1. FLORIDA MATERNAL, INFANT & EARLY CHILDHOOD HOME VISITING INITIATIVE florida association of healthy start coalitions, inc.

2. Background  Authorized by Affordable Care Act (ACA).  Goal: to improve health and developmental outcomes for at-risk children through evidence-based home visiting programs by:  Strengthening and improving the programs and activities carried out under Title V of the Social Security Act;  Improving the coordination of services for at-risk communities; and  Identifying and providing comprehensive services to improve outcomes for families in these communities.

3. Background  Distributed to states, territories through formula grants (2009-2010)  DOH & DCF collaborated on initial planning, needs assessment and funding for five community sites  Legislature refused additional funding authority in 2012  Federal rules provide for a RFP process to identify non-profit to assume state responsibility

4. Background  Florida Association of Healthy Start Coalitions successfully apply for funding as part of multi- organization collaborative (April 8, 2013)  $23.5 million over three and a half years  Potential for additional resources

5. FL MIECHV  Builds on initial state efforts: 2010 MIECHV Needs Assessment, 2011 State Plan Update  Focus:  Propagating evidence-based home visiting models in high need communities (five original sites, six additional sites, enhancement funding)  Building capacity to deliver EBI through training and continuous quality improvement  Strengthening continuum of services through collaboration and systems change

6. High Need Communities

7. Evidence-Based Models  Child First  Early Head Start Home Based Options  Early Start  Family Check Up  Healthy Families America  Healthy Steps  Home Instruction for Parents of Preschool Youngsters  Nurse-Family Partnership  Parents as Teachers  Play and Learning Strategies Infant, and  Safe Care Augmented

8. Building Capacity- Training  Identification of core competencies for child serving programs (prenatal through VPK)  Training around core competencies  Ounce of Prevention Training Institute  FSU Center for Prevention & Early Intervention Programs  Florida Home Visiting Summit

9. Capacity Building-CQI  Federally-mandated benchmarks and constructs  Improved maternal and newborn health;  Prevention of child injuries, child abuse, neglect, or maltreatment, and reduction of emergency department visits;  Improvement in school readiness and achievement;  Reduction in crime or domestic violence;  Improvements in family economic self-sufficiency; and  Improvements in the coordination and referrals for other community resources and supports.  National evaluation; state evaluation by USF Chiles Center

10. Systems Change  Expectation of public-private collaboration and coordination through:  Adoption of core competencies by child serving agencies (prenatal – VPK)  Use of common metrics (based on MIECHV benchmarks & constructs)  Development of single intake system at community level to facilitate identification and referral of vulnerable families (Healthy Start prenatal and infant screen)  Coordination with Early Childhood Comprehensive Systems (ECCS)  Florida Home Visiting Advisory Council

11. Where we are  Contracts executed for five original sites (Pensacola, Jax, Alachua, Putnam-Bradford and St. Pete)  Contracts in works for training, evaluation, data system  FL HV Advisory Council being re-constituted (June meeting?)  RFP for new sites, program enhancements in July- August with October 1 start date.

12. Questions? Thank You! Carol Brady Interim Project Director cbrady@nefhsc.org 904-608-8046