1. Home Visiting Collaborative A Family Support System of Care in Sonoma County

2. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Home Visiting Background  Sonoma County’s Population: 450,000  Annual births: 5,000  Medi-Cal births: 2,250 (45%)  First time Medi-Cal birth: 700 (14%)

3. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Sonoma County Upstream Initiative What is Upstream? Relation to Home Visiting  Tier 1: Evidence-Based Practices - NFP - AVANCE - Triple P  Tier 2: Promising Practices - TPC – application in process  Tier 3: Innovative Practices - FN – application in process

4. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Who is on the Home Visiting Collaborative? It consists of community-based and county organizations with home visiting programs for high risk pregnant and parenting families.  Child Parent Institute – CPI *  Community Action Partnership - CAP  Department of Health Services MCAH Program*  Early Learning Institute – ELI*  First 5  Human Services Department – HSD  North Bay Regional Center - NBRC  Special Education Local Plan Area - SELPA * First members/Starter Group

5. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Home Visiting Collaborative Vision & Mission  Vision All families with infants and young children will have the resources they need to raise healthy, thriving children, who are ready to learn!  Mission Ensure that local home visiting programs are aligned and sufficiently robust to address families’ needs. Members commit to work together to provide cost-effective care and reduce duplication of services and service gaps.

6. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Goal s  Develop systems of care to reduce gaps & duplications of service  Strengthen coordinated referral processes  Share data, best practices & promote evidence-based programs  Identify home visitor core competencies & address training needs  Identify opportunities to leverage resources whenever possible

7. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Successes Development of a structured Steering Committee & Collaborative Steering Committee Collaborative Monthly meetings Quarterly meetings 8-10 members 20-30 participants Executive Directors & Managers Directors, Managers, Supervisors, Home Visitors, Community Partners & Supporters

8. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Roles The Steering Committee focuses on:  Planning Collaborative meetings  Developing work plans  Identifying service gaps and overlaps  Reviewing community bench marks Collaborative Meeting training topics 2013-14  Strengthening Families/Collective Impact  Silent Signs of Compassion Fatigue  Resiliency & Strength-Based Home Visiting  Violence in Sonoma County-Preliminary Findings/Field Safety  Data & Evidence Based Programs & Practices Successes - Roles & Trainings

9. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Opportunities  Core Competencies Shared training modules, such as Touchpoints, ASQs and Strengthening Families  Service Analysis Graphic representation of countywide programs Shared measurements  Centralized Referral System A longer term goal

10. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Challenges  Multiple Agencies  Conflicting Program Mandates  Demand for Services vs Capacity

11. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Next Steps  Retreat planned for January 2015  Formal work plan to be decided for 2015  Working more closely with Upstream Investments and First 5

12. SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH Questions? Pauline Richardson Health Program Manager MCAH HV Programs (707) 565-4487 Pauline.Richardson@Sonoma-county.org Thank you for your time and participation! Angie Dillon-Shore Research & Evaluation Manager Upstream Investments, HSD (707) 565-5849 adillonshore@schsd.org