2003 1

Outcomes of Minnesota’s Statewide Family Home Visiting

Program

Family Home Visiting Team

Minnesota Department of Health

Junie

Maureen

Nancy

Junie

2003 3

SFY TANF General Total

01 $7,000,000 0 $7,000,000

02 $11,000,000 0 $11,000,000

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

2003 4

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)

2003 5

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

2003 6

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+ monthsGoals = education, employment, health, child care, housing, safety, etc.

2003 7

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)

2003 8

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%]

2003 9

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.

2003 10

2002 State-wide Outcomes

Teen Parents (19 Years and Under) Did not have subsequent births 92%

State data for 2002* = 82% National data for 2000 = 79%

Followed school attendance plan 80%

* Preliminary data from the MN Center for Health Statisticsfor the State Fiscal Year 2002 (July 1, 2001-June 30, 2002)

2003 11

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

2003 12

2002 Story Themes

Families at Risk Single parent No support Teen pregnancy, teen parents MFIP/TANF WIC, breastfeeding

2003 13

2002 Story Themes

Families at Risk Children with special health needs Mental illness Domestic abuse Chemical dependency Parent incarcerated

2003 14

2002 Story Themes

Basic Needs Housing Transportation Child Care Employment (finding a job) Education Housekeeping

2003 15

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

2003 16

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).”

2003 17

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)

2003 18

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….”

2003 19

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.”

2003 20

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)

2003 21

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

2003 22

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

2003 23

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