Why we are recommending this best practice
- NFP: Geared towards low income, first-time pregnant women. Care starts in pregnancy and follows the dyad until the child reaches two years of age. The mother must be referred before 28 weeks of pregnancy.
- HFA: Geared towards low-income, at-risk families from birth to a minimum of three years.
CalWORKS: CalWORKS offers a new three-year home visiting pilot initiative that began in January 2019. It is supported by both state General Fund and federal Temporary Assistance for Needy Families dollars. The program provides up to 24 months of home visiting for pregnant and parenting people, families, and infants born into poverty.
Strategies for implementation
- Having referral forms readily available will streamline the referral process.
- Try to determine if the patient has already been working with a home visiting program.
- If she has, ensure care coordination happens with that program so the home visitor is aware of the delivery and that no gap in services occurs.
- If she had not been referred, ensure a referral is made and inform the patient.
- The key to this referral is ensuring that the patient buys in and that she understands the kind of support a home visiting program can provide her.
- Explore the availability of warm handoffs to some programs prior to discharge. Sometimes a program might be able to do an intake while the patient is still a hospital inpatient.
- California Budget and Policy Center Report: Home Visiting is a Valuable Investment in California’s Families.
- Helping Hands: A Review of Home Visiting Programs in California.
- Nurse Family Partnership.
- Local First 5 Commissions.
- National Head Start Association.
- Early Head Start.
- California Head Start.
- Healthy Start.
- Early Start.
- Palomar Home Health Services.
- Comprehensive Perinatal Services Program.
- Healthy Families America.
- Bill Text. SB-402 Breastfeeding. California Legislature. https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB402. Accessed December 19, 2019.
- Harrison CL, May A. Home Visiting: Improving Children's and Families' Well-Being. NCSL legisbrief. 2018;26(31):1-2.
- Heckman, J., Holland, M., Makino, K., Pinto, R., & Rosales-Rueda, M. An analysis of the Memphis nurse-family partnership program. https://www.nber.org/papers/w23610. doi:10.3386/w23610.
- Home Visiting. HRSA. https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting-overview. Accessed December 19, 2019.
- MCPAP for Moms Toolkit. Massachusetts Child Psychiatry Access Project. www.mcpapformoms.org.
- ACOG Committee Opinion No. 729: Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care. Obstet Gynecol. 2018;131(1):e43-e48.
- ACOG Committee Opinion No. 736: Optimizing Postpartum Care. Obstet Gynecol. 2018;131(5):e140-e150.
- A Collaborative Approach to the Treatment of Pregnant Women with Opioid Use Disorder. SAMHSA. https://store.samhsa.gov//system/files/sma16-4978.pdf. Accessed December 19, 2019.