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Goodwill of Central &
Southern Indiana (GCSI)
"There is a magic window
during pregnancy…it’s a time
when the desire to be a good
mother and raise a healthy,
happy child creates motivation
to overcome incredible
obstacles including poverty,
instability or abuse with the
help of a well-trained nurse."
David Olds, Ph.D., Founder, Nurse-Family Partnership
Nurse-Family Partnership (NFP)
An evidence-based community
health program that:
Partners registered nurses with first-time mothers;
Changes the future for
vulnerable babies born into
poverty, and their families;
Addresses social determinants
of health.
SOCIAL DETERMINANTS OF HEALTH (SDOH)
The conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.
Source: Healthypeople.gov
Source: Healthypeople.gov
Registered Nurses
Specializing in Community Health
Receive Extensive
Education in the NFP
Model
Support the wellbeing
of both mom and baby
NFP Nurses-essential to NFP’s impact on SDOH
NFP Goals
Improve Pregnancy
Outcomes
Improve Child Health
and Development
Improve Economic
Self-Sufficiency of the Family
-supports a two-generation approach
Helping first-time
parents succeed.Two generation approach to
addressing SDOH
Two-Generation Approach• Aims to equip both parents and children with the tools to
thrive, while removing obstacles.
• Success relies on the collaboration of partners with varied expertise, working in multiple different spheres.
• Home visiting is a two-generation approach.
• Home visitors help families achieve personal, health, educational, and financial goals to create a safe, enriching environment for children.
Source: HRSA Report on MIECHV Home Visiting’s Two-Generation Approach
NFP’s Two-Generation Approach Helps Build Better Worlds
Regular nurse visits begin
early in pregnancy and
continue until baby turns 2
HOME VISIT OVERVIEW*Personal Health
Environmental Health
Family and Friends
Life Course Development
Maternal Role
Health and Human Services
*domains are intentionally client-centered
Source: Healthypeople.gov
Personal Health
Health Maintenance Practices
Nutrition and Exercise
Substance Use
Mental Health Functioning
Environmental Health
Home, Work, School,
Neighborhood
Family and Friends
Personal Network Relationships
Assistance with Childcare
Life Course
Development
Family Planning
Education and
Livelihood
Health and Human Services
Resource Referrals
Service Utilization
Maternal Role
Mothering Role
Physical Care
Behavioral Care
Emotional Care
"This program saves
money. It raises healthy
babies and creates better
parents. It reduced childhood
injuries and unintended pregnancies, increased father
involvement and women's
employment, reduced use of
welfare and food stamps, and
increased children's school
readiness.“
Barack Obama, 44th President
of the United States
Every dollar
invested in
NFP can yield
up to $6.20
in return.
GCSI’s Mission:
Goodwill changes lives every day by
empowering people to increase their independence and reach their potential through education, health, and employment.
NFP’s Mission:
Nurse-Family Partnership empowers
first-time mothers living in poverty to successfully change their lives and the lives of their children through evidence-based nurse-home visiting.
Two-Generation Approach
GOODWILL OF CENTRAL & SOUTHERN INDIANA
MISSION ALIGNMENT
• Education
• Employment
• Immigration
• Financial Health
• Childcare
• Community Resources
Come alongside nurse to support with client resources.
GOODWILL OF CENTRAL & SOUTHERN INDIANA
NURSE GUIDE CONSULTANTS
GOODWILL OF CENTRAL & SOUTHERN INDIANA
Employment Specialist assigned
to assist NFP moms and their supportive partners find
employment.
*Referred clients usually display characteristics that meet Talent Source’s work readiness recommendations.
TALENTSOURCE FOR NFP
Goodwill of Central & Southern Indiana has lofty goals,
like lowering the state’s unacceptably high infant mortality
rate and breaking the cycle of intergenerational poverty.-IBJ, February 2018
IBJ 2018 Health Care Hero for Community Achievement in Health Care
GOODWILL OF CENTRAL & SOUTHERN INDIANA
“Christina was determined
to get clean and take a
different path. She’s definitely a
hard worker and an awesome
mom. She’s focused on
her future and her family.
She and Kalea make me hopeful.
- Ginny, Christina's Goodwill NFP Nurse
Goodwill NFP 2018 Outcomes
87.8%
89.9%
15%
54%
28%
91.6%
41.2%
26.9%
95.9%
94.3%
94.6%
Takeaways for Two-Generation Success • Develop varied partnerships that align mission, vision, and goals.
• GCSI’s mission strengths and programs compliment NFP’s home visiting model.
• Coordinate services.
• GCSI enrolls families in home vising, as well as education and employment programs.
Source: HRSA Report on MIECHV Home Visiting’s Two-Generation Approach
Takeaways for Two-Generation Success • Seek outside expertise, and listen to many voices.
• NFP’s Community Advisory Board has been critical to GCSI’s success.
• Build a wide referral pipeline with many organizations.
• The Women, Infants, and Children (WIC) program and the local safety-net hospital refer all eligible mother to GCSI NFP.
Source: HRSA Report on MIECHV Home Visiting’s Two-Generation Approach
Takeaways for Two-Generation Success • Consider how to integrate and use data long-term.
• GCSI NFP will be able to utilize the identifiers used by the Indiana public schools to match clients for longitudinal follow up.
• Become experts in building relationships.
• GCSI began establishing community relationships to foster collaboration, since NFP’s Indiana inception.
Source: HRSA Report on MIECHV Home Visiting’s Two-Generation Approach
Thank you
For more information
Nurse Family PartnershipGoodwill of Central & Southern Indiana
Main Office:1635 W Michigan St| Indianapolis, IN 46222
317-524-3999nfp@ goodwillindy.org
CENTRAL REGION: INDIANAPOLIS HUB (1) / MAIN OFFICE
Enrollment Start: November 2011
Funded Capacity: 750 families
Contact Person: Lynn Baldwin, [email protected]
CENTRAL REGION: LAFAYETTE HUB (2)
Enrollment Start: May 2015
Funded Capacity: 200 families
Contact Person: Angie Lazaro, [email protected]
CENTRAL REGION: ANDERSON HUB (3)
Enrollment Start: August 2015
Funded Capacity: 200 families
Contact Person: Angel Hill, [email protected]
SOUTHERN REGION: CLARKSVILLE HUB (4)
Enrollment Start: July 2017
Funded Capacity: 125 families
Contact Person: Cindy Hunt, [email protected]
NORTHWEST REGION: MERRIVILLE HUB (5)
in partnership with Goodwill Industries of Michiana, Inc.
Enrollment Start: January 2016
Funded Capacity: 200 families
Contact Person: Tameka Warren, [email protected]
NFP INDIANA
SERVICE AREA AND CAPACITY
GOODWILL OF CENTRAL & SOUTHERN INDIANA
CLIENT STORY
NFP INDIANA
2018
187 490 1,593 2,721
*From inception through
December 31, 2018
629 2,145 3,335
59%27%
5% 2% 7%
HC Provider or Clinic 59%
WIC 27%
Self 5%
School 2%
Other 7%
NFP INDIANA 2018 Program Participants
26
16%
69% 19%
44%
42%
2%2%
1.5% 0.5% 8%
White 44%
African American 42%
Asian 2%
American Indian 2%
Multiracial 1.5%
Hawaiian 0.5%
Declined to self-identify
8% 84%
10%
6%
English 84%
Spanish 10%
Other 6%
Expert
Mental Health Nurse Consultant• MSN & Board-certified Psychiatric
Mental Health Nurse Practitioner
• Professional nurse development
• Links to mental health and
substance abuse services
• Supports the social and emotional
needs of families and NHVs
Mental Health Matters
“The best part is the social aspect of having someone caring come
to your home. Being a new mom can be isolating.
I’ve learned a lot from NFP about managing anxiety and stress.”-Tabitha, Goodwill NFP Mom
Two-Generation Approach• Aims to equip both parents and children with the tools
to thrive, while removing obstacles.
• Success relies on the collaboration of partners from different spheres, with a commitment to:
• Align missions and intended outcomes
• Collect and share data
• Build communication mechanism
• Pool areas of expertise
• Coordinate activities
• Bring together funding streams
Takeaways for Two-Generation Success • Develop varied partnerships that align mission, vision, and goals.
• Coordinate services.
• Seek outside expertise, and listen to many voices.
• Build a wide referral pipeline with many organizations.
• Consider how to integrate and use data long-term
• Become experts in building relationships
NFP isClient-centered
Women, living in poverty,
enroll when they are less than
28 weeks pregnant with their first baby.
HUMAN BRAIN DEVELOPMENTSynapse formation dependent on early experiences
