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Home Visiting
IN THIS ISSUE...
Data Cleanup and Reporting
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Continued on page 2
Tribal Terms
Reflective Practices
CQI Spotlight
TANF Report
in Washington StateAugust 2020
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Without high quality data, it’s difficult to tell a complete story of families receiving home visiting services in Washington State. Timely data entry for all services – visits, screenings, referrals, etc. – is essential to reflect all services received by families. Below, we’ve outlined data elements and strategies that are key to improving the completeness of HVSA data as we approach the end of the federal fiscal year.
ConsentObtaining caregiver consent to share data with the HVSA is an important step in the data
collection and reporting process for all LIAs. Please review the
consent status of each of your current families. For clients missing their consent status, please indicate their decision. For families who previously refused to share data, you may want to check in to see if they feel more comfortable sharing data after being in the program and building rapport with you. Due to reporting time constraints, we need all consent data updated no later than September 4, 2020.
Missing DataChild Date of Birth• Knowing a child’s date of birth
helps us learn about how long mothers are breastfeeding, if caregivers are receiving depression screenings on time, whether developmental
BEING TOLD YOU’RE
APPRECIATED IS ONE OF THE SIMPLEST AND MOST UPLIFTING THINGS YOU CAN
HEAR. -Sue Fitzmaurice
Action ItemsAug. 30:July 2020 Monthly InvoiceFor TANF: Executed DSA with DSHS to access the eJas, if amended
Sept. 9:NFP Consenting Client due to DOH
Sept. 20:August 2020 Monthly Enrollment Data ReportAugust CQI PDSA Report
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screenings are completed within the appropriate windows and if children are receiving recommended well child visits. Ensure that all born children have a date of birth recorded in your data system.
Exit Dates• Exit dates let us know how long families are
receiving services and help us understand the characteristics of families that leave. Confirm that families who have exited have exit dates recorded in your data system, and consider exiting families who haven’t received a visit for some time.
Funding Codes
Data cont....
• Funding codes are how we identify that a client is served by HVSA funding and we are allowed to include them in our data reporting. Ensure that each client that is being served with HVSA funding has a correctly assigned funding code.
The Quality Assurance (QA) Reports distributed by DOH in May can help you identify families that are missing data, including consents. Due to COVID-19 response, DOH may be unable to produce updated QA reports for sites before the end of September. If you need your May QA report reposted to SFT or you have any other questions, contact Sherry Carlson ([email protected]) or Martha Skiles ([email protected]).
For FLO and Visit Tracker users, the deadline for entering data for the federal fiscal year (October 1, 2019 – September 30, 2020) MIECHV reporting is October 5, 2020.
Data DashboardsYour site’s dashboard documents, the Quarterly Data Dashboards and the Dashboard Details Report, are anticipated to be available by Friday, August 21, via the Secure File Transfer (SFT) site.
The dashboards reflect your program’s data for SFY20 Q4 (April 2020 through June 2020). Please note, data used to populate these dashboards is current as of August 7, 2020. Please note, for this dashboard DOH used both Home Visits and Encounters to calculate Enrollment and Retention performance.
For portfolio programs, your dashboards are currently being generated—DOH will contact you directly when they are completed. You can find resources related to dashboards via the following links: • Dashboard Training Video (~15 min)• FAQs
Save the Date!: The fall All HVSA (virtual) meeting is happening Nov. 18-19 from 9 a.m. to noon each day. Stay tuned for more information and a calendar hold.
Columbia Basin Health Association’s PAT program has been awarded the LOSOS Prize for Innovation, for the outstanding achievement in program innovation. PAT awards only three of these awards each year. They will be celebrated for this achievement at the virtual PAT conference in October. Huge round of applause for this achievement!
Congratulations!
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Home Visiting Services for TANF FamiliesTemporary Assistance for Needy Families (TANF) funding for the Washington State Department of Children, Youth, and Families (DCYF) Home Visiting Services Account (HVSA) home visiting programs became a reality in Washington in 2014, with the first cohort of programs receiving funding in 2015 and another cohort in 2016.
Over this time, TANF-funded home visiting programs have served hundreds of TANF participants to support their goals and hopes for their families and children. Additionally, TANF home visiting programs and staff learned and developed incredible capacity related to the nuances of TANF participation requirements, partnering with their local Community Service Office, communication and much more.
Early on in the partnership, the Department of Social and Health Services (DSHS) wisely required an evaluation of this strategy, largely to learn about how funding home visiting did or did not effectively support families to achieve TANF-oriented outcomes. As such, the Research and Data Analysis (RDA) unit within DSHS completed three phases of study on the TANF-funded home visiting program.
Most recently, RDA released the third study in a paper (Home Visiting Services for TANF Families with Young
Children: Second Year Outcomes) that outlines the slightly longer-term impacts of home visiting on TANF participating families. The study included 261 families enrolled during the earlier years of the TANF home visiting implementation. This study examines the longer-term outcome of the home visiting involved families compared to similar TANF participating families who were not in home visiting.
The study highlights some very promising outcomes, including:• Parents enrolled in TANF Home Visiting were more
likely to engage in WorkFirst activities in the two years after enrolling.
• Parents enrolled in TANF Home Visiting were more likely to use child care subsidies and greater use of child care was also found in the first year after enrollment.
• Infants born to TANF Home Visiting participants were less likely to be treated for injuries or visit the emergency department for outpatient treatment in the second year after enrollment.
• Infants born to TANF Home Visiting participants were less likely to be placed out of home in the first year after enrollment.
If you have any questions about this report or Home Visiting, please email [email protected].
Centers for Disease Control and Prevention’s (CDC) Division of Reproductive Health has released a national communication campaign that brings attention to maternal morbidity and mortality in the United States.
Hear Her seeks to raise awareness of potentially life-threatening warning signs during and in the year after pregnancy and encourages the people supporting pregnant and postpartum women to really listen and take action when she expresses concerns.
The Hear Her campaign is inspired by the people who have been personally affected by a severe pregnancy-related complication or death and features stories of women who have experienced urgent maternal warning signs.
Women know their bodies and can often tell when something is not right. Listening and taking the concerns of pregnant and postpartum women seriously is a simple, yet powerful action to prevent serious health complications and even death.
The campaign is designed to increase awareness of urgent maternal warning signs and empower pregnant and postpartum women to speak up when they have concerns. Campaign materials are designed to enhance communication between pregnant and postpartum women, their support systems, and their healthcare providers.
Learn more at www.cdc.gov/HearHer.
Hear Her. Save a Life
August CQI UpdateJoy in Work: Driver 2 – Physical and Psychological SafetyDuring our July CQI Webinar we took a deep dive into one of the primary drivers of ‘Joy in Work’ focused on Physical and Psychological Safety for home visitors (webinar recording is available on Basecamp). During this conversation, we considered what the factors that contribute to safety, and those that might hinder safety. In this time of COVID-19, we recognized that factors such as working remotely, balancing work/family responsibilities, concerns about health and safety and triggering of past trauma may exacerbate feelings of being unsafe.
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In addition to thinking about what contributes to safety, it can also be helpful and empowering to reflect on what is in our control and what is out of our control. Here are a few examples:
Strategies to Support Physical and Psychological Safety: • Daily/weekly team huddles• Frequent team check-ins and conversations about issues of safety Continued on page 5
CQI Spotlight cont....
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• Transparency in communicating decision-making process • Opportunity for home visitors to provide feedback (as a team, or anonymous) – staff surveys, dialogues,
etc.• Home visitor buddy systems • Team connections (non-work related) – Zoom lunches/coffee breaks, birthday celebrations, etc.• Mental Health Consultation or Reflective Consultation support
COVID-19 PDSA Reporting • We will continue the use of COVID PDSA Logs monthly through Q1 of SFY21 (July – September 2020).
As COVID continues to impact our work and communities, we know there will be new and ongoing challenges to address. Please continue to use the PDSA Log to document and reflect on changes/strategies implemented in response to COVID-19.
• The COVID PDSA Log will be submitted each month in place of usual CQI reporting. Please submit these logs to Elisa Waidelich at [email protected] and cc your DCYF Program Specialist.
August CQI Webinar: We will continue to host monthly CQI webinars and focus on topics relevant to our work during COVID-19. This month, we’ll focus on the role of ‘failure’ in CQI and look at a couple new CQI tools. Due to a scheduling conflict, we will only have one webinar time this month. • Wed. Aug. 26, 1:30 – 2:30 p.m.
https://zoom.us/j/93472501637?pwd=bjdNMU8xVWd2VWRJY3FRQ0ErOGxIZz09 Meeting ID: 934 7250 1637Password: 212746
We are excited to partner with Mia Edidin and Meyleen Velasquez from Perinatal Support Washington to offer a virtual training series on Perinatal Mental Health. Through this virtual series, home visitors will gain a foundational understanding of perinatal mental health, including perinatal mood and anxiety disorders, PHQ-9 screening and follow-up, providing referrals and ongoing support and crisis protocol. This virtual training opportunity will take place over six weeks, with one three-hour session each week (six sessions total). Please see the training overview on the registration page for more details about the learning objectives for each session. Dates: September 15 – October 20, 2020Time: Tuesdays, 9 a.m.-12 p.m.Location: Zoom Audience: This training is open to both home visitors
and supervisors. We encourage new staff, as well as anyone who would like a refresher, to attend. *Please note, there are limited spots available and a waitlist option – Priority registration was given to those who had previously registered for an in-person version of this training cancelled due to COVID-19. This training will be offered again in spring 2021. Before registering, please make sure you will be able to attend all six sessions. CEUs will be available for participants who are present and complete all six sessions. Register here. For any questions, please contact Elisa Waidelich – [email protected]
Perinatal Mental Health Trainings
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The Home Visiting Advocacy Coalition consists of a number of organizations that support increasing access to home visiting in Washington State. Convened by the Ounce Washington, the group works together to increase understanding of the many benefits of home visiting with the goal of providing more opportunities for families to access the service. The coalition developed this high-level one-pager to educate legislators about what home visiting is and to provide a snapshot of the availability of home visiting in our state. It is a useful guide when talking to people such as state legislators, county commissioners or city leaders who may be unfamiliar with home visiting.
If you have any questions about the coalition or this document, please contact Erica Hallock, the Ounce Washington’s Director of Policy and Advocacy.
HOME VISITING: IMPROVES LIVES, SAVES MONEY
WHAT IS HOME VISITING?Home visiting is a voluntary, proven program where trained home visitors and parents work together to strengthen and support families in the child’s first years of life.
As the risk of COVID-19 became clearer in mid-March, home visitors quickly pivoted to provide telehealth/virtual visits. DCYF granted flexibility for programs to use current contract funds to purchase technology needed for families to engage in virtual visits. Most recent data show strong retention of participating families after the shift to virtual visits as well as continued enrollment of new families.Throughout our state, families are experiencing economic challenges and increased isolation due to shelter at home recommendations. As families navigate the many stresses of parenting during a public health pandemic, home visitors continue to serve as a trusted resource and support.
HOME VISITINGOUTCOMES Research has proven the benefits of home visiting, including:
Improved Parenting Practices
Reduced Crime and Domestic Violence
Reduced Child Abuse and Neglect
Improved Family Self-sufficiency
ImprovedBirth Outcomes
Improved Coordination and Referral for Other
Community Services
Improved Kindergarten
Readiness
Early Detection of Health Issues and
Developmental Delays
Having Zoom visits during Covid has given me an opportunity to have face to face conversation with someone in my home, without having to worry about social distancing. It has provided me with someone to connect to, voice my concerns, and get an easy peace of mind as to how I am parenting during a time when a lot of other avenues of support are hard to reach. I am very thankful to have been able to continue my visits and have such a smooth transition.
- JESSIE, Parent, Washington State
HOME VISITING CONTINUES IN THE COVID-19 ERA
Home Visiting Advocacy Coalition
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Thank you to everyone who attended the recent Reflective Practices webinars on SFY21 offerings. A survey monkey was distributed to supervisors and program managers to let us know what opportunities you’d like to sign up for. If you haven’t taken the survey yet, here is the link to use: https://www.surveymonkey.com/r/P29YKFWThere is still room in our three fall offerings, listed here:
WA Supervisor FAN September 8/9 and 15/16, 20201-4 p.m., Remote Zoom Platform
This is a small, interactive training for up to 12 supervisors that teaches how to use the FAN tool in providing Reflective Supervision to staff. Your supervisees don’t need to be trained in FAN themselves and the learning experience includes monthly mentorship and implementation support for six months.
While preference is given to supervisors not previously trained in FAN, supervisors who did the team-based FAN training are welcome to apply! See the FACT sheet for more details.
Growing Brain Foundational Training Series for Home VisitorsTuesdays, Oct. 6 – Nov. 17 (seven-week series)1 – 4 p.m.
Presented by WA-AIMH, this Zero to Three Curriculum training series is geared toward Home Visitors early in their careers and carrying caseloads. HVSA supervisors are invited to nominate one Home Visitor from their team to participate.
IECMH Foundational Online Training Series for Supervisors and Program ManagersThursdays, Oct. 15 – Nov. 12 9 a.m. to noon
Presented by WA-AIMH, this Infant and Early Child Hood Mental Health Foundational training series is geared toward Program Managers and Supervisors who’ve been in their roles for two years or longer.
Have questions? Please contact Nina Evers at [email protected] or by cell phone at 360.522.0982.
Furlough Reminder: As a reminder, all state agencies will continue to furlough a majority of employees one day a month through November in accordance with the Governor’s Directive 20-08, the ongoing fight to reduce the impacts of COVID-19 and budget impacts due to the pandemic. DCYF will be taking furlough days on the second Friday of each month. DOH will be taking their fulough days on the third Monday of the month.
During this time, we apologize for any inconvience and delay in getting back to you. We appreciate your understanding as we continue to work through this together.
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Tribal Key TermsWe wanted to introduce you to our new colleague Brian Frisina, the Tribal Program Consultant for our Early Support for Infants and Toddlers team. Brian will be regularly sharing key terms to help support us all in getting to know our Tribal Nations partners better.
Brian is a part of a state leadership team that works toward building new relationships and strengthening existing relationships with their tribal nations as partners across the state of Washington. Brian comes to us with a Master’s degree in Tribal Governance from Evergreen State College and nearly 20 years working in state government. His work has focused on supporting information needs through research and effective communication. Brian has a depth of experience working with many diverse communities concentrating on Tribal Nations. Over the years, he has been a driving force in both his community, and the workplace promoting diversity, equality, equitability and inclusion related to all Tribal Nations especially those Nations that allow him to live in their home territories.
Tribal ConstitutionModern tribal nations pass laws, exercise criminal jurisdiction and enjoy extensive powers when it comes to self-governance and matters of sovereignty. And of 566 tribal nations, just under half have adopted written constitutions. In the American tradition, a constitution limits the power yielded by governments over citizens, which raises a question: how can the rights of tribal citizens be protected if tribal nations have yet to codify their own functions and operations. Join us as we discuss government power, sovereign status and whether modern tribal nations are serving the needs of their citizens by adopting constitutions.
The Marshall Trilogy – U.S. Supreme Court and the Federal Trust Responsibility (1823-1832). Named after Chief Justice John Marshall, who wrote the opinions for the U.S. Supreme Court, the Marshall Trilogy consists of three foundational cases that are based on the international law that existed during America’s colonial period. The first decision, Johnson v. M’Intosh, proclaims that title to Indian lands belonged to the U.S. Government and that Indians enjoyed only a right of occupancy due to Doctrine of Discovery -- established by the Spanish to justify the taking of aboriginal lands.
This is the basis for the U.S. Government to assert control over tribal land.
In Cherokee Nation v. Georgia, Marshall explained that Indians were not foreign Nations but were “domestic dependent nation[s]” – small nations that have accepted the protection of a nation, yet still retain their sovereignty. Two doctrines result from the Cherokee decision: (1) the “duty of protection,” and (2) the “guardian/ward relationship” between the U.S. Government and the Indian Tribes.
The duty of protection means that the U.S., because it asserts ownership over Indian lands, must protect the Indians from all hostiles, including hostile U.S. citizens. The guardian/ward relationship means that the U.S. holds all land and resources in trust for the Indians, creating a fiduciary duty. It is this “trust relationship,” combined with the promises made through 370 treaties with the sovereign Indian nations, that continues to require the U.S. to keep the best interest of the Indians in mind when the federal government deals with the Indians. The trust relationship is perhaps the most pervasive and important doctrine in Indian law and current US Indian policy.
In the third case, Worcester v. Georgia, Marshall found that the individual states had no right to impose their laws on the Indians and, furthermore, federal Indian law “pre-empted” state laws. The result is that state law generally does not apply within Indian Country
What’s Happening Next Month?
NFP Consenting
Clients to DOH
Enrollment CheckBy the
NumbersIn June we had 2,928 home visits across the state to 1,556 families for an average of 1.88 visits per family.
Our statewide enrollment for June was 1,857 families, putting us at 77%.
You are continuing to serve families despite the challenges of COVID-19. Thanks for all you do!
Monthly Enrollment,
Report & August CQI PDSA due
Monthly Invoice due
Labor Day
First Day of Fall
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National Pancake Day
