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� LoriA.Roggman,2018
Howtoobserveandincreasehomevisitingqualitywith
theHomeVisitRatingScales
LoriRoggman,PhD,ProfessorofHumanDevelopment
HOVRS-3
ParentChild+ConferenceMAY1,2019
� LoriA.Roggman,2018
TrainingGoalLearnhowtoobservehomevisitsthatsupportdevelopmentalparenting withtheHomeVisitRatingScales.
� LoriA.Roggman,2018
WhatisDevelopmentalParenting:
AsetofparentingbehaviorsmeasuredbyPICCOLO.
AnapproachtohomevisitingmeasuredbytheHomeVisitingRatingScales.
� LoriA.Roggman,2018
Whatisdevelopmentalhomevisiting?v Practicesthatengagefamilies(evidence-based,interdisciplinary,acrossmodels):1. relationship-based– buildrelationshipswithfamilies
2. strengths-based– respondtofamilystrengths&cultures
3. facilitative—engagecaregiverinsupportingchilddevelopment
4. collaborative—partnertobuildcaregivercapacity&confidence
5. engaging—caregiverandchildengagedtogetherinvisit
� LoriA.Roggman,2018
HomeVisitRatingScales-3ØAnobservationalmeasureofadevelopmentalparentingapproachtoeffectivehomevisitingØAtooltoincreasequality inhomevisitingpracticesandfamilyengagementØAresourceforsupervision,coaching,professionaldevelopmentandqualityimprovement
ObservationGuidefortheHomeVisitRatingScales
Roggmanetal.
HOVRS
(tobepublishedin2019)
� LoriA.Roggman,2018
WhenHOVRS scoresarehigher:
Parents:2timesaslikely tohavehighHOMEscores
Children:3timesaslikelytohavehighlanguagePPVTscores
Whatdifferencedoeshomevisitqualitymake?
� LoriA.Roggman,2018
•Observationalmeasureofhomevisitingquality•Reliable:goodinter-rateragreement•Valid:predictsparentandchildoutcomes(HOME,PPVT)•7Scalesratedfrom1(NeedsSupport)to7(Excellent)•EachScalehas4-7itemswithindicatorsofquality—41items
1. Relationship2. Responsiveness3. Facilitation4. Collaboration
5. Parent-ChildInteraction6. ParentEngagement7. ChildEngagement
Practices
Engagement
DevelopmentalParentingApproach
HOVRS3:TheNewestVersionoftheHomeVisitRatingScales
� LoriA.Roggman,2018
4.Toadaptactivitiestothefamily'sinterestsandneeds,thehomevisitor__1=directsdiscussionoractivityinaninflexibleway.__3=occasionallyadaptsdiscussionoractivitytowhatcaregiverorchildsayordo.__5=frequentlyadaptsdiscussionoractivitytowhatcaregiverorchildsayordo.__7=5+commentsontheinterestsorneedsexpressedbywhatcaregiverorchildsayordo.
___(1)Needssupport __(3)Adequate __(5)Good __(7)Excellent
ratings
item
indicators
WhatdoesaHOVRS-3 itemlooklike?Scale2:RESPONSIVENESSTOFAMILYSTRENGTHSANDCULTURES:Planswithcaregiverinputandidentifiesandadaptstothefamily’sstrengths,values,interests,andgoalsforsupportingchilddevelopment.
� LoriA.Roggman,2018
__(1)Needssupport __(3)Adequate __(5)Good __(7)Excellent
Howitems getrated(1,3,5,7)
HowScales getrated(1,2,3,4,5,6,7)Overall: __1 __2 __3 __4 __5 __6 __7
Needs support Adequate Good Excellent
today!
� LoriA.Roggman,2018
ChildDevelopment
Howcanhomevisitshelpparentssupportchilddevelopment?Asimplelogicmodel:
DevelopmentalParenting
Affection
Responsiveness
Encouragement
Teaching
Social-emotional
Cognitive
Physical-motor
Language
DevelopmentalHomeVisiting
PICC
OLO
Relationship
Responsiveness
Facilitation
Collaboration
Engagement ASQHomeVisitRatingScales
� LoriA.Roggman,2018
SupportandacceptfamiliesastheyareBeagoodguestwhilebeingagoodprofessional
ShowwarmthandacceptanceShowrespectandcourtesyAskforinformationbeforegivingitListengenerouslyandactivelyFocusonchilddevelopment
Toberelationship-based...Buildrelationshipswithfamilyfocusedondevelopment
“...tobehelpfulwithoutbeingintrusive,toshownosurprisewhateverhappened,...tobecheerful,strong,and...notweaklysentimental.
KateWiggins,homevisitor,1923(pp.112-113)
� LoriA.Roggman,2018
Findoutwhattheirstrengthsare!
How do you get her interested in new things?
Whatdoyouenjoydoingwithhim?
?
Tobestrengths-based...Responsivenesstofamilystrengthsandcultures
� LoriA.Roggman,2018
Tobefacilitative...Facilitatepositive,responsive,developmentalsupport
Encouragesupportiveinteractionstogetstrongeroutcomes
PICCOLOcan helpyoucoachdevelopmentalparentingbehavior
Coachingsteps:1. Engagecaregiverwithchild&observeclosely2. Describewhatyousawthecaregiverdo3. Describehowthechildresponded4. Explainhowthishelpschilddevelopment
� LoriA.Roggman,2018
Whycoachinginsteadofmodeling?Modeling Coaching
Ignoreswhatparentalreadydoes
Watches whattheparentdoeswithchild
Doesn’tindividualizetoparentskilllevel
Observes toseewheretostartwitheachfamily
Doesnotshowrespectforparentexpertise
Asks whattheparentalreadyknowsanddoesandthenbuildsonit
Discouragesparentsandreducesself-efficacy
Encourageswithpositivefeedbacktobuildparentconfidence
Comesbetweenparentandchild
Supports parent-childrelationshipascontextfordevelopment
Usetechniquesfrominfantmassage:• Modelwithdollorparent
� LoriA.Roggman,2018
Tobecollaborative...
Worktogetherasequals,eachbringingstrengths§ Hand any materialstotheparent,notchild§ Askparentaboutchildabilitiesandinterests§ Useparent’sideas&interests§ Don’tinterrupt!
Collaboratewithparent(withoutinterrupting)
� LoriA.Roggman,2018
How to Discuss RatingsFocus on Strengths
Describe:1. a behavior reflecting a strength2. how the family responded3. how it helped engage the caregiver in supporting child’s development
Discuss: How could you use this strength to facilitate developmental parenting? How could you use it to strengthen other practices?
Remember: “needs training” = “not yet”
� LoriA.Roggman,2018
CoachingFramework
Howhomevisitorscoach
parents&
Howsupervisorscancoach
homevisitors
Whatsupervisors
needtocoachhomevisitors;Whathomevisitorsneedtocoachparents
NCQTL
WhatPICCOLO&HOVRSdo
info&encouragement
� LoriA.Roggman,2018
ManywaystouseHOVRS-3inpractice
Mentoring,supervising,coachingobservation&feedbackreflectionandgoalsetting
Professionaldevelopmentidentifyingtrainingneedsdefiningnextsteps
Communityofpracticeregularmulti-programmeetingspractice-focus
� LoriA.Roggman,2018
Feedback:“Inoticethat....andthismattersbecause...”
CatharinaOerlemans,FamilySupportSupervisoratFirstStepNYC
When someone says, “I notice. . .” you can take a breath, you feel highlighted and seen. And when someone tells you what you did well, it makes you want to do it more often. How could you not want to give that to someone else?
� LoriA.Roggman,2018
•Whatdidyoulearn?
•Whatdidyoulike?
• Whatareyourplanstousewhatyoulearned?
• Whatisyourfirststepnextweek?
• Whodoyoucallwithquestions?
Reflect:
