1. Informing policy, Improving programs
Healthy Families Evaluation Update Key Outcome and Service Findings
Beth L. Green, Ph.D.
Jerod Tarte, M.A.
Best Beginnings Meeting
March 10, 2016
Informing policy, Improving programs

2. Presentation Overview
HFO Family Characteristics
Key Outcome Findings
Service Delivery Findings
Looking Ahead
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3. Demographics of IS Families
Families Served FY Are at High Risk for Negative Outcomes
Demographics of IS Families
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4. Demographics of IS Families
Healthy Families Oregon: Parent History and Other Risks
Demographics of IS Families
More screened families scored at high risk this year:
68% vs. 42% in
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5. Status Report Outcomes Families Served FY2014-15
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6. Parenting Outcomes at 12 Months
Reading to children decreased slightly—
only 83% of parents nationally read to their young child 3 or more times per week - 67% for low income families.
HOME scores improving generally
Fewer families had complete HOMEs
Slightly fewer families reported improved parenting skills
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7. Daily Reading Outcomes
HFO parents much more likely to report reading daily to young children
Especially true for Hispanic parents
Randomized study found that HFO parents were significantly more likely to read daily compared to controls.
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8. Health Outcomes
Overall health outcomes very strong, meet HFA standards
Only 68-74% of Oregon 2-year olds fully immunized
Insurance coverage has continually increased.
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9. Outcomes for Families Served Prenatally
Statewide, only about 255 mothers screened AND served prenatally
These mothers were more likely to be breastfeeding at 6 months.
May be less likely to have premature birth
Families served prenatally also remain in the program longer
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10. Child Development
Most children are developing normally, although trend towards more delays indicated.
Staff take appropriate action when delay indicated.
% of children receiving ASQ screening has been decreasing (HFA standard)
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11. Service Delivery Findings
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12. Eligibility Screening: Numbers Screened Continues to Decline
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13. New Screening Target Population as of 2014-15: All Births
45,620 births last year statewide
17% (7,681) screened by HFO
92% of screens within 2 weeks of birth
90% of home visits within 3 months of birth
Service improvement note:
262 families were not offered services because of incorrect NBQ scoring
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14. Program Acceptance Rates
70% of screened=eligible + interested
78% of those offered HFO
545 could not be located
98 “caseloads full”
38% of offered received first HV (e.g., “Accept”)
78% of these (1,151) did not have a reason for no visit
Families more likely to get 1st HV if:
Spanish speaking, Hispanic
Married
Regional variability in other factors
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15. Intensive Home Visiting Component Enrollment Decreased Slightly
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16. Program Retention Rates
Overall, retention patterns are similar for last 3 cohorts
12-month retention varies by program (44%-81%)
Spanish-speaking families have highest retention—77% at 12 months vs. 50% for English speaking.
Older, married moms also somewhat higher retention
39% of teens retained at 12 months
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17. Why do Families Leave? 33% decline further service 22% age out
20% move out of county
14% “other”
11% cannot locate
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18. Program Strengths
Engaging higher risk families and families of color (especially Hispanic/Latino)
Parents reading to children
Family HOME environment
Health outcomes generally
Outcomes for prenatally served moms
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19. Suggestions for Improvement
Consider more prenatal screening & services
Increase on-time ASQs
Work on site-specific performance indicators
Ensure accurate NBQ scoring, HOME completion, data systems improvements
Monitor new service population
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20. Questions? Thoughts? Recommendations?
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