Nurse Family Partnership

PUBLIC HEALTH

County Spending Category
2.5 Healthy Families
Federal Expenditure Category
Healthy Childhood Environments: Home Visiting
Project Launch Date
07/07/2022
Anticipated End Date
06/30/2024

Project Contacts

Indicators & Metrics to Date

  • Number of Families served by Home Visiting
    286
  • No. of Home Visits Completed
    2932
  • Number of Nurse Home Visitors Hired
    7
  • Number of Nurse Home Visitors Fully Trained with the NFP Model
    7
  • Percentage of Nurse Home Visitors Hired
    100
  • Percentage of Nurse Home Visitors Fully Trained with NFP Model
    100
  • Number of Referrals for ARP NFP this Reporting Month
    430
  • Number of New Enrollments this Reporting Month
    286
  • Number of Referrals/Linkages to Mental Health Services
    54
  • Number of Referrals/Linkages for Intervention of Substance Use/Abuse
    2
  • Number or Referrals/Linkages to IPV/DV Intervention
    8
  • Number of Referrals/Linkages to Developmental Delay Interventions
    8
  • Number of Referrals/Linkages to Child Care Services
    28
  • Number of Referrals/Linkages to Early Childhood Education
    17
  • Enrollment Rate
    67
  • Number of NFP Mothers/Parents Enrolled
    286
  • Number of Children Served in ARP NFP
    224
  • Number of Other Referrals/Linkages provided to NFP Parents
    669
  • Number of Other Referrals/Linkages provided to NFP Children
    203

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 is funding for the Los Angeles County Department of Public Health (DPH)’s Nurse-Family Partnership (NFP) Program, which provides intensive home visiting services by specially trained public health nurses for low income high-risk, high-need, and/or medically challenged pregnant families in foster care, teenage pregnancies, those without healthcare insurance, experiencing or at-risk for depression, anxiety, other mental health issues, intimate partner/domestic violence, substance abuse, homelessness, and unemployment. This will address the needs, deficiencies, and inequities exacerbated during the COVID-19 pandemic. The project will replace the defunded services that decreased capacity to serve from 615 NFP pregnant and parenting families in the previous year to only 40 families in FY 21-22. Historically, NFP has served the vulnerable pregnant and parenting population coming from the Department of Children and Family Services (DCFS) and the foster system, those transitioning from the juvenile and criminal justice system, has history or is at risk for mental health illnesses and substance use, trauma and violence, homelessness, immigration issues, among others. The project aims to continue the work done by nurses on 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 continuing through the child's second birthday. The funds will allow at least 175 families to be served.

Goals & Objectives

Goal Description Central to the successful implementation of NFP is the establishment of a trusting relationship with families. Nurse Home Visitors work together with their NFP clients engaging them in activities associated with NFP goals. The program aims that it will be able to hire seven (7) Nurse Home Visitors who will be trained in NFP model and deliver the home visiting services.

Objective Description Within 3 months of ARP NFP approval for launch, the program will have seven (7) Public Health Nurses hired and trained to deliver the evidence-based home visiting services of NFP.

Activity Description NFP will hire seven (7) Public Health Nurses (PHNs) who will serve as Nurse Home Visitors and be able to carry a maximum active caseload capacity of 25 NFP clients.
Indicators
# Type Name Baseline Target
11 Performance No. of Home Visitors Hired 0.00 7.00
27 Performance Number of Nurse Home Visitors Hired 0.00 7.00
28 Performance Number of Nurse Home Visitors Hired 0.00 7.00

Activity Description All PHNs must complete training with NFP-NSO on the model to deliver NFP services.
Indicators
# Type Name Baseline Target
12 Performance No. of Home Visitors who are fully trained with the NFP EBP model 0.00 7.00
21 Performance Number of Nurse Home Visitors Fully Trained with the NFP Model 0.00 7.00

Outcome Description 100% of the ARP NFP Nurse Home Visitors will be hired and fully trained with the NFP EBP model within 90-120 days of hire.
Indicators
# Type Name Baseline Target
17 Performance Number of Nurse Home Visitors Hired 0.00 7.00
24 Performance Number of Nurse Home Visitors Fully Trained with the NFP Model 0.00 7.00
31 Performance Percentage of Nurse Home Visitors Hired 0.00 100.00
35 Performance Percentage of Nurse Home Visitors Fully Trained with NFP Model 0.00 100.00
40 Program Outcome Enrollment Rate 0.00 25.00

Goal Description 175 high-risk and/or high-need families will be enrolled and served under the Nurse-Family Partnership (NFP) Program.

Objective Description ARP NFP will be able to outreach and engage potential families and enroll them for participation in home visiting services to help and support them in their pregnancy and parenting experience and capacity.

Activity Description NFP Nurse Home Visitors will perform home visits with ARP NFP participants with fidelity to the model, perform regular nursing assessments and screeners, and provide resources, referral, and/or linkages to families based on completed assessments and screenings, and expressed needs by clients.
Indicators
# Type Name Baseline Target
26 Service Delivery No. of Home Visits Completed 0.00 175.00

Objective Description ARP NFP will utilize NFP-trained Nurse Home Visitors who will provide information and guidance to participating eligible families to engage in positive health practices and providing responsible and competent care for their children.

Activity Description NFP Nurse Home Visitors will outreach, recruit, and enroll eligible participants into the program. NFP Nurse Home Visitors will retain client participation in NFP and ensure that they are meeting their goals towards healthy pregnancy and parenting roles, as well as having healthy children.
Indicators
# Type Name Baseline Target
15 Service Delivery No. of Referrals and/or Linkages Provided by Home Visitors
25 Program Outcome Number of Families served by Home Visiting 0.00 175.00
33 Program Outcome Number of NFP Mothers/Parents Enrolled 0.00 175.00
34 Program Outcome Number of Children Served in ARP NFP 0.00 175.00

Outcome Description All high-risk, high-need pregnant parents in Los Angeles County eligible under the evidence-based NFP model criteria and who were disproportionately impacted by the COVID-19 pandemic will have access to NFP home visiting services.
Indicators
# Type Name Baseline Target
16 Program Outcome Number of referrals received from the community.
23 Service Delivery Number of Referrals to ARP NFP
29 Service Delivery Number of Referrals to ARP NFP
38 Service Delivery Number of Referrals for ARP NFP this Reporting Month 0.00
39 Service Delivery Number of New Enrollments this Reporting Month 0.00
41 Program Outcome Enrollment Rate 0.00 25.00

Outcome Description All pregnant families enrolled in ARP NFP in Los Angeles County 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
2 Service Delivery Number of Other Referrals/Linkages provided to NFP Parents 0.00
18 Service Delivery Number of Referrals/Linkages to Mental Health Services 0.00
22 Service Delivery Number of Referrals/Linkages for Intervention of Substance Use/Abuse 0.00
30 Service Delivery Number or Referrals/Linkages to IPV/DV Intervention 0.00

Outcome Description All ARP NFP children ages 0-2 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
3 Service Delivery Number of Other Referrals/Linkages provided to NFP Children 0.00
19 Service Delivery Number of Referrals/Linkages to Developmental Delay Interventions 0.00
20 Service Delivery Number of Referrals/Linkages to Child Care Services 0.00
32 Service Delivery Number of Referrals/Linkages to Early Childhood Education 0.00