Maternal, infant and early childhood homevisiting grant program - annotation: maryland miechv (MD miechv) is implementing evidence-based home visiting (ebhv) programs in 19 of the 24 jurisdictions…

Maternal, infant and early childhood homevisiting grant program - annotation: maryland miechv (MD miechv) is implementing evidence-based home visiting (ebhv) programs in 19 of the 24 jurisdictions across the state in high-risk communities that were identified in the needs assessment. We have built a strong statewide program, but must further strengthen availability, reach, and coordination of home visiting services, while supporting parent engagement/leadership, health equity and workforce retention. The project goals will be accomplished through activities that support the local implementing agencies (lias) and continued coordination with other child-and family serving agencies at the state level. Problem: the needs assessment identified 19 jurisdictions with high-risk indicators. There were 23 indicators across five federal miechv domains. The indicators include preterm birth, abuse and neglect investigation rate, high school dropout rate, and unemployment rate. The domains are: 1) maternal and newborn health, 2) child injuries, maltreatment and reduction of emergency department visits, 3) school readiness and achievement, 4) crime or domestic violence and 5) family economic self-sufficiency. Purpose: the purpose of this project is to implement and expand ebhv services in all eligible jurisdictions in maryland. Goals and objectives: goal 1: improve maternal, infant, and early childhood health by providing voluntary home visiting services through evidence-based models for families in at-risk communities as identified by our needs assessment, while also focusing on targeted outcomes in the statutorily mandated benchmark areas. Objective 1.1- support 19 local interventions with vulnerable families in at-risk communities as early in pregnancy as possible, using evidence-based home visiting (ebhv) models. Objective 1.2 -- provide lias with needed support to positively impact families through training, technical assistance, and professional development opportunities. Objective 1.3 - strengthen program infrastructure to improve programs and activities for families receiving home visiting services. Objective 1.4- continue to implement maryland's CQI plan goal 2: ensure the provision of high-quality home visiting services to eligible families living in at-risk communities by, in part, coordinating with comprehensive statewide early childhood systems to support the needs of those families. Objective 2.1 - strengthen home visiting services by assessing and evaluating data quality and engaging in data sharing with other early childhood systems as applicable. Objective 2.2 - partner with child-serving agencies statewide, public and private agencies as well as loca agencies and organizations quarterly to assure home visiting remains at the forefront of a robust system of early care. Approach: ? The ebhv that will be implemented are healthy families america (HFA) and nurse family partnerships (NFP). We will also explore the implementation of maternal infant health outreach worker (mihow) in one jurisdiction. ? We intend to serve the following jurisdictions that were identified in our statewide needs assessment: allegany county, baltimore city, baltimore county, caroline county, carroll county, cecil county, dorchester county, garrett county, harford county, kent county, montgomery county, prince george's county, queen anne's county, somerset county, ST. Mary's county, talbot county, washington county, wicomico county, and worcester county. The priority populations are pregnant people, families, and children birth to five within these jurisdictions. ? The proposed caseload of miechv family slots is 1051 for each year of the award period of performance.