Family Home Visiting (FHV)
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The MDH Family Home Visiting (FHV) Section offers consultation for programming and support in best practices to local public and tribal health, and non-profit home visiting programs. This work supports the integration of family home visiting into the state's comprehensive early childhood system. MDH FHV Team understand the importance of relationship building with a variety of partners to increase capacity for communities to promote the healthy development of children, secure attachments between caregivers and children, increase self-sufficiency and safety of families with infants and improved pregnancy outcomes. MDH FHV Team provide support through consultation, technical support and training to local public health, non-profits, and tribal nations throughout Minnesota.
Evidence-Based Family Home Visiting in Minnesota
Among the 19 home visiting models identified as meeting evidentiary criteria set forth by MIECHV, Minnesota chose to support implementation of Nurse-Family Partnership, Healthy Families America, Family Spirit, Parents as Teachers, Family Connects, Early Head Start, and Maternal Early Childhood Sustained Home Visiting. Some sites, who are not affiliated/accredited, are integrating evidence informed home visiting practices into their program.
The Nurse-Family Partnership (NFP) Model
- The Nurse-Family Partnership Model aims at improving the lives of vulnerable first-time parents delivered by caring maternal and child health nurses. NFP goals include improved pregnancy outcomes, improved child health, improved child development and improved economic self-sufficiency.
Healthy Families America (HFA) Model
- Healthy Families America (HFA) is the signature program of Prevent Child Abuse America.
- Healthy Families America (HFA) Model is designed to work with families who are at-risk for adverse childhood experiences. Visit Adverse Childhood Experiences (ACEs) in Minnesota for more information. Services begin prenatally or soon after the birth of a baby. HFA goals include building community partnerships to engage families in home visiting services, strengthening nurturing parent-child relationships, promoting child growth and development, and enhancing family functioning by building protective factors.
- There are several curriculums that are approved by HFA for use by HFA home visiting programs:
The Family Spirit (FS) Model
- Tribal Governments and the Family Spirit (FS) Program
- Family Spirit is a culturally tailored, strengths-based core strategy designed to support young American Indian families. Parents gain knowledge and skills to achieve optimum development across the domains of physical, cognitive, social-emotional, language and self-help. FS goals are to increase parenting skills, address maternal psychosocial risks, prepare children for early school success, ensure well-child visits, link family to community services and promote skills needed across the lifespan.
Parents as Teachers (PaT) Model
- Parents as Teachers promotes the optimal early development, learning and health of children by supporting and engaging their parents and caregivers. The model offers a cohesive package of services for families with young children and is framed around four dynamic components: Personal Visits, Group Connections, Child Screenings, and Resource Network.
- Program Goals:
- Increase parent knowledge of early childhood development and improve parenting practices
- Provide early detection of developmental delays and health issues
- Prevent child abuse and neglect
- Increase children’s school readiness and school success
Family Connects Model
- Family Connects International works with communities to plan for the model’s implementation and sustainability. We help establish community networks and train the nurses who will conduct the home visits.
- Registered nurses visit the homes of the newborns in their communities, providing health checks for both the infant and the birth mother. The nurse is trained to make a systematic assessment of the family’s strengths, risks and needs, to offer supportive guidance on a wide variety of child and infant health, and to connect families with the additional community resources and services that meet their individual needs. The nurse documents the visit — including the physical assessments and community referrals — and relays the appropriate information to the family’s health-care providers.
Early Head Start Model
- Minnesota Head Start Association emphasizes parents as child’s first and most important relationship. Comprehensive, two-generation initiative aimed at enhancing infant and toddler development, strengthening families, and respecting unique development of young children.
- Designed for low-income pregnant women and families with children between birth – 3. Most women and families must be at or below the federal poverty level, and a portion of enrollment must be available to certain children with disabilities.
Maternal Early Childhood Sustained Home-visiting (MECSH) Model
- Early Childhood Connect - MECSH Model is a high-quality evidenced based nurse-led structured intervention for families needing extra support. MECSH is a child focused prevention model uniquely embedded within a universal child and family health service system, operating from three underpinning principles:
- A core and adaptation model of local implementation.
- Supporting families to learn the skills to build their capacity and source the resources they need to adapt and self-manage in their parenting journey, and parent effectively despite the difficulties and challenges they face.
- A salutogenic (health creating), rather than pathogenic (illness treating) approach.