1. 20031 Outcomes of Minnesota’s Statewide Family Home Visiting Program Family Home Visiting Team Minnesota Department of Health

2. Junie Maureen Nancy Junie

3. 20033 SFYTANFGeneralTotal 01$7,000,0000 02$11,000,0000 03$11,000,000$756,000$11,756,000 04?$4,000,000$1,044,000$5,044,000 05?$4,000,000$1,044,000$5,044,000

4. 20034 FHV Programs Statewide 2001  67/87 counties 19 did not enroll any families (start up) 36/67 enrolled & exited families 31/67 enrolled with no exits 2002  86/87 counties (CHBs) 75/86 reported data (enrolled, exited or both)  7/11 tribes contracted 3/7 reported data (enrolled, no exits)

5. 20035 2001 & 2002 FHV Enrollees 2001  Enrolled ~4,702 persons (45% MFIP) 2,702 children (0-19 years) 2,000 primary caregivers 505 (20%) pregnant  79% of families remained from ’01 & ’02 2,078 children 1,619 primary caregivers 2002  Enrolled 7,420 persons (44% MFIP) 4,126 children (0-19 yrs) 73% 0-3 years 3,294 primary caregivers 1,196 (38%) pregnant  Served in 2002 6,266 children 4,956 primary caregivers 11,222 total

6. 20036 2002 State-wide Outcomes Self-Sufficiency  82% had identified goals before exiting at 0-3 months  80% had achieved at least one goal before exiting at 4-12 months  91% had achieved one or more goal before exiting at 13+ months Goals = education, employment, health, child care, housing, safety, etc.

7. 20037 2002 State-wide Outcomes Health  94% of children (0-6 years) had health insurance (exited at 0-3 months)  95% of children (0-19 years) had health insurance (exited at 4-12 months)  85% of primary caregivers had health insurance (exited 4-12 months)

8. 20038 2002 State-wide Outcomes Health  91% of children (0-6 years) had a well-child examination within one year of enrollment (13+ months exit) State rate: 55-65% [C&TC = 70%]  44% of children (7-19 years) had a well-child examination within two years of enrollment (13+ month exit) State rate = 30-35% [C&TC = 48%]

9. 20039 2002 State-wide Outcomes Injury Prevention  21% - 47% - 56% of families with a child 0-6 years completed Home Safety Checklist (0-3 mos – 4-12 mos – 13+ mos exit) Home Safety Checklist is a parent education tool used by PHNs and home visitors to assess with the parent the living environment room by room to identify possible home injury hazards for families with children (0-6 yrs). The minimum requirement for completion is to assess the 18 critical (starred) items.

10. 200310 2002 State-wide Outcomes Teen Parents (19 Years and Under)  Did not have subsequent births92% State data for 2002* = 82% National data for 2000 = 79%  Followed school attendance plan80% * Preliminary data from the MN Center for Health Statistics for the State Fiscal Year 2002 (July 1, 2001-June 30, 2002)

11. 200311 2002 Stories  Optional  78 stories from 59 programs (counties and tribes)  Major story themes of families and nurses centered on: Working with Families at Risk Assisting with Basic Needs

12. 200312 2002 Story Themes Families at Risk  Single parent  No support  Teen pregnancy, teen parents  MFIP/TANF  WIC, breastfeeding

13. 200313 2002 Story Themes Families at Risk  Children with special health needs  Mental illness  Domestic abuse  Chemical dependency  Parent incarcerated

14. 200314 2002 Story Themes Basic Needs  Housing  Transportation  Child Care  Employment (finding a job)  Education  Housekeeping

15. 200315 Sample.. Wadena - 2002 Story  Connected family to other resources Single mother with 4 children Children with developmental delays Inadequate housing – safety issues Inadequate child care Financial and budgeting issues No work history Lack of use and knowledge of resources History of abuse and neglect History of unstable relationships

16. 200316 Sample.. Wadena - 2002 Story “The parent…had many of the above issues resolved. She has adequate housing, a job, improved parenting, and is using community resources both for herself and for her children. This occurred through a partnership between the nurse and the client…(and) partnering with (other community agencies).”

17. 200317 State Highlights – What works!  Teamwork (public health nurse, parent aide, other home visitors, etc.)  Interagency collaboration (public health, social services, education, etc.) Less duplication; more supportive services for families  Partnering with job counselors and financial workers (economic assistance)

18. 200318 State Highlights – What Works!  Community outreach through social services, hospitals, WIC clinics, schools, Workforce Centers, etc.  Outreach to various racial/ethnic groups (especially tribal groups in 2002)  Training bilingual interpreters & home visitors “It was delightful to hear enthusiasm from community agencies wanting us to assist, support, teach and ultimately decrease the numbers in this target population….”

19. 200319 State Highlights & What works!  Providing services to adolescents “TANF has provided [us] with a fresh outlook on our HV program. We have purchased a new teen pregnancy/parenting curriculum and have trained staff on Partners in Parenting Education System parenting activities.”

20. 200320 State Barriers & Challenges  Completing Home Safety Checklist Mobile families; not in own home, in shelters How to introduce without being a threat  Short time frame for program start-up  New program that views “families” as “client” (billing, charting/legal, data)

21. 200321 State Barriers & Challenges  Income & citizenship validation (MFIP)  Reaching high-risk families  Staff shortages, inadequate funds  Increasing immigrants; lack of interpreters Limitations  Data only on exited families; none on enrollees!  No individual data

22. 200322 Future Challenges!  Budget deficit  Data reporting system that is ‘user friendly’ Currently have ACCESS; multiple ways to send data to MDH  Working with public health nurses on data issues (data collection & entry, QA)  Financing/reimbursement for home visits & related services: C&TC, WIC, mental health

23. 200323 Contact Information Family Home Visiting Program Minnesota Department of Health/MCH Section P.O. Box 64882 St. Paul, MN 55164-0882 Tel: 651-215-8960 Fax: 651-215-8953 www.health.state.mn.us/divs/fh/mch/fhv