NEW HAMPSHIRE DEPARTMENT OF HEALTH & HUMAN SERVICES

What this award covers

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - NEW HAMPSHIRE MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING (MIECHV) GRANT PROGRAM INTRODUCTION: NEW HAMPSHIRE WILL SERVE PREGNANT WOMEN AND FAMILIES STATEWIDE USING TWO EVIDENCE-BASED MODELS: THE HEALTHY FAMILIES AMERICA (HFA) MODEL WITH THE CHILD WELFARE PROTOCOLS (CWP) AND NURSE VISIT ENHANCEMENTS, AND THE FAMILY CHECK-UP (FCU) MODEL DELIVERED THROUGH THE COMPREHENSIVE FAMILY SUPPORT (CFS) PROGRAM. THIS PROJECT PERIOD CONTINUES THE EXPANSION BEGUN IN 2022 IN PARTNERSHIP WITH THE DIVISION FOR CHILDREN, YOUTH AND FAMILIES (DCYF) UNDER ITS FAMILY FIRST PREVENTION SERVICES ACT (FFPSA) PREVENTION PLAN. EXPANSION EFFORTS INCLUDE FUNDING HFA NEW HAMPSHIRE, BROADENING HOME VISITING SERVICES FOR DCYF REFERRED FAMILIES WITH CHILDREN UP TO AGE TWO, AND SERVING FAMILIES WITH CHILDREN THROUGH AGE FIVE USING THE FAMILY CHECK-UP MODEL. DURING THIS PERIOD, NEW HAMPSHIRE MIECHV WILL FOCUS ON FIDELITY TO BOTH HFA AND FCU MODELS, IMPROVING DATA QUALITY THROUGH TRAINING AND TECHNICAL ASSISTANCE, AND SUPPORTING STAFF RETENTION BY ENSURING ADEQUATE TRAINING, REASONABLE CASELOADS, AND STRONG COMMUNITY COLLABORATION ACROSS SITES AS NEW HAMPSHIRE BECOMES A MULTI-SITE HFA SYSTEM. PURPOSE: THE PROJECT AIMS TO IMPLEMENT VOLUNTARY, EVIDENCE BASED HOME VISITING SERVICES USING THE HFA AND FAMILY CHECK-UP MODELS, AND TO COORDINATE COMPREHENSIVE, HIGH-QUALITY SERVICES FOR ELIGIBLE FAMILIES. HFA REMAINS NEW HAMPSHIRE’S MODEL OF CHOICE FOR TRADITIONAL REFERRALS, WITH A NURSE ENHANCEMENT AT EACH SITE. FOR DCYF REFERRED FAMILIES, NEW HAMPSHIRE IMPLEMENTS THE CWP ENHANCEMENT DUE TO HFA’S STRONG OUTCOMES IN MATERNAL AND CHILD HEALTH, CHILD DEVELOPMENT, FAMILY ECONOMIC STABILITY, AND REDUCED CHILD MALTREATMENT. FAMILIES WITH OLDER CHILDREN WILL RECEIVE SERVICES THROUGH THE FAMILY CHECK-UP MODEL. GOALS AND OBJECTIVES: GOAL 1: NEW HAMPSHIRE WILL SUPPORT LIAS IN IMPLEMENTING THE FAMILY CHECK-UP MODEL. • 1.1 TRAIN NEW HAMPSHIRE MIECHV AND LIA STAFF IN THE MODEL. • 1.2 PROVIDE TECHNICAL ASSISTANCE TO LIAS. • 1.3 CERTIFY NEW HAMPSHIRE MIECHV STAFF THROUGH NORTHWEST PREVENTION SCIENCE FOR TRAINING AND FIDELITY MONITORING. • 1.4 CONDUCT FIDELITY MONITORING FOR HOME VISITORS. GOAL 2: LIA’S WILL MAINTAIN ENROLLMENT AT OR ABOVE 85% OF HRSA-DEFINED CAPACITY. • 2.1 MONITOR CAPACITY MONTHLY. • 2.2 COLLABORATE WITH COMMUNITY PARTNERS TO PROMOTE HOME VISITING. GOAL 3: NEW HAMPSHIRE MIECHV WILL USE QUICKBASE AS THE PRIMARY DATA SYSTEM. • 3.1 TRANSFER LEGACY DATA FROM ETO TO QUICKBASE. • 3.2 TRAIN NEW HAMPSHIRE MIECHV AND LIA STAFF IN QUICKBASE. • 3.3 DEMONSTRATE ACCURACY IN FORMS 1 & 2 REPORTING. GOAL 4: ESTABLISH NEW HAMPSHIRE MIECHV AS A MULTI-SITE HFA SYSTEM. • 4.1 SUBMIT MSS APPLICATION. APPROACH: NEW HAMPSHIRE LIAS WILL IMPLEMENT THE HFA AND FAMILY CHECK-UP MODELS WITH FIDELITY TO HRSA PRIORITY POPULATIONS ACROSS ALL COUNTIES, BASED ON THE 2020 STATEWIDE NEEDS ASSESSMENT UPDATE. EFFORTS WILL FOCUS ON INCREASING ENROLLMENT AND RETENTION OF CHILD WELFARE REFERRED FAMILIES AND WIC PARTICIPANTS THROUGH STATE LEVEL COLLABORATION. PLANNED CASELOADS WILL INCREASE FROM 325 IN YEAR ONE TO 336 IN YEAR TWO. NEW HAMPSHIRE WILL USE STATE GENERAL FUNDS FOR THE NON FEDERAL MATCH AND PROVIDE SERVICES THROUGH SIX LIAS OPERATING ACROSS 11 DISTRICT OFFICE AREAS. MATCHING FUNDS WILL SUPPORT EIGHT CFS CONTRACTS TO REACH UNDERSERVED FAMILIES IDENTIFIED THROUGH THE GAP ANALYSIS ACROSS 11 DISTRICT OFFICE AREAS.