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Healthy Families (Queen Anne's County FY18 and beyond)

This scorecard hold the semi-annual and annual performance measures for reporting purposes for the Healthy Families Program in Queen Anne's County beginning in FY 18. 

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Time Period
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Why Is This Important?

Healthy Families addresses all priorities of new mothers, increases opportunity of prenatal and pediatrician visits, and is an evidence-based program which reduces child maltreatment. Also, by helping individuals to develop healthy personal standards of care, acknowledging mental health concerns, gaining access to resources, and by learning coping mechanisms, the impact of Adverse Childhood Experiences can be reduced.

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Time Period
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What We Do

Healthy Families has successfully provided personalized care to new or expectant parents in Queen Anne's County. Healthy Families offers in-home visits to program participants where they review immunization schedules, developmental stages, self-care, bonding, resource access, and much more. Involvement in this program provides parents with the knowledge to build parenting and personal skills and directly effects child maltreatment by showing parents how to successfully navigate childcare and parenthood.

Story Behind the Curve

FY18. Healthy Families is actively serving 44 out of 48 families indicated in the data. There were four families who have moved out of the service area, two families that decided to exit the program and two families that graduated from the program. There were five births for this quarter for Queen Anne's County. Four out of the five births were at a healthy birth weight and gestational age.

FY19 Healthy Families is actively serving thirty-nine families of the forty-three families, however, four families enrolled chose not to stay engaged. There were twelve births in the second half of the quarter, and eleven had a healthy birth weight, gestational age and one of the birhts was a substance exposed newborn.

In FY20 the COVID-19 Pandemic severly affected operations of many programs being offered throughout the county. Operations were unfortunately required to come to a halt, temporarily, while mandatory social distancing was put into place and home visits were required to stop. After a few weeks however, program providers were able to begin virtual visits with program participants to ensure expectant mothers and new mothers were receiving the necessary information and supplies. Program providers compiled 'care packages' which they door dropped at the homes and later reviewed the components of via virtual meetings with the parent(s). Although this was a new process it was a necessary adaptation to adhere to local, state, and national guidance while still serving local parents relying on these services. Providers reached the targeted goals and helped families to thrive.

In FY21 operations were eventually able to resume to in-home visits, while a small number occurred via virtual meeting methods. Many families participating in the program reported prolonged struggles as a result of the pandemic and its effects. Certain services remained unavailable or were discontinued, others were difficult to obtain. Nonetheless, the program continued and offered services, provided referrals, and assisted the designated target number of participants. 

FY22- program providers reported a data breach at their facility and as a result were unable to provide report data regarding specific numbers and demographics. This technical issue did not affect program operations, as home visits occurred as usual. Providers were just recently able to report half year fiscal information and scorecard data has been updated. Already at the half year mark, the program has seen 15 of its overall target of 20 families in the county. 

Partners

Nicole Chase-Powell, Program Director and staff continue to work with Queen Anne's County partners and attend meetings to support the efforts of this county. The partners include but are not limited to: Judy Center, Health Department, hospitals and OBGYNs, Department of Social Services Multi-Disciplinary Team, Early Childhool Advisory Council, Family Support Center, Child Fatality Review Team and Infant Mortality Review Team, CommUNITY Mentoring, Chesapeake Helps and Maryland Coalition of Families.

What Works

Personalized care and assistance from professionals has worked to promote a healthy and safe home environment for the expected infant or young child. Families enrolled in the program receive prenatal care and continued healthcare for the child and the parent. The program works to encourage the parent(s) to parent the child comfortably and in accordance with recommended standards of care. Providers teach parents certain parenting skills and methods to help promote development and bonding. Surveys given to participants show satisfaction with the services, and providers report children to be receiving standard healthcare, and continued improvement in overall wellness. Reports indicate program participants more likely to continue to at least one year of college and/or report a re/connection to employment as compared to non-participants.  

Strategy

FY23

Healthy Families is a home-visiting program that provides long-term voluntary support services to families from the prenatal period until their child enters a full-time educational setting, usually between the ages of three to five.  It is a two-generational approach strategy, monitoring the parents and children, serving families affected by incarceration in Queen Anne's County.

Who We Serve

FY23

Serve up to 20 families with the following eligibility criteria: Families from the prenatal period until their child enters a full-time educational setting, usually between the ages of three to five; and must have been impacted by a parental or caregiver's incarceration.

Strategic Plan Part 1: The Community
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Strategic Plan Part 2: The Program or Committee's Role in Achieving Part 1

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Possible Future Goals:

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Meeting Updates, Announcements, and Decisions (Notes from Meeting)

Place a line above the note below and then enter information about the most recent update on top  of it starting with the date of the note


Old Information

Data Discussion

2-24-22 HFY1 2022: Queen Anne's County Department of Health's data was restored this week. Vendor was able to submit their report to the QAC LMB.

Of note, the number of families served has decreased from previous years from 40 to 20. To date, the Healthy Families program has served 15 families, or 75% of the targeted number for FY22. Home visits are down as well, in part due to the decrease in number of families served, but also because staff and family participants suffered from COVID during the first half of the year at some point or another. The Healthy Families Parenting Inventory (HFPI) Tool was administered to families quarterly to measure reaching or maintaining the target range (target range is a score of 3 or better on a scale of 1-5) for "Use of Community Resources." The Participation Satisfaction Survey will be administered at the end of the year. 88% of primary caregivers without a high school degree or equivalent nor employed at enrollment in Healthy Families enrolled in school/training, maintained continous enrollment in, or completed a high school degree or equivalent, or became employed and maintained continous employment after enrollment in Healthy Families. 15 participants completed the post survey. 3 of those surveyed (20%) reported an improved attitude/outlook for communication, family stability, or resources available during incarceration; 3 of those surveyed (20%) reported increased communication, family stability, maintenance of familial connections, or support in reunification. For the first half of the year, all of the participants served are of the Hispanic/Latino population. Finally, for the first half of FY22, there were no substance-exposed newborns reported.

2-18-22 HFY1 2022: The Queen Anne's County Department of Health suffered a data breach in October of 2021. They have been unable to provide us with data for their performance measures for the first half of the fiscal year, and have not been able to bill for expenses for that time period as well. The QAC Community Partnerships for Children has been in touch with the vendor every couple of weeks to touch base and to see if they have had their data restored. 


Family Support Workers conduct home visits, either weekly or quarterly, and depending on each individual Family Plan. The Life Skills Progression Tool is administered to families quarterly to measure reaching or maintaining the target range (target range is a score of 3 or better on a scale of 1-5) for "Use of Community Resources." A Participation Satisfaction Survey is administered annually to help the Healthy Families program to determine satisfaction with program services.

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HFY2 2023
17
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-51%
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HFY2 2023
18
2
20%
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Time Period
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What We Do

Healthy Families in Queen Anne's County follows the Healthy Families America (HFA) model. HFA is the signature program of Prevent Child Abuse America. HFA is designed for parents confronting challenges such as low income, childhood history of abuse, domestic violence, mental health issues, and addictions. Many of these conditions are known to the currently or formerly incarcerated parents. 

Based on findings from the 2016 needs assessment, Queen Anne's County Local Management Board chose to build upon the existing home visiting model of Health Families and use the framework to serve at least 30 families with the following eligibility criteria: 1) children ages 0-5 with parents who are currently or were formerly incarcerated.

Healthy Families professionals coordinate with existing early childhood services such as the Family Support Center, Headstart, the Judy Center, and the Health Department to leverage as many resources as are needed by first time parents. Home visiting is a key component to Healthy Families and this allows the home visiting nurse to effectively assess needs, support optimal childhood development and mobilize outside resources.  Healthy Families is currently the only home visiting program in the county for young families.

Story Behind the Curve
Partners
  • Queen Anne’s County Department of Social Services-Assist with planning, implementation, monitoring and providing services to the two populations.
  • St. Paul’s Parish-Assist Haven Ministries Resource Center in effort to provide skills and classes such as relationship building, resume writing, goal setting and interview coaching for both populations
  • Queen Anne’s County Local Management Board-Provide program oversight and monitoring; Continue support of the Strategic Planning Committee; Ensure the collective impact approach to opportunity youth; Provide Local Care Team coordination
  • Queen Anne’s County Local Care Team-Serve as conduit to connect eligible youth, parents, and families to strategies
  • The Judy Center Partnership-The Judy Center supports young children in Queen Anne’s County. Participate in planning and the implementation process, continuing to allocate staff or other resources, continuing to contribute materials of instructions, and continuing to provide referrals for services for families.
  • Queen Anne’s County Division of Housing-Provide housing counseling for both populations who may be homeless or at risk of becoming homeless. Refer appropriate individuals to initiatives. Would like to work with former opportunity youth interested in purchasing first house.
  • Upper Shore Workforce Investment Board-Involvement in community assessments by LMB. Employment, training and education for disconnected youth who are eligible and interested in pursuing services through Workforce Innovation and Opportunity Act. Services originate at American Job Center.
  • American Job Center: Upper Shore Network-American Job Center provides collaborative and integrated workforce development, adult education, labor exchange and job development services that target the two population areas. The program provides: assessment and testing, assistance with obtaining basic education and high school diplomas, work-based learning programs and potential placement into employment.
  • Queen Anne’s County Juvenile Services-Refer youth and parents as needed to QAC Initiatives that might be beneficial; Serve on the Local Care Team
  • Chesapeake College/The Chesapeake Child Care Resource Center/Chesapeake Helps!-Serve as conduit to refer eligible youth, parents and families to strategies; Serve as transportation broker  to connect strategy recipients to viable transportation options; Provide improved data collection and monitoring (locating opportunity youth and children of currently/formerly incarcerated parents. Market the program to target populations and encourage referrals to initiative programs. Additionally, space can be provided for meetings or training events.
  • Queen Anne’s County Department of Human Resources-Mentor targeted populations in resume writing and interview skills, thus instilling self-confidence and poise needed to successfully interview.
  • Corsica River Mental Health Services-Serve as a behavioral health referral to identified children/parents affected by incarceration; resource sharing.
  • Bayside H.O.Y.A.S., Inc.-Provide Opportunity Youth with educational enrichment, mentoring, leadership training, health promotion and public service projects.
  • Haven Ministries-Provide target populations with homeless shelter, food pantry, thrift store, resource center and street outreach program. Additionally, will participate in Transportation Committees with Chesapeake Helps!. Will make referrals to appropriate programs.,
  • Queen Anne’s County Economic & Tourism Development-Assist in promoting Opportunity Youth Initiative to the public and business community.
What Works
Who We Serve

Targeted population are Opportunity Youth pre/postnatal and have children under the age of five. Additionally, families with children under the age of five that are affected by a loved one's incarceration.

Strategic Plan Part 1: The Community
  • Proposed Result 1 - Communities are Safe for Children, Youth and Families

    Healthy Families in Queen Anne's County follows the Healthy Families America (HFA) model. HFA is the signature program of Prevent Child Abuse America.

    • Child Maltreatment - for FY18, the Queen Anne's County Healthy Families program had 100% of enrolled families (63 families served) without a child abuse or neglect finding.
  • Proposed Result 2 - Children Will Complete School

    High on the list of sub-strategies is encouraging parents to complete their GED, attend vocational training or college, and/or find viable employment.

    • Educational Attainment - the percentage of young adults ages 18-24 who have not earned a high school or equivalency diploma - for FY18 42 out of 52 participant parents (or 81%) enrolled in school/vocational training or became employed (and who were not in school/vocational training or employed) within 6 months to 1 year of Healthy Families enrollment.
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FY 2023
32
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-14%
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Time Period
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What We Do
Story Behind the Curve
Partners
What Works
Strategic Plan Part 1: The Community
  • Proposed Result 1
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  • Proposed Result 2
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Strategic Plan Part 2: The Program or Committee's Role in Achieving Part 1

Goal #1:  Add Text Here

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Goal #2:  Add Text Here

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Goal #3: Add Text Here

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Possible Future Goals:

  • List Idea of Future Goal Here
    • List idea of future performance Measure here


Meeting Updates, Announcements, and Decisions (Notes from Meeting)

Place a line above the note below and then enter information about the most recent update on top  of it starting with the date of the note


Old Information

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