Transcript www.homevistingsummit.org

Pennsylvania’s Home Visitation
Stakeholder Committee
Meeting
December 11, 2012
Harrisburg, PA
Diving Deeper
Healthy Families
America –
Karen Shanoski
Parents as Teachers –
Colleen Masi
The Pew Center on the States conducted a national review of state home visiting
efforts which uncovered that while nearly all states are making critical investments
in quality, voluntary home visiting programs, evidence of effectiveness too rarely
determines how those dollars are spent, oversight is insufficient and funding is
inadequate. In response to these findings Pew is leading a national campaign with
the goal of establishing state-level home visiting laws that ensure state investments
are tied to evidence-based strategies. Such state policies would also aim to spur
meaningful monitoring, accountability and program quality. Pew maintains the
position that in this time of persistent state budget deficits and heightened
economic stress, states cannot afford to waste precious public resources on
ineffective programs. States must raise the bar for home visitation so they can
deliver on the promise of healthier, more successful children and families and
secure a return on taxpayer investment.
Getting Clear About
Home visiting is defined as an evidence-based program, implemented
in response to findings from a needs assessment, that includes home
visiting as a primary service delivery strategy (excluding programs with
infrequent or supplemental home visiting), and is offered on a
voluntary basis to pregnant women or children birth to age 5 targeting
the participant outcomes in the legislation which include improved
maternal and child health, prevention of child injuries, child abuse, or
maltreatment, and reduction of emergency department visits,
improvement in school readiness and achievement, reduction in crime
or domestic violence, improvements in family economic selfsufficiency, and improvements in the coordination and referrals for
other community resources and supports.
Source: HRSA/ACF Funding Opportunity Announcement, 7-1-10, page 7
Home visiting in itself is not an intervention or a program, but
rather a strategy for service delivery from which to launch any
number of interventions designed to achieve a wide variety of
outcomes. Home visiting programs target different populations
within the community via a variety of staffing and practice
models, curricula, and intervention approaches. Many home
visiting programs target populations and address outcomes
distantly related to those of the Commission. For instance, there
are home visiting programs that provide home health care to the
elderly, address truancy in teenage boys, or offer respite care to
family caregivers of the disabled.
Source: Thompson L, Kropenske V, Heinicke C, Gomby D, and Halfon N. Home Visiting: A
Service Strategy to Deliver Proposition 10 Results, in N Halfon, E Shulman and M
Hochstein, eds., Building Community Systems for Young Children, UCLA Center for
Healthier Children, Families and Communities, 2001.
What information or clarification
would it be helpful to have in a
definition?
How would you use a definition if you
had one?
Using the Vision Statement
Importance of a
Shared Vision
Scholars identify vision as an
essential component in models
of successful leadership.
How have you used or shared the vision in
your work?
What specific tools would support the use
of the vision statement? Checklist? Set of
related underlying questions?
What step can you agree you would all be
willing to take to use the vision?
Partners in Achieving the Vision
A program is considered evidence-based and
eligible for funding if it meets either of the
following minimum criteria:
– At least one high-quality or moderate-quality impact
study of the model has found favorable, statistically
significant impacts in two or more of the eight
outcome domains described below, or
– At least two high-quality or moderate-quality impact
studies of the model using non-overlapping analytic
different samples with one or more favorable,
statistically significant impacts in the same domain.
Source: http://www.hrsa.gov/grants/manage/homevisiting/sir02082011.pdf
The legislation reserves the majority of funding
for one or more evidence-based home visiting
models. In addition, the legislation supports
continued innovation by allowing for up to 25%
of funding to support promising approaches that
do not yet qualify as evidence-based models.
Source: http://www.hrsa.gov/grants/manage/homevisiting/sir02082011.pdf
Please help us to identify. . .
1
2
• Additional programs in Pennsylvania with which to
partner
• Criteria for partners. Are there any? If so, what?
3
• Questions or clarifications that would support
collaboration and movement
4
• Strategies for promoting collaboration with additional
partners
Creating a Cohesive Whole
From MIECHV Timeline
Determine priorities for focus and
convene subgroups to develop
action plans and timelines for
accomplishing the work within
Organizing the Work
1
2
3
4
• Review the tasks to be accomplished and the possible
work groups
• Sort the tasks into work groups
• Identify the work group you would most like to be
involved in
• Meet in work groups. Identify chair and members.
Defining Terms
Collaborating Among Home Visiting
Partners
Promotion of Home Visiting
Competencies/Professional
Development
1
Continuous Quality Improvement
Sustainability of Home Visiting
Programs
Communication:
Essential to Achieving the Vision
How could communication help you
do your work more effectively?
Communicating Up
• Which state-level
entities or agencies
need ongoing
information about
home visiting work
in PA?
• How often?
• In what form (e.g.,
email, print)?
Communicating Down
• Which
communitylevel groups
need ongoing
information
about home
visiting work in
PA?
• How often?
• In what form?
Communicating Sideways
• How often
should your
home visiting
counterparts be
updated?
• In what form?
Effective Communication
1
2
3
4
• Communicating Up – Which groups? How? How often?
• Communicating Down – Which groups? How? How
often?
• Communicating Sideways – How? How often?
• How do you prefer to get information? Email? Print?
Website?
http://www.homevistingsummit.org
The Third National Summit will create a forum for
home visiting researchers, program leaders, and
policy makers to:
• share the latest research; and
• create strategies to ensure home visiting
investments are using evidence-based models,
are backed by strong policies and are embedded
in comprehensive early childhood systems.