Home Visiting

PUBLIC HEALTH

County Spending Category
2.5 Healthy Families
Federal Expenditure Category
Healthy Childhood Environments: Home Visiting
Project Launch Date
03/15/2023
Anticipated End Date
06/30/2024
Interpretation Languages
  • Cambodian (Khmer)
  • Spanish
  • Mandarin
  • ASL

Project Contacts

Indicators & Metrics to Date

  • No. of Implementing HFA Home Visiting Agencies
    8
  • No. of Home Visitors Hired
    15
  • Number of Families served by Home Visiting
    203
  • No. of Home Visits Completed
    2397
  • Number of Home Visitors Fully Trained with HFA Model and Can Serve Clients
    15
  • Percentage of HFA FSS Hired
    75
  • Percentage of FSS Fully Trained with HFA Model and Can Serve Clients
    75
  • Number of Referrals for ARP HV this reporting Month
    341
  • Number of New Enrollments this Reporting Month
    203
  • Number of Referrals/Linkages to Mental Health Services
    63
  • Number of Referrals/Linkages for Intervention of Substance Use/Abuse
    4
  • Number or Referrals/Linkages to IPV/DV Intervention
    4
  • Number of Referrals/Linkages to Developmental Delay Interventions
    4
  • Number of Referrals/Linkages to Child Care Services
    5
  • Number of Referrals/Linkages to Early Childhood Education
    29
  • Enrollment Rate
    60
  • Number of Parents/Caregivers Enrolled
    203
  • Number of Children Served in ARP Home Visiting
    132
  • Number of Other Referrals/Linkages provided to Home Visiting HFA Parents/Caregivers
    468
  • Number of Other Referrals/Linkages provided to Home Visiting HFA Children
    164

Target Populations

  • People with Disabilities
  • Systems Impacted Individuals
  • Systems Involved Individuals
  • Individuals Experiencing Mental Health Disorders
  • Individuals Experiencing Substance Use Disorders
  • People Experiencing Homelessness

Project Description

This project will fund and revive the Los Angeles County Department of Public Health (DPH)’s Home Visiting Program, utilizing the Healthy Families America (HFA) model to provide supportive home-based visitation services to 600 high-risk, low-income pregnant and parenting families, including perinatal and parental support, education, and empowerment; regular screenings and assessments for mental health symptoms and early child developmental delays; as well as referrals and linkages to community and government services. This program recovers eliminated services of HFA contractors providing services to non-CalWORKs eligible individuals and families in Los Angeles County, as well as the terminated temp staff providing program oversight, technical support, and administrative support. The program will target vulnerable families with teenage pregnancies and parenting, those without healthcare insurance, those experiencing or at-risk for depression, anxiety, or other mental health issues, those facing intimate partner/domestic violence, substance abuse, people experiencing homelessness, unemployment, and/or who are in foster care. The project will address the needs, deficiencies, and inequities exacerbated during the COVID-19 pandemic and replace defunded services for ~600 pregnant and parenting families in the previous fiscal year. HFA is rooted in the belief that early, nurturing relationships are the foundation of life-long, healthy development. The project aims to continue the work done by Family Support Specialists in building upon attachment and bio-ecological systems and tenets of trauma-informed care, in solidifying interactions between home visitors and families as relationship-based which are designed for prevention and early interventions, addressing the increasing mental health needs and risks evident during the pandemic, as well as to enhance strategic approaches to support strong and equitable recovery from the pandemic recognizing the gaps in healthcare delivery in the population of focus. The home visiting services will be provided in early pregnancy and continue until a child is three or five years, depending on model affiliation eligibility. The ARP funds will allow up to 400 HFA families to be served.

Goals & Objectives

Goal Description ARP Home Visiting aims to continue and augment the traditionally delivered HFA home visiting services that were formerly funded by the Department of Mental Health through the Mental Health Services Act/Prevention and Early Intervention (PEI). Based on HFA evidence-based model (EBM) Best Practice Standards (Revised February 2022), 200-400 HFA eligible families will receive home visiting services, resources, and/or referrals/linkages from Family Support Specialists to support and assist them to cultivate and strengthen nurturing parent-child relationships, promote healthy childhood growth and development, and enhance family well-being by reducing risk and building protective factors.

Objective Description DPH MCAH will have agreements with community agencies in Los Angeles County who are using the evidence-based model of Healthy Families America (HFA) to deliver home visiting services to vulnerable and COVID-19 impacted pregnant and parenting families.

Activity Description Partner with agencies in Los Angeles County who are delivering home visiting services using the Healthy Families America (HFA) model.
Indicators
# Type Name Baseline Target
11 Performance No. of Implementing HFA Home Visiting Agencies 0.00 8.00

Activity Description Employ 20 Home Visitors as HFA Family Support Specialists who have the reflective capacity, community knowledge, and related lived expertise to build supportive relationships.
Indicators
# Type Name Baseline Target
12 Performance No. of Home Visitors Hired 0.00 20.00
26 Performance Number of Home Visitors Fully Trained with HFA Model and Can Serve Clients 0.00 20.00

Outcome Description 100% of the ARP Home Visiting HFA Family Support Specialists will be hired 3 months into implementation and fully trained with the HFA model within 90-120 days of hire to serve clients.
Indicators
# Type Name Baseline Target
14 Performance Percentage of HFA FSS Hired 0.00 100.00
23 Performance Percentage of FSS Fully Trained with HFA Model and Can Serve Clients 0.00 100.00

Goal Description Based on HFA evidence-based practice (EBP) model Best Practice Standards (BPS, Revised February 2022), 200-400 HFA eligible families will receive home visiting services.

Objective Description ARP Home Visiting will be able to outreach and engage eligible families, and enroll them for service participation to help and support them in their pregnancy and parenting experience and capacity-building.

Activity Description HFA FSS will perform home visits with ARP HV clients and their children with adherence to the HFA Best Practice Standards (BPS), conduct assessments and screeners, and provide resources, referrals, and/or linkages to families based on completed assessments and screenings, and expressed needs by clients.
Indicators
# Type Name Baseline Target
25 Service Delivery No. of Home Visits Completed 200.00

Objective Description ARP HV will utilize HFA-trained Family Support Specialist who will provide education, information and guidance to participating eligible families to cultivate and strengthen nurturing parent-child relationships, promote health childhood growth and development, and enhance family well-being.

Activity Description ARP Home Visiting HFA Family Support Specialists (FSS) will outreach, recruit, and enroll eligible participants into the program. FSS will work on to sustain client enrollment and ensure they are meeting their participation goals and are healthy, safe, and with children ready to learn.
Indicators
# Type Name Baseline Target
2 Service Delivery No. of Referrals and/or Linkages Provided by Home Visitors
24 Program Outcome Number of Families served by Home Visiting 0.00 200.00
30 Program Outcome Number of Parents/Caregivers Enrolled 0.00 200.00
31 Program Outcome Number of Children Served in ARP Home Visiting 0.00 200.00

Outcome Description All pregnant and parenting families in Los Angeles County eligible under the evidence-based HFA model criteria and who were disproportionately impacted by the COVID-19 pandemic will have access to ARP Home Visiting services.
Indicators
# Type Name Baseline Target
15 Service Delivery Number or Referrals for ARP HV this Reporting Month 0.00
22 Service Delivery Number of Referrals for ARP HV this reporting Month 0.00
27 Service Delivery Number of New Enrollments this Reporting Month 0.00
33 Program Outcome Enrollment Rate 0.00 25.00

Outcome Description All pregnant and parenting parents/caregivers enrolled in ARP HV who have been assessed with a need or have expressed need will have access to family support referrals and linkages.
Indicators
# Type Name Baseline Target
16 Service Delivery Number of Referrals/Linkages to Mental Health Services 0.00
18 Service Delivery Number of Other Referrals/Linkages provided to Home Visiting HFA Parents/Caregivers 0.00
21 Service Delivery Number of Referrals/Linkages for Intervention of Substance Use/Abuse 0.00
28 Service Delivery Number or Referrals/Linkages to IPV/DV Intervention 0.00

Outcome Description All children enrolled in ARP ARP HV who have been assessed with a need or have expressed need from their parents/caregivers will have access to family support referrals and linkages.
Indicators
# Type Name Baseline Target
17 Service Delivery Number of Referrals/Linkages to Developmental Delay Interventions 0.00
19 Service Delivery Number of Other Referrals/Linkages provided to Home Visiting HFA Children 0.00
20 Service Delivery Number of Referrals/Linkages to Child Care Services 0.00
29 Service Delivery Number of Referrals/Linkages to Early Childhood Education 0.00