Parents to teachers

Delaware's Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program leverages crucial statewide partnerships to maximize federal funding for evidence-based home visiting programs. There are currently five evidence-based home visiting models being implemented and offering services to families in Delaware. The models include Attachment and Biobehavioral Catch-Up (ABC), Early Head Start (EHS), Healthy Families America (HFA) Nurse Family Partnership (NFP) and Parents As Teachers (PAT). Consistent with the collaborative nature of Delaware, even though only three programs receive MIECHV funding, all five home visiting programs will be partnering in Delaware's Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program. This cross-sectional commitment to operating a program that provides a continuum of home visiting program makes Delaware uniquely positioned to continue to successfully implement the vision of the federal funding. A comprehensive state-wide Needs Assessment was conducted in 2010, 2015 and 2020 to identify the target populations and communities that are high risk. This project allows for the selection of a vendor to build the capacity of the Parents as Teachers (PAT) program by targeting the high-risk communities identified in the MIECHV Needs Assessment. This project will be funded by the Maternal, Infant and Early Childhood Home Visiting (MIECHV) grant issued by the U.S. Health Resources and Services Administration (HRSA) and administered by Division of Public Health (DPH). The grant program funds states, territories, and tribal entities to develop and implement evidence-based, voluntary programs that best meet the needs of their communities. B. Project Goals: The Division of Public Health is requesting grant proposals to continue and expand programs to operate the home visiting program, Parents as Teachers (PAT). PAT is a parent education and support program that uses home visiting as the mode of implementation. PAT is a nationally recognized program that uses specific curricula to teach parents how to optimize their child's growth and development improving the child's readiness for school. The Delaware Department of Health and Social Services (DHSS), Division of Public Health is requesting proposals from providers to assist with reaching the following goals: Goal 1: Develop, implement and sustain a continuum of home visiting services statewide where the needs of families are met by the most appropriate program. Goal 2: Build the capacity of the Parents as Teachers home visiting program, with fidelity to the model and deliver services in at-risk community zones, in collaboration with the Division of Public Health. Goal 3: Improve maternal, infant and early childhood outcomes through targeted evidence-based home visiting services. Goal 4: Monitor home visiting system changes and challenges to ensure long-term sustainability. Goals and objectives are designed to align with the current federal benchmarks established for all of Delaware's evidence-based home visiting programs: 1. CONSTRUCT: PRETERM BIRTH PERFORMANCE MEASURE: Percent of infants (among mothers who enrolled in home visiting prenatally before 37 weeks) who are born preterm following program enrollment 2. CONSTRUCT: BREASTFEEDING PERFORMANCE MEASURE: Percent of infants (among mothers who enrolled in home visiting prenatally) who were breastfed any amount at 6 months of age 3. CONSTRUCT: DEPRESSION SCREENING PERFORMANCE MEASURE: Percent of primary caregivers enrolled in home visiting who are screened for depression using a validated tool within 3 months of enrollment (for those not enrolled prenatally) or within 3 months of delivery (for those enrolled prenatally) 4. CONSTRUCT: WELL CHILD VISIT PERFORMANCE MEASURE: Percent of children enrolled in home visiting who received the last recommended visit based on the American Academy of Pediatrics (AAP) schedule 5. CONSTRUCT: POSTPARTUM CARE PERFORMANCE MEASURE: Percent of mothers enrolled in home visiting prenatally or within 30 days after delivery who received a postpartum visit with a healthcare provider within 8 weeks (56 days) of delivery 6. CONSTRUCT: TOBACCO CESSATION REFERRALS PERFORMANCE MEASURE: Percent of primary caregivers enrolled in home visiting who reported using tobacco or cigarettes at enrollment and were referred to tobacco cessation counseling or services within 3 months of enrollment. 7. CONSTRUCT: SAFE SLEEP PERFORMANCE MEASURE: Percent of infants enrolled in home visiting that are always placed to sleep on their backs, without bed-sharing or soft bedding 8. CONSTRUCT: CHILD INJURY PERFORMANCE MEASURE: Rate of injury-related visits to the Emergency Department (ED) since enrollment among children enrolled in home visiting 9. CONSTRUCT: CHILD MALTREATMENT PERFORMANCE MEASURE: Percent of children enrolled in home visiting with at least 1 investigated case of maltreatment following enrollment within the reporting period 10. CONSTRUCT: PARENT-CHILD INTERACTION PERFORMANCE MEASURE: Percent of primary caregivers enrolled in home visiting who receive an observation of caregiver-child interaction by the home visitor using a validated tool 11. CONSTRUCT: EARLY LANGUAGE AND LITERACY ACTIVITIES PERFORMANCE MEASURE: Percent of children enrolled in home visiting with a family member who reported that during a typical week/he read, told stories, and/or sang songs with their child daily, every day 12. CONSTRUCT: DEVELOPMENTAL SCREENING PERFORMANCE MEASURE: Percent of children enrolled in home visiting with a timely screen for developmental delays using a validated parent-completed tool 13. CONSTRUCT: BEHAVIORAL CONCERNS PERFORMANCE MEASURE: Percent of home visits where primary caregivers were asked if they have any concerns regarding their child's development, behavior, or learning 14. CONSTRUCT: INTIMATE PARTNER VIOLENCE SCREENING PERFORMANCE MEASURE: Percent of primary caregivers enrolled in home visiting who are screened for intimate partner violence (IPV) within 6 months of enrollment using a validated tool 15. CONSTRUCT: PRIMARY CAREGIVER EDUCATION PERFORMANCE MEASURE: Percent of primary caregivers who enrolled in home visiting without a high school degree or equivalent who subsequently enrolled in, maintained continuous enrollment in, or completed high school or equivalent during their participation in home visiting 16. CONSTRUCT: CONTINUITY OF INSURANCE COVERAGE PERFORMANCE MEASURE: Percent of primary caregivers enrolled in home visiting who had continuous health insurance coverage for at least 6 consecutive months 17. CONSTRUCT: COMPLETED DEPRESSION REFERRALS PERFORMANCE MEASURE: Percent of primary caregivers referred to services for a positive screen for depression who receive one or more service contacts 18. CONSTRUCT: COMPLETED DEVELOPMENTAL REFERRALS PERFORMANCE MEASURE: Percent of children enrolled in home visiting with positive screens for developmental delays (measured using a validated tool) who receive services in a timely manner 19. CONSTRUCT: INTIMATE PARTNER VIOLENCE REFERRALS PERFORMANCE MEASURE: Percent of primary caregivers enrolled in home visiting with positive screens for IPV (measured using a validated tool) who receive referral information to IPV resources