiting Program - Overview Communication: MCAH welcomes all stakeholder input California MCAH Home Visitation Website Home Visitation Program address FAQs are posted on the website Periodic communications are posted on the website, and are being sent to stakeholders and partners Local stakeholders and partners are welcome to contact the local MCAH directors with suggestions and inquiries: ectorsandLocalTollFreeNumbers.aspx