Using Partners for A Healthy Baby to Achieve Program Outcomes

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How the Partners for a Healthy Baby Curriculum Aligns with Core Elementsof Evidence-Based Home Visitation ServicesRecently, the National Home Visitation Steering Committee* (March 2009) proposed four Core Elements of EvidencebasedHome Visitation Services. The elements address program outcomes, program models and standards, programrecipients, and program providers. The Partners for a Healthy Baby curriculum is used in numerous programs that meetthe Core Elements. Positive outcomes achieved by evidence-based programs using the Partners curriculum are cited below.Core Element 1: Demonstrate ongoing positive outcomes that enhance child health and development by improvingprenatal health; pregnancy outcomes; child health; physical, cognitive, language and social emotional development;school readiness; academic success; positive parenting practices; parent involvement; reductions in child abuse, neglectand injury; birth intervals between pregnancies; family stability; economic self sufficiency; and maternal employment.Positive Birth Outcomes• The risk of delivering a low birth weight (LBW) baby was significantly lower for the Healthy Families New York(HFNY) mothers (5.1%) than for the control group mothers (9.8%).• HFNY mothers delivered fewer small for gestational age (SGA) babies (8.8%) than control group mothers (11.6%).—Lee, E., Mitchell-Herzfeld, S., Lowenfels, A., Green, R., Dorabawila, V., & DuMont, K. (2009). Reducing low birth weight through homevisitation: A randomized controlled trial. American Journal of Preventive Medicine, 36(2), 154-160.• Teens in the Virginia Resource Mothers (VRM) program had fewer low birth weight deliveries compared to overallteen state rates (7.7% vs. 10.3% in 2006) and (8.9% vs. 10.6% in 2007).—Virginia Department of Health. (2008). Virginia Resource Mothers Program Annual Report. Richmond, VA: Author.• Mothers who participated in the Tennessee HUGS program had an average gestational age of 37.5 weeks and anaverage number of prenatal visits of 10.0 per mother.—Tennessee Department of Health, Maternal and Child Health. (2011). Tennessee Home Visiting Programs Annual Report: July 1, 2009–June 30,2010. Nashville, TN: Author. Retrieved from http://health.state.tn.us/statistics/PdfFiles/Home_Visiting_Programs_Annual_Report_2010.pdfReduction in Child Abuse• A five-year evaluation, which used a quasi experimental design, found that children in Healthy Families Florida were3.7 times less likely than the comparison group to experience child maltreatment.• There was 58% less child abuse in families who received three or more years of service or completed the programcompared to families who received less than 3 months of services or no services.• The rate of child maltreatment for HFF participants was 20% less than for families in the target service areas.—Williams, Stern & Associates (2005). Healthy Families Florida Evaluation Report: January 1, 1999–December 31, 2003. Retrieved March 26,2009 from www.healthyfamiliesfla.org/pdfs/Final_Evaluation_1999-2003.pdf• Only one substantiated incidence of child maltreatment was reported for participants in the Cabarrus Health Alliance’sIntensive Home Visiting Program for Pregnant and Parenting Teens from 2004-2009.—Stepping Stones Intensive Home Visiting Program. Quarterly Reports 2004–2009. Cabarrus Health Alliance, North Carolina.—Knight, S., & Patterson, J. (2008). “Stepping Stones” Intensive Home Visiting Program for Pregnant and Parenting Teens. Presentation to NorthCarolina Smart Start Conference, May 6, 2008.• A total of 98% (1,100 of 1,133) of the children enrolled in the Tennessee CHAD program were free of child abuseand neglect as measured by DCS reported involvement in prior 12 months.• A total of 98.8% (1,387/1404) of the children served by Tennessee Healthy Start program did not exhibit signs ofabuse or neglect.—Tennessee Department of Health, Maternal and Child Health. (2011). Tennessee Home Visiting Programs Annual Report: July 1, 2009–June 30,2010. Nashville, TN: Author. Retrieved from http://health.state.tn.us/statistics/PdfFiles/Home_Visiting_Programs_Annual_Report_2010.pdf*Children’s Defense Fund, CLASP, CWLA, Fight Crime: Invest in Kids, Home Instruction for Parents of Preschool Youngsters, National ChildAbuse Coalition, Parents as Teachers National Center, Parent-Child Home Program, Prevent Child Abuse America/Healthy Families America,and Voices for America’s Children.2 Florida State University Partners for a Healthy Baby • www.cpeip.fsu.edu • September 2011
Birth Intervals Between Pregnancies• Of mothers enrolled in Healthy Families Florida, 92% did not have a subsequent pregnancy within 2 years of thetarget child’s birth.—Williams, Stern & Associates. (2005). Healthy Families Florida Evaluation Report: January 1, 1999–December 31, 2003. Retrieved March 26,2009 from www.healthyfamiliesfla.org/pdfs/Final_Evaluation_1999-2003.pdf• The rate of repeat pregnancy for VRM teen mothers was 5.1% compared to 20% for teens statewide.—Virginia Department of Health. (2008). Virginia Resource Mothers Program Annual Report. Richmond, VA: Author.• Of the women being served by the Tennessee Healthy Start program, 93% (1,028/1,106) were not pregnant one yearafter the birth of the previous child.• Of the 1,010 mothers with at least one previous birth being served by the Tennessee HUGS program, 924 (91.5%)had a birth interval greater than 12 months.—Tennessee Department of Health, Maternal and Child Health. (2011). Tennessee Home Visiting Programs Annual Report: July 1, 2009–June 30,2010. Nashville, TN: Author. Retrieved from http://health.state.tn.us/statistics/PdfFiles/Home_Visiting_Programs_Annual_Report_2010.pdfImproved Child Health• Of the Healthy Families Florida (HFF) target children, 92% had up-to-date immunizations compared with thestatewide rate of 77%.• Of the HFF participants, 97% were linked to a medical provider.• Over 90% of HFF children were up-to-date with well-baby checks at 3 and 4 years of age.—Williams, Stern & Associates. (2005). Healthy Families Florida Evaluation Report: January 1, 1999–December 31, 2003. Retrieved March 26,2009 from www.healthyfamiliesfla.org/pdfs/Final_Evaluation_1999-2003.pdfOf the participants in the Cabarrus Health Alliance’s Intensive Home Visiting Program for Pregnant and Parenting Teens:• 100% were enrolled in a medical home within 6 weeks of entry into the program.• 100% of the children were up-to-date with their immunizations.—Knight, S., & Patterson, J. (2008). “Stepping Stones” Intensive Home Visiting Program for Pregnant and Parenting Teens. Presentation to NorthCarolina Smart Start Conference, May 6, 2008.• A total of 78% (154/198) of the children being served by Tennessee CHAD program (who turned 2 during theprogram year) were up to date on immunizations.• Of the children being served by the Tennessee Healthy Start program, 98.8% (418/440) were up to date on theirimmunizations by their 2nd birthday.• A total of 74% (650/878) of the 2-year-olds being served by the Tennessee HUGS program were up to date onimmunizations.• A total of 96% (3,549/3,690) of eligible women being served in the Tennessee HUGS program were enrolled in WIC.• A total of 80.5% (4,831/5,996) of children being served in the Tennessee HUGS program were enrolled in WIC.—Tennessee Department of Health, Maternal and Child Health. (2011). Tennessee Home Visiting Programs Annual Report: July 1, 2009–June 30,2010. Nashville, TN: Author. Retrieved from http://health.state.tn.us/statistics/PdfFiles/Home_Visiting_Programs_Annual_Report_2010.pdfPositive Parenting Practices• Mothers who completed Healthy Families Florida were significantly more likely than comparison group mothers toread to their children at early ages.—Williams, Stern & Associates. (2005). Healthy Families Florida Evaluation Report: January 1, 1999–December 31, 2003. Retrieved March 26,2009 from www.healthyfamiliesfla.org/pdfs/Final_Evaluation_1999-2003.pdfMaternal Employment• Healthy Families Florida positively affected self-sufficiency, defined as employment. At 3 years after the birth of thetarget child, Healthy Families Florida completers were 1.5 times more likely to be employed than the comparisongroup.—Williams, Stern & Associates. (2005). Healthy Families Florida Evaluation Report: January 1, 1999–December 31, 2003. Retrieved March 26,2009 from www.healthyfamiliesfla.org/pdfs/Final_Evaluation_1999-2003.pdfFlorida State University Partners for a Healthy Baby • www.cpeip.fsu.edu • September 2011 3
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Using Partners for A Healthy Baby to Achieve Program Outcomes

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