Childrens Futures Healthy Start Initiative

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Childrens Futures / Healthy Start Initiative
Solos To Symphonies Improving Pregnancy
Parenting Outcomes in Trenton, New Jersey
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Childrens Futures / Healthy Start
Initiative
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Build Upon Existing Strengths

• Healthy Mothers/Healthy Babies Coalition (HMHB)
• Hospital Community-Based OB Clinic Providers
• MCH Support Services through Home Visiting
• Local Public Health Agency funding for MCH
• NJ Department of Health Senior Services Grants
• NJ Department of Human Services Grant
• HRSA Healthy Tomorrows Partnership for Children
  Program

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Analyze Barriers and Gaps

• Only partial buy-in Needed top level
  commitment to support systems change
• No standard protocol for prenatal screening
  risk assessment Referral was at the providers
  discretion
• Service coordination, collaboration provision
  were still on a small scale Support services
  were overextended
• Key partners/services were missing from the mix,
  e.g. mental health, fatherhood, domestic violence
  child care

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Be Ready! Be Aggressive! New Opportunities
May Arise

• New Private Partner Funder
• Childrens Futures, Inc.
• (Robert Wood Johnson Foundation)
• New Public Funding Partners
• HRSA Healthy Start Initiative
• NJ Juvenile Justice Commission (Nurse
  Family Partnership)

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Lead Administrative Partners

• City of Trenton Division of Health
• Childrens Futures, Inc.
• Trenton Healthy Mothers / Healthy Babies
  Coalition Central New Jersey MCH Consortium

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CF Core Interventions

• Prenatal Screening - Addiction, Depression,
  Domestic Violence
• Central Intake - Linkage to Home Center-Based
  Services
• Four Parent/Child Centers Healthy Families
  Programs
• Nurse Family Partnership Program
• New Linkages to Behavioral Health, Domestic
  Violence, Fatherhood and Child Care Services

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Childrens Futures / Healthy Start Initiative

Community Outreach and Referral

• Private
• OB / GYN Offices
• CF consent screening

HealthStart Prenatal Clinics CF consent
screening
Central Intake City of Trenton - Division of
Health Links women/families to home visit
assessment other services
Core Support Services Behavioral
Health Fatherhood Support Domestic
Violence Child Care
TIER III-A Parent/Child Centers (PCC)
Healthy Families Program
TIER III-B Citywide HF Program Mercer Street
Friends
TIER II 1st time moms Nurse Family
Partnership City of Trenton
North Ward Ch Home
South Ward El Centro
East Ward St. Francis
West Ward Mercer St.
Other Childrens Futures Service Options
TIER I Parent/Child Center Center-Based
Activities
AND/OR Less Frequent Home Visits -- PHNs, BIBS
mentors
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Parent / Child Centers Solos to Symphonies
PARENT/CHILD CENTERS Interagency Partnership
GT Behavioral Health Substance Abuse Mental
Health Domestic Violence
Union Industrial Home Fatherhood Support Services
Social Services TANF Food Stamps Housing Rental
Assistance Transportation Job Training Emerg
Assistance And more....
FAMILY SUPPORT SERVICES
Child Care Connection Early Head Start Abbott
Centers Family Daycare

• Center Activities
• FAW / FSW / Partners
• Creative Outreach
• Family Fun Nights
• Pregnancy Classes
• Fatherhood Groups
• Health Education
• Other Activities

• Home Visiting
• Healthy Families Model
• Family Support
• Prenatal/Parent Educ
• Health Education
• Infant/Child Developmnt
• Early Literacy
• Case Management

Health Care NJ FamilyCare Medical Care Dental
Care WIC Specialty Care (e.g. HIV)
BIBS Mentors Concerned Pastors Mt. Zion
AME Shiloh Baptist
Immigration Services
Education GED / Adult Literacy
Special Child Health Services / Early Intervention
Child Protective Services DYFS
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Childrens Futures / Healthy Start
Initiative
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Childrens Futures / Healthy Start
Initiative
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Childrens Futures / Healthy Start
Initiative
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Childrens Futures / Healthy Start
Initiative
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Childrens Futures / Healthy Start
Initiative
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Childrens Futures / Healthy Start
Initiative
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Childrens Futures / Healthy Start Initiative
Program Development A Tale of Two Approaches

• Approach one
• Issue RFP what would improve outcomes
• Result wish list, disconnected and competitive
• Disadvantage starts with dividing the money

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Childrens Futures / Healthy Start Initiative
Program Development A Tale of Two Approaches

• Approach two
• Convene stakeholders
• Set baseline
• Define outcomes
• Review research
• Develop strategy
• Last who gets the money

• Approach one
• Issue RFP what would improve outcomes
• Result wish list, disconnected and competitive
• Disadvantage starts with dividing the money

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Childrens Futures / Healthy Start Initiative
Collaboration Prescribe or Nurture?

• Collaboration Definition Whats in it for me?
• Tap into leaders who get it and want to
• Nurture new relationships
• Create broader system approach
• Build channels of communication

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Childrens Futures / Healthy Start Initiative
Recognize, Reward, Involve

• Express Appreciation annual meeting example
• Join large and small organizations together
• Create time for integration connect the dots
• Bring Value the mayor, other national experts

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Childrens Futures / Healthy Start Initiative
Cultural Appropriateness, Trust and Values

• Bias, stereotyping, discrimination
• Role with health care, child care, social
  services
• Work with the community on building trust

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Childrens Futures / Healthy Start Initiative
A Political Campaign Partnerships Hold the Key

• Tell your own story
• Ambitious vision reasonable expectations
• Build network of communicators and champions
• Otis Johnson Its about power and money.