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NICHD - Eunice Kennedy Shriver National Institute of Child Health and Human Development

PROJECT SUMMARY/ABSTRACT Perinatal intimate partner violence (IPV) is a significant public health issue that negatively impacts maternal mental health and disrupts infant socioemotional developmental, thereby contributing to the intergenerational transmission of poor mental health. While maternal internal emotional frameworks (IEFs), including emotion reactivity, beliefs, and stigma, have been identified as independent components of emotion dysregulation, how these factors co-occur in populations experiencing perinatal IPV remains unclear. Additionally, mother-infant affective coregulation is a critical dyadic process that supports infant socioemotional development, yet little is known about how this relationship may vary based on a mother’s distinct IEF, particularly in families exposed to perinatal IPV. Given that both maternal IEFs and mother-infant affective coregulation can be disrupted in high- stress environments, it is essential to examine their independent and combined effects in the context of perinatal IPV. This F32 project will address this critical gap by: (1) identifying internal emotional frameworks of mothers exposed to perinatal IPV based on mother’s emotion reactivity, beliefs, and stigma; (2) examining the direct effects of maternal internal emotional frameworks and affective coregulation on infant socioemotional development; and (3) examining the extent to which maternal internal emotional frameworks and mother-infant affective coregulation interact to influence infant socioemotional development. By using person-centered approaches, such as latent profile analysis (LPA), and integrating affective coregulation coding, this research will capture nuanced patterns of risk and resilience, advancing understanding of modifiable maternal and dyadic factors that can be targeted in interventions to disrupt the intergenerational transmission of poor mental health. This project will build upon a larger NIH study of mother-infant dyads exposed to perinatal IPV by incorporating additional measures of maternal IEFs and an affective coding scheme, addressing key research gaps. Through specialized training in community-based research, dyadic interactions, and person-centered statistical methods, and under the mentorship of Drs. Brown (Sponsor), Lunkenheimer (Co-Sponsor), and Duncan (Co-Sponsor), this fellowship will support Dr. Seely's development as an independent investigator in maternal and child health science. The findings are poised to have high public health impact by identifying key pathways that contribute to the intergenerational transmission of poor mental health and informing targeted intervention strategies for families experiencing high stress-related risk.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ABSTRACT PROJECT TITLE: MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING PROGRAM NON-COMPETING CONTINUATION UPDATE, FISCAL YEAR 2025 RECIPIENT NAME: CALIFORNIA DEPARTMENT OF PUBLIC HEALTH (CDPH)/MATERNAL, CHILD AND ADOLESCENT HEALTH DIVISION (MCAH)/CALIFORNIA HOME VISITING PROGRAM (CHVP) ADDRESS: 1615 CAPITOL AVENUE, MS 8304, SACRAMENTO, CA 95899-7420 PROJECT DIRECTOR NAME: SUSAN ZIMNY PHONE NUMBER: 866-241-0395 EMAIL: SUSAN.ZIMNY@CDPH.CA.GOV WEBSITE: HTTPS://WWW.CDPH.CA.GOV/PROGRAMS/CFH/DMCAH/CHVP/PAGES/DEFAULT.ASPX GRANT PROGRAM FUNDS: $25,188,343 (BASE GRANT) + $3,798,942 (MATCHING GRANT) = $28,987,285 PURPOSE: CDPH/CHVP SUPPORTS FAMILIES IN UNDERSERVED COMMUNITIES THROUGH EARLY CHILDHOOD HOME VISITING. CDPH/CHVP SUPPORTS THE IMPLEMENTATION OF EVIDENCE-BASED HOME VISITING (EBHV) PROGRAMS IN 22 LHJS IN 21 URBAN AND RURAL CALIFORNIA COUNTIES, PAIRING NURSES OR FAMILY SUPPORT PROFESSIONALS WITH FAMILIES IN NEED. THE PROGRAMS PROVIDE SERVICES TO IMPROVE MATERNAL AND CHILD HEALTH, PROMOTE ATTACHMENT AND POSITIVE PARENTING PRACTICES, MONITOR AND SUPPORT HEALTHY CHILD DEVELOPMENT, IMPROVE SCHOOL READINESS, AND INCREASE RESILIENCE AND ECONOMIC SELF-SUFFICIENCY. GOALS: 1) PROVIDE LEADERSHIP AND STRUCTURE FOR IMPLEMENTATION OF CHVP TO SERVE FAMILIES, 2) INTEGRATE CHVP INTO STATEWIDE AND LOCAL EARLY CHILDHOOD SYSTEMS 3) COMPLY WITH MIECHV DATA COLLECTION AND REPORTING REQUIREMENTS TO MONITOR PROGRAM IMPLEMENTATION AND 4) IMPROVE MATERNAL MENTAL HEALTH AMONG HOME VISITING PARTICIPANTS AS A COMMUNITY HEALTH NEED. OBJECTIVES: 1.1) COORDINATE WITH THE EBHV MODELS TO ENSURE THAT FAMILIES RECEIVE TARGETED AND INTENSIVE HOME VISITING SERVICES 1.2) PROVIDE PROGRAMMATIC OVERSIGHT TO SUBRECIPIENTS TO ENSURE LOCAL HOME VISITING PROGRAMS MEET STATE AND FEDERAL REQUIREMENTS, SOW OBJECTIVES AND MODEL REQUIREMENTS 1.3) REVIEW AND REVISE AS NEEDED ALL MIECHV SUBRECIPIENT MONITORING TOOLS TO PROVIDE CLEAR, CONSISTENT AND RESPONSIVE GUIDANCE IN THE IMPLEMENTATION OF HOME VISITING SERVICES 1.4) IMPLEMENT CONTINUOUS QUALITY IMPROVEMENT PROJECTS TO SUPPORT A CULTURE OF GROWTH AND EXCELLENCE 1.5) PROVIDE TARGETED, RESPONSIVE TECHNICAL ASSISTANCE TO ALL LOCAL HEALTH JURISDICTIONS (LHJS) TO SUPPORT ONGOING GROWTH AND A ROBUST IMPLEMENTATION OF HOME VISITING SERVICES 1.6) ADDRESS THE TRAINING NEEDS OF LOCAL AND STATE-LEVEL STAFF; 1.7) ENSURE LHJS INCREASE THE PROPORTION OF HOME VISITS CONDUCTED IN-PERSON FROM 60% TO 80%; 1.8) COMPLY WITH ALL MIECHV REPORTING REQUIREMENTS TO ENSURE ALL HOME VISITING SERVICES ARE IMPLEMENTED AND OVERSEEN IN ACCORDANCE WITH FEDERAL GUIDANCE; 2.1) COLLABORATE WITH OTHER STATE DEPARTMENTS, LOCAL GOVERNMENT AGENCIES AND NON-PROFIT ORGANIZATIONS TO BUILD HOME VISITING CAPACITY AND COORDINATE SERVICES TO FAMILIES; 2.2) ENSURE EVERY LHJ IS EMBEDDED IN THEIR LOCAL EARLY CHILDHOOD SYSTEM AND SEEKS INPUT AND FEEDBACK ON PROGRAM PLANNING, IMPLEMENTATION, AND EVALUATION FROM COMMUNITY PARTNERS; 3.1) MONITOR AND SUBMIT ALL INFORMATION REQUIRED FOR MIECHV QUARTERLY AND ANNUAL PERFORMANCE REPORTING; AND 4.1) IMPLEMENT A PLAN TO REDUCE MENTAL HEALTH CONCERNS AND BUILD RESILIENCE FOR THE HOME VISITING FAMILIES SERVED. APPROACH: THE PROPOSED ANNUAL CASELOAD FOR FFYS 2025-2027 IS 1,609 FAMILIES. CHVP SERVES 22 LHJS IN 21 COUNTIES AS DETERMINED BY CALIFORNIA’S 2020 NEEDS ASSESSMENT. CHVP WILL USE ITS FEDERAL MATCHING FUNDS TO PROVIDE ADDITIONAL FUNDING TO LHJS THAT CAN BE USED FOR EXPANSION, PROGRAM IMPROVEMENT ACTIVITIES AND/OR SUSTAINING HOME VISITING PROGRAMS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: 4601 W GUADALUPE ST, AUSTIN, TX 78751-3146 PROJECT DIRECTOR NAME: CLAIRE HALL CONTACT PHONE NUMBER: 512-466-5846 EMAIL ADDRESS: CLAIRE.HALL01@HHS.TEXAS.GOV WEBSITE ADDRESS: HTTPS://FSS.HHS.TEXAS.GOV/ PROGRAM FUNDS REQUESTED IN THE APPLICATION: $30,146,654 ($25,676,711 FEDERAL BASE; $4,469,943 FEDERAL MATCHING FUNDS) ANNOTATION: THE HEALTH AND HUMAN SERVICES COMMISSION, DIVISION OF FAMILY SUPPORT SERVICES (FSS) PROPOSES TO CONTINUE LEVERAGING MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) AND STATE GENERAL REVENUE FUNDS TO SUPPORT THE IMPLEMENTATION OF TEXAS HOME VISITING (THV), A COMPREHENSIVE EARLY CHILDHOOD SYSTEMS APPROACH TO HOME VISITING IN COMMUNITIES WITH DEMONSTRATED NEED. PROBLEM: AS DESCRIBED IN THE MIECHV NEEDS ASSESSMENT AMENDED IN MARCH 2025, AT-RISK COMMUNITIES FACE CHALLENGES ASSOCIATED WITH A HIGH CONCENTRATION OF LOW-INCOME FAMILIES, BIRTH RISK, AND MENTAL HEALTH AND SUBSTANCE USE. ADDITIONAL FACTORS ESTABLISHING RISK INCLUDE DECLINING CHILD-CARE ENROLLMENT FOR THREE AND FOUR-YEAR-OLDS AND A LACK OF EARLY CHILDHOOD PROGRAMS INCLUDING HOME VISITING. PURPOSE: THE PURPOSE OF THE TEXAS MIECHV PROJECT IS TO SUPPORT COMPREHENSIVE HOME VISITING PROGRAMS AND EARLY CHILDHOOD SYSTEMS IN TEXAS COMMUNITIES WITH DEMONSTRATED NEED TO STRENGTHEN FAMILIES AND IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES. GOALS AND OBJECTIVES: THE GOALS OF THIS GRANT ARE TO: 1) PROVIDE EFFECTIVE, EVIDENCE-BASED HOME VISITING SERVICES IN TARGETED, AT-RISK COMMUNITIES THAT MEET LOCAL NEEDS AND ACHIEVE THE HEALTH RESOURCES AND SERVICES ADMINISTRATION PERFORMANCE MEASURES REGARDING: MATERNAL AND NEWBORN HEALTH, CHILD MALTREATMENT AND INJURY PREVENTION, SCHOOL READINESS, DOMESTIC VIOLENCE SCREENING, FAMILY SELF-SUFFICIENCY, AND COORDINATED REFERRALS; 2) DEVELOP EARLY CHILDHOOD SYSTEMS, IMPROVE COORDINATION, FACILITATE ACCESS, AND PROMOTE COMPREHENSIVE SERVICES TO IMPROVE OUTCOMES FOR YOUNG CHILDREN AND FAMILIES; 3) PROVIDE TRAINING, TECHNICAL ASSISTANCE, AND CONTINUOUS QUALITY IMPROVEMENT SUPPORT TO ENHANCE THE QUALITY OF HOME VISITING SERVICES; AND 4) PROVIDE DATA COLLECTION SUPPORT AND EVALUATION TO ENHANCE THE QUALITY OF HOME VISITING. APPROACH: FUNDS FROM THIS GRANT SUPPORT 35 LOCAL IMPLEMENTING AGENCIES WITH 19 SUBGRANTEES SERVING 47 COUNTIES IDENTIFIED AT HIGHEST RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES IN THE TEXAS MIECHV NEEDS ASSESSMENT. ALL COMMUNITIES WERE IDENTIFIED THROUGH A COMBINATION OF RISK MODELING AND QUALITATIVE INVESTIGATIONS THAT IDENTIFIED HIGH-RISK COUNTIES IN THE STATE AS PRIORITIES FOR HOME VISITING PROGRAMS. FSS USES A REQUEST FOR APPLICATION (RFA) PROCESS TO OFFER GRANTS TO LIAS TO SERVE COMMUNITIES IDENTIFIED IN THE STATEWIDE NEEDS ASSESSMENT. APPLICANTS SELECT PROGRAM MODELS THAT MEET HEALTH AND HUMAN SERVICES CRITERIA FOR EVIDENCE OF EFFECTIVENESS AS REQUIRED BY HRSA. APPLICANTS MAY SELECT MULTIPLE PROGRAM MODELS AS WELL AS USE A COMBINATION OF PROGRAM MODELS WITH FAMILIES, AVOIDING CONCURRENT DUAL ENROLLMENT, TO SUPPORT A CONTINUUM OF HOME VISITING SERVICES THAT MEETS FAMILIES’ SPECIFIC NEEDS. TEXAS MIECHV LOCAL IMPLEMENTING AGENCIES CURRENTLY IMPLEMENT ONE OR MORE OF THE FOLLOWING EIGHT EVIDENCE-BASED MODELS BASED ON THE NEEDS OF THE COMMUNITY: FAMILY CHECK-UP OR CHILDREN, HEALTHY FAMILIES AMERICA, HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS, NURSE-FAMILY PARTNERSHIP, PARENTS AS TEACHERS, PLAY AND LEARNING STRATEGIES, PROMOTING FIRST RELATIONSHIPS, AND SAFECARE AUGMENTED. THE TEXAS MIECHV PROGRAM ANTICIPATES SERVING 7,120 FAMILIES IN FISCAL YEAR 2026 AND TO CONTINUE SERVING 7,120 FAMILIES IN FISCAL YEAR 2027, DEPENDENT ON CONTINUITY OF SERVICE PROVISION. COMMUNITIES WILL ALSO BUILD EARLY CHILDHOOD PARTNERSHIPS THAT SUPPORT COMPREHENSIVE EARLY CHILDHOOD SYSTEMS AND REFERRAL PATHWAYS. FSS PLANS TO USE INCREASED FUNDING FROM THE MIECHV MATCH OPPORTUNITY TO EXPAND MIECHV HOME VISITING IN EXISTING COMMUNITIES AND SUPPORT QUALITY OF HOME VISITING THROUGH TRAINING AND ENHANCEMENTS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: 5666 TAFUNA RD. TAFUNA, AMERICAN SAMOA 96799 PROJECT DIRECTOR:TINA IOANE TELEPHONE NUMBER: OFFICE: (684) 699-3905; CELLPHONE (684) 254-3426 EMAIL ADDRESS:TINA.IOANE@DOH.AS PURPOSE: IN SUPPORTING OF THIS FY2024 FUNDING OPPORTUNITY, THE MAIN PURPOSE OF THE MIECHV BASE GRANT AWARD IS TO IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND FAMILY WELL-BEING OF PREGNANT MOTHERS AND PARENTS WITH CHILDREN UP TO KINDERGARTEN ENTRY—ESPECIALLY THOSE LIVING IN COMMUNITIES IDENTIFIED AS AT RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES—BY SUPPORTING THE DELIVERY OF COORDINATED AND COMPREHENSIVE HIGH QUALITY AND VOLUNTARY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES. AS REQUESTED $1,058,860.00 IN THE BASE FUNDS AND $437,750.00 IN MATCHING FUNDS USING THE WAIVER FOR TERRITORIES. GOAL: PROVIDE HIGH QUALITY AND COMPREHENSIVE HOME VISITING SERVICES TO WOMEN, THEIR INFANTS AND FAMILIES WHO ARE LOW INCOME AND RESIDE IN HIGH-RISK COMMUNITIES; DEVELOP A SYSTEM OF ISLAND WIDE COORDINATED HOME VISITING SERVICES THAT BEFITS LONG TERM AND UNDUPLICATED OUTCOMES OF HOME VISITING SERVICES AND LOCALLY COORDINATED REFERRALS; COORDINATE NECESSARY SERVICES OUTSIDE OF HOME VISITING PROGRAMS TO ADDRESS THE NEEDS OF ENROLLED FAMILIES, AND DELIVERED SERVICES BY A COMPETENT TRAINED HOME VISITING WORKFORCE.THE AS MIECHV PLAN TO FOCUS ON IMPROVEMENT OF PERFORMANCE FOR THE MIECHV FAMILIES, ENSURING RESOURCES FOR THE NEEDS OF THE TARGET POPULATION. AS MIECHV CONTINUES TO UTILIZE THE HEALTHY FAMILIES AMERICA (HFA) MODEL TO PROVIDE QUALITY SERVICES FOR PREGNANT MOTHERS, CHILDREN, AND THEIR FAMILIES. THE AS MIECHV PROGRAM WILL CONTINUE SOME OF THE PLANS IN THE WORK PLAN FROM FY 2023. IT HAS IMPROVED THE QUALITY OF SERVICES FOR THE AT-RISK COMMUNITIES THUS FAR. OBJECTIVES: 1) IDENTIFY AND PROVIDE COMPREHENSIVE HOME VISITING SERVICES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES LIVING IN-AT RISK COMMUNITIES; 2) STRENGTHEN AND IMPROVE PROGRAMS AND ACTIVITIES THAT ADDRESS PREVENTIVE AND PRIMARY CARE SERVICES FOR PREGNANT MOTHERS, INFANTS, AND CHILDREN UNDER THE TITLE V OF THE SOCIAL SECURITY ACT; 3) IMPROVE COORDINATION OF SERVICES IN AT-RISK COMMUNITIES. 4) CONTINUE TO PARTNERSHIP WITH LOCAL PARTNERS REGARDING REFERRAL COORDINATION AND EXPANSION OF HOME VISITING SERVICES TO THE OUTER ISLAND; 5) CONTINUE TO INCREASE THE NUMBER OF REFERRALS TO ADDITIONAL SERVICES WHEN A PARTICIPANT NEED IS IDENTIFIED FROM UTILIZING THE SCREENING TOOLS FOR DEVELOPMENTAL DELAY SERVICES, DEPRESSION, TOBACCO CESSATION, SUBSTANCE USE, MENTAL HEALTHCARE, INTIMATE PARTNER VIOLENCE, OR CHILD ABUSE/NEGLECT; 6) CONTINUE TO IDENTIFY AND PROVIDE TRAINING AND SERVICES RELEVANT TO HIGH QUALITY HOME VISITING AND EARLY CHILDHOOD SERVICES TO CONTINUE OBTAIN A COMPETENT QUALIFIED WORKFORCE FOR HIGH QUALITY SERVICE DELIVERY WHILE ENCOURAGING AND EMPOWERING SELF-DEVELOPMENT. BY SEPTEMBER 29, 2026- 1). AS WILL INCREASE ENROLLMENT OF EXPECTANT MOTHERS, 1ST TRIMESTER IN THE PROGRAM FROM 45% TO 50%. 2). AS WILL IMPROVE FAMILY RETENTION FOR ENROLLED FAMILIES UP TO 5%. 3). AS MIECHV IN MANU’A WILL INCREASE THE NUMBER OF FAMILIES ENROLLED IN THE PROGRAM UP TO 3 FAMILIES. 4).AS WILL IMPROVE COORDINATION OF TRANSITION AND CONTINUE SERVING CHILDREN 5 YEARS UP TO 7 CHILDREN 5 YEARS. METHODOLOGY: THE FUNDING WILL PROVIDE THE AIGA MANUIA PROGRAM OF THE AMERICAN SAMOA MIECHV HOME VISITING SERVICES TO 225 FAMILIES FOR BOTH YEARS OF THE PROJECT PERIOD IN 15 COUNTIES OF AMERICAN SAMOA ARCHIPELAGO AND ITS OUTER ISLANDS. 1. THE GRANTEE-RECIPIENT IMPLEMENTS HEALTHY FAMILIES AMERICA (HFA), AN EVIDENCED-BASED MODEL FOR FIDELITY TO IMPROVE HOME VISITING SERVICE DELIVERY AND PERFORMANCE. 2. BASED ON THE APPROVED FY2022 NEEDS ASSESSMENT, THE GRANTEE-RECIPIENT PROGRAM WILL SERVED TEN COUNTIES IN THE MAIN ISLAND KNOWN AS TUTUILA AND THE FIVE COUNTIES IN THE ISLAND OF MANU’A OF AS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: P.O. BOX 70184 SAN JUAN, PR 00936-8184 PROJECT DIRECTOR NAME: MANUEL I. VARGAS BERNAL, MD, MPH. CONTACT PHONE NUMBERS: 787-765-2929 X. 4583/4550 FAX: 787-294-0746 EMAIL ADDRESS: MIVARGAS@SALUD.PR.GOV WEBSITE: WWW.SALUD.PR.GOV FUNDS: MIECHV X10 ($1,712,878.00) & MATCHING FUNDS ($725,892.00) ANNOTATION: THE PUERTO RICO MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING PROGRAM (PR-MIECHVP), LOCALLY KNOWN AS FAMILIAS SALUDABLES PUERTO RICO (FSPR), IS A HOME VISITING PROGRAM FOR HIGH-RISK PREGNANT WOMEN UNTIL CHILD IS 36 MONTHS OLD. THE MAIN GOAL IS TO CONTINUE IMPROVING THE HOME-VISITING SERVICES AVAILABLE IN PUERTO RICO, STRENGTHENING HEALTHY PHYSICAL, EMOTIONAL, SOCIAL AND COGNITIVE DEVELOPMENT DURING EARLY CHILDHOOD. PARTICIPANTS MAY LEARN ABOUT BABY’S DEVELOPMENT AND MILESTONES, ACTIVITIES ACCORDING TO BABY’S AGE, INFANT ACTIVITIES PROMOTING BRAIN DEVELOPMENT, FAMILY PLANNING, SETTING GOALS, BEING MORE AUTONOMOUS, AND REFERRALS TO COMMUNITY RESOURCES BASED ON THEIR NEEDS. PROBLEM: FSPR ADDRESSES MATERNAL AND EARLY CHILDHOOD NEEDS OF FAMILIES IN MUNICIPALITIES THAT HAVE BEEN IDENTIFIED WITH HIGH INCIDENCE OF HEALTH, SOCIOEMOTIONAL, AND SOCIOECONOMIC RISK FACTORS. PURPOSE: THE PROGRAM PURPOSE IS TO OFFER SERVICES TO HIGH-RISK PREGNANT WOMEN USING STRENGTH BASED, FAMILY-CENTERED PARTNERSHIPS AND RELATIONSHIP-BASED INTERACTIONS. GOALS: (1) IMPROVE HEALTH OF CHILDREN AND WOMEN OF CHILDBEARING AGE (2) REDUCE INTENTIONAL AND UNINTENTIONAL INJURIES (3) IMPROVE SCHOOL READINESS AND ACHIEVEMENT (4) REDUCE RATES OF DOMESTIC VIOLENCE (5) INCREASE FAMILY ECONOMIC SELF-SUFFICIENCY (6) IMPROVE COORDINATION AND REFERRALS TO OTHER COMMUNITY RESOURCES AND SUPPORT. MAIN OBJECTIVES: (1) BY 09/29/26, INCREASE/MAINTAIN AT 75% RATE OF ENROLLED WOMEN HAVING POST-PARTUM CHECK UP BY MEDICAL PROVIDER WITHIN 2 MONTHS OF DELIVERING (2) BY 09/29/26, INCREASE/MAINTAIN AT 60% RATE OF PRIMARY CAREGIVERS WHOSE CAREGIVER-CHILD INTERACTION IS OBSERVED (3) BY 09/29/26, INCREASE/MAINTAIN AT 70% THE RATE OF CHILDREN ENROLLED IN HOME VISITING WITH A FAMILY MEMBER WHO REPORTED THAT DURING A TYPICAL WEEK S/HE READ, TOLD STORIES AND/OR SANG SONGS WITH THEIR CHILD DAILY, EVERY DAY (4) BY 09/29/26, INCREASE/MAINTAIN AT 80% RATE OF ENROLLED WOMEN SCREENED FOR INTIMATE PARTNER VIOLENCE DURING FI RST 6 MONTHS OF ENROLLMENT (5) BY 09/29/26, INCREASE/MAINTAIN AT 60% RATE OF ENROLLED PRIMARY CAREGIVERS MAINTAINING CONTINUOUS SCHOOL ENROLLMENT OR COMPLETED HIGH SCHOOL OR EQUIVALENT (6) BY 09/29/26, INCREASE OR MAINTAIN AT 50% THE RATE OF ENROLLED FAMILIES REFERRED TO AVAILABLE THERAPEUTIC SERVICES FOR DEPRESSION AND GENERAL MENTAL HEALTH AVAILABLE IN THE COMMUNITY WHEN NEED IS IDENTIFIED. APPROACH: FSPR WILL IMPLEMENT THE EVIDENCE-BASED HOME VISITING MODEL HEALTHY FAMILIES AMERICA WITH GROWING GREAT KIDS CURRICULUM TO PREGNANT AND POST-PARTUM WOMEN, RESIDENTS OF OROCOVIS, BARRANQUITAS, MAUNABO, PATILLAS, ARROYO, JAYUYA, ADJUNTAS, LARES, QUEBRADILLAS, SANTA ISABEL, SALINAS, TOA ALTA, AND NARANJITO (COMMUNITIES IDENTIFIED IN THE 2020 NEEDS ASSESSMENT). PROJECTED PROGRAM CASELOAD WILL BE 242 (WITH 22 FSSS 37.5 FTE) FAMILIES ON FY 2024-2026 FOR THE 13 MUNICIPALITIES USING THE HFA CASELOAD POLICY.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ANNOTATION: NEW HAMPSHIRE (NH) WILL SERVE PREGNANT PEOPLE AND FAMILIES IN ALL NH COUNTIES USING THE HEALTHY FAMILIES AMERICA (HFA) MODEL AND ITS CHILD WELFARE PROTOCOLS (CWP.) THIS PROJECT PERIOD WILL CONTINUE THE EXPANSION NH BEGAN IN LATE 2022, PARTNERING WITH THE NH DIVISION FOR CHILDREN, YOUTH AND FAMILIES (DCYF) IN IMPLEMENT ITS FAMILY FIRST PREVENTION SERVICES ACT (FFPSA) PREVENTION PLAN, FUNDING HFA-NH, EXPANDING HOME VISITING SERVICES TO A BROADER RANGE OF FAMILIES REFERRED BY DCYF TO INCLUDE CHILDREN UP TO AGE TWO. DURING THE PROJECT PERIOD, NH MIECHV WILL FOCUS ON IMPLEMENTATION WITH FIDELITY, REDUCING MISSING DATA THROUGH TRAINING AND TECHNICAL ASSISTANCE, AND STAFF RETENTION THROUGH ENSURING ADEQUATE TRAINING, REASONABLE CASELOAD EXPECTATIONS AND BUILDING COMMUNITY AND COLLABORATION ACROSS MIECHV SITES. PROBLEM: NH IS FORTUNATE THAT FOR MANY INDICATORS OF HEALTH AND WELL-BEING, THE STATE RANKS FAVORABLY WHEN COMPARED TO NATIONAL AVERAGES. HOWEVER, STATE AVERAGES MASK DISPARITIES AMONG COMMUNITIES AND SUB-POPULATIONS, AND THE OPIOID CRISIS HAS HAD A SIGNIFICANT IMPACT ON NH CHILDREN AND FAMILIES, BRINGING MORE FAMILIES INTO CONTACT WITH DCYF, PLACING THEM AT RISK OF SEPARATION. NH FAMILIES FACE CHALLENGES ACCESSING QUALITY CHILDCARE AND HOUSING. WHILE THE UNEMPLOYMENT RATE IN NH IS RELATIVELY LOW, MANY NH FAMILIES STRUGGLE TO MAINTAIN EMPLOYMENT THAT CAN PROVIDE AN INCOME SUFFICIENT TO MEET THE BASIC NEEDS OF FOOD, SHELTER, TRANSPORTATION AND QUALITY CHILD CARE WHILE THEY WORK. ADDITIONALLY, NH’S MENTAL HEALTH SYSTEM IS TAXED TO THE POINT THAT PEOPLE MAY WAIT MONTHS FOR MENTAL HEALTH SERVICES. PURPOSE: THE PURPOSE OF THIS PROJECT IS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED SERVICES THROUGH THE HFA MODEL AND COORDINATE COMPREHENSIVE HIGH-QUALITY SERVICES TO ELIGIBLE FAMILIES. HFA HAS REMAINED NH’S MODEL OF CHOICE FOR TRADITIONAL REFERRALS AND THOSE CONNECTED THROUGH DCYF USING THE CWP DUE TO THE HFA MODEL’S PROVEN OUTCOMES IN IMPROVING MATERNAL AND CHILD HEALTH, CHILD DEVELOPMENT, FAMILY ECONOMIC SELF-SUFFICIENCY, AND REDUCING CHILD MALTREATMENT. GOALS AND OBJECTIVES: GOAL 1: NEW HAMPSHIRE LIAS WILL IMPLEMENT THE HFA HOME VISITING MODEL WITH FIDELITY, SERVING THE HRSA-DEFINED PRIORITY POPULATIONS. OBJECTIVE 1.1 NH MIECHV WILL SUPPORT ITS LIAS IN DEMONSTRATING FIDELITY TO THE HFA MODEL THROUGH PROMOTING FAMILIARITY WITH BEST PRACTICE STANDARDS AND HFA TOOLS, WITH A FOCUS ON INCLUSIVITY AND EQUITY THROUGH QUARTERLY DATA REVIEW. OBJECTIVE 1.2 NH MIECHV WILL PROVIDE SERVICES TO FAMILIES ACROSS NH IN AN EQUITABLE MANNER, WITH A FOCUS ON ENROLLING MEMBERS OF UNSERVED AND UNDERSERVED GROUPS. GOAL 2: REDUCE MISSING DATA ACROSS FORMS 1 AND 2 BY 10 % WHERE MISSING DATA IS HIGHER THAN 20%, IN AT LEAST TWO MEASURES PER FORM. OBJECTIVE 2.1 PROVIDE PERSONALIZED CQI SUPPORT TO NH LIAS, REVIEWING DATA ON ONE OR MORE PERFORMANCE MEASURES ON A MONTHLY BASIS. DATA ANALYSIS WILL FOCUS ON EXAMINING THE IMPACT OF RACE, ETHNICITY, AND LANGUAGE, AMONG OTHER DEMOGRAPHICS, ON EACH MEASURE. GOAL 3: NH LIAS WILL RETAIN 75% OF NEWLY HIRED STAFF FOR A PERIOD OF GREATER THAN 1 YEAR. OBJECTIVE 3.1 FOCUS ON STAFF RECRUITMENT AND RETENTION AS A DRIVER FOR FAMILY RETENTION. GOAL 4: DEVELOP AND MAINTAIN A SUITE OF ROLE-SPECIFIC TOOLS TO SUPPORT STAFF RETENTION AT THE LIA LEVEL. OBJECTIVE 4.1 PROVIDE RESOURCES TO LIA STAFF THROUGH VARIOUS MEDIA TO PROMOTE FAMILIARITY WITH COMMUNITY AND TRAINING RESOURCES, PERFORMANCE MEASURES, AND ONE ANOTHER, ENSURING STAFF ARE WELL-CONNECTED THROUGHOUT THE PROGRAM. APPROACH: NH LIAS WILL IMPLEMENT THE HFA MODEL WITH FIDELITY TO PRIORITY POPULATIONS IN ALL NH COUNTIES, AS IDENTIFIED IN THE 2020 STATEWIDE NEEDS ASSESSMENT UPDATE, WITH A FOCUS ON INCREASING ENROLLMENT AND RETENTION OF CHILD-WELFARE INVOLVED FAMILIES. ADDITIONAL EFFORTS WILL INCLUDE INCREASING ENROLLMENT OF WIC PARTICIPANTS THROUGH STATE-LEVEL COLLABORATION. NH MIECHV PROPOSES TO SERVE 284 FAMILIES AT A GIVEN TIME DURING THE PROJECT PERIOD.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ANNOTATION: NEW MEXICO EARLY CHILDHOOD EDUCATION & CARE DEPARTMENT (ECECD) OVERSEES THE STATES LOCAL IMPLEMENTING AGENCIES (LIAS). ECECD PROVIDES IMPORTANT EARLY CHILDHOOD INFRASTRUCTURE SERVICES TO ELIGIBLE FAMILIES IN ALL REGIONS OF THE STATE. AS A RESULT, NEW MEXICO’S FAMILIES CAN ACHIEVE POSITIVE OUTCOMES IN CHILDREN’S OVERALL DEVELOPMENT, INCREASE SCHOOL READINESS, AND ENHANCE PARENTS’ ABILITIES TO SUPPORT AND NURTURE THEIR CHILDREN. ALONG WITH SUPPORT TO COLLABORATE WITH GOVERNMENTAL ENTITIES AND OTHER LOCAL PROVIDERS TO INCREASE AWARENESS AND FAMILY ENGAGEMENT WITHIN THE COMMUNITIES OF NEW MEXICO. PROBLEM: ECECD DETERMINES AREAS IN THE STATE WHERE FAMILIES AND CHILDREN ARE MOST AT RISK OF NEGATIVE OUTCOMES. ECECD BELIEVES ALL FAMILIES CAN BENEFIT FROM HOME VISITING BUT TAKES AN APPROACH TO ENSURE THAT ALL FAMILIES IN NEED RECEIVE EXTRA FOCUS AND SUPPORT. HOME VISITING IS PROVIDED TO FAMILIES PRENATALLY TO THE AGE OF FIVE YEARS OLD. BY SETTING THE FOUNDATION FOR EARLY PRENATAL CARE AND ENCOURAGING HEALTHY BIRTHS, HOME VISITORS ASSIST FAMILIES IN PREPARING FOR PREGNANCY, PROVIDE SUPPORT DURING PREGNANCY, AND PROMOTE THE DELIVERY OF A HEALTHY BABY. PURPOSE: NEW MEXICO LEVERAGES THE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) FEDERAL GRANT TO FUND EVIDENCE-BASED HOME VISITING DIRECT SERVICES AND INVESTS IN INFRASTRUCTURE SUPPORTS FOR DATA MANAGEMENT AND ONGOING PROFESSIONAL DEVELOPMENT TO ENSURE QUALITY SERVICES AND PROGRAMMING. NEW MEXICO’S HOME VISITING PROGRAM IS WELL-ESTABLISHED AND IS COMMITTED TO A UNIVERSAL APPROACH, IMPROVING EARLY CHILDHOOD OUTCOMES FOR ALL CHILDREN AND FAMILIES, BY ENHANCING AND EXPANDING SUPPORTIVE RELATIONSHIPS FOR CHILDREN AND THEIR FAMILIES. ECECD WORKS WITH LOCAL IMPLEMENTING AGENCIES (LIAS) TO ADMINISTER EVIDENCE-BASED HOME VISITING ACROSS THE STATE. ECECD ALSO PARTNERS WITH THE UNIVERSITY OF NEW MEXICO FOR INFRASTRUCTURE SUPPORT, INCLUDING DATA MANAGEMENT AND CONTINUOUS PROFESSIONAL GROWTH AND DEVELOPMENT. NEW MEXICO HOME VISITING GOALS AND OBJECTIVES: NEW MEXICO’S LIAS PROVIDE A RANGE OF HOME VISITATION SERVICES AND MODELS TO FAMILIES BEGINNING PRENATALLY UNTIL THEIR CHILDREN ARE FIVE YEARS OLD. HOME VISITORS SUPPORT FAMILIES BY PROMOTING EARLY PRENATAL CARE AND HEALTHY BIRTHS, TEACHING POSITIVE PARENTING AND SAFETY PRACTICES, SCREENING FOR DEVELOPMENTAL DELAYS AND MENTAL HEALTH CONCERNS, ASSISTING WITH ACCESS TO HEALTH INSURANCE AND CARE, AND REFERRING FAMILIES TO APPROPRIATE COMMUNITY SUPPORTS. GOAL 1. NEW MEXICO FAMILIES WHO PARTICIPATE IN THE NEW MEXICO MIECHV HOME VISITING PROGRAM WILL HAVE AN ALIGNED SYSTEM APPROACH FOR PRENATAL THROUGH FIVE SERVICES. LIAS WILL IDENTIFY PREGNANT FAMILIES AND YOUNG CHILDREN IN NEW MEXICO COMMUNITIES TO IMPROVE HEALTH OUTCOMES. GOAL 2: ELIGIBLE ENROLLED PARENTS/CAREGIVERS AND CHILDREN WILL BE SCREENED TO PROMOTE IMPROVED PRENATAL, MATERNAL, AND CHILD HEALTH OUTCOMES. APPROACH: NEW MEXICO WILL CONTINUE ITS CURRENT USE OF THE EVIDENCE-BASED MODELS, NURSE FAMILY PARTNERSHIP (NFP), PARENTS AS TEACHERS (PAT), AND INTRODUCE HEALTHY FAMILIES AMERA (HFA). NEW MEXICO WILL SERVE THE FOLLOWING COMMUNITIES WITH FY 2025 NCC BASE AND MATCHING GRANT: DONA ANA, OTERO, ROOSEVELT, CURRY, LUNA, HIDALGO, BERNALILLO, VALENCIA, RIO ARRIBA, AND SANDOVAL. IN THE PROPOSED ALLOCATION, NEW MEXICO HOME VISITING IS WORKING TOWARDS FILLING ALL ALLOTTED SLOTS. NEW MEXICO INTENDS TO CONTINUE OUTREACH AND RECRUITMENT EFFORTS TO MAINTAIN ENROLLMENT OF THE 648 MIECHV FAMILY SLOTS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - FY 2025 PROJECT ABSTRACT TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 FORMULA GRANT ABSTRACT PROJECT TITLE: TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 FORMULA GRANT APPLICANT NAME: TENNESSEE DEPARTMENT OF HEALTH, DIVISION OF FAMILY HEALTH AND WELLNESS ADDRESS: 710 JAMES ROBERTSON PARKWAY, ANDREW JOHNSON TOWER, 8TH FLOOR NASHVILLE, TN 37243 PROJECT DIRECTOR NAME: SARAH SANDERS, SECTION CHIEF, EARLY CHILDHOOD INITIATIVES CONTACT INFORMATION: PHONE: 615-253-4137 EMAIL ADDRESS: SARAH.SANDERS@TN.GOV PURPOSE: THE FY 2025 MIECHV GRANT WILL ENSURE THAT TENNESSEE FAMILIES ARE SERVED WITH HIGH QUALITY HOME VISITING SERVICES PROVIDED BY AN EXPERTLY TRAINED WORKFORCE AND THAT THE EARLY CHILDHOOD SYSTEM IS COMPREHENSIVE AND COORDINATED AND ENSURES THAT FAMILIES ARE ENROLLED IN THE MOST APPROPRIATE SERVICES AS EARLY AS POSSIBLE. GOALS AND OBJECTIVES: GOAL 1: BY SEPTEMBER 29, 2027, ASSURE AVAILABILITY OF HIGH QUALITY EBHV SERVICES IN THIRTY OF THE MOST AT-RISK COUNTIES IN TENNESSEE. GOAL 2: BY SEPTEMBER 29, 2027, STRENGTHEN THE CAPACITY OF TENNESSEE’S HOME VISITING WORKFORCE TO EFFECTIVELY IMPLEMENT HIGH-QUALITY, FAMILY-CENTERED, RESILIENCE-INFORMED, AND CULTURALLY SENSITIVE SERVICES. GOAL 3: BY SEPTEMBER 29, 2027, PROMOTE A COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD SYSTEM IN TENNESSEE THAT BEGINS PRENATALLY OR AT BIRTH. GOAL 4: BY SEPTEMBER 29, 2027, MAINTAIN COORDINATION OF FAMILY SERVING TDH AND OTHER STATE AGENCY PROGRAMS TO INCREASE COORDINATION OF REFERRALS OF FAMILIES INTO EBHV SERVICES. METHODOLOGY: PLANNED PROJECT ACTIVITIES WILL RESULT IN FAMILIES BEING SERVED BY EBHV PROGRAMS IN THIRTY OF THE MOST AT-RISK COMMUNITIES, INCLUDING ONE ADDITIONAL PROJECT THAT SERVES MILITARY FAMILIES LIVING CLOSE TO FORT CAMPBELL ARMY INSTALLATION. TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) AND STATE FUNDED EBHV PROGRAMS ALSO CONTRIBUTE TO THE CASELOAD, BASED ON THE HRSA DEFINITION OF CASELOAD. MIECHV FUNDS SUPPORT THE IMPLEMENTATION OF TWO EBHV MODELS: HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT). THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2025 - SEPTEMBER 29, 2026 IS 1,006.75 AND THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2026 - SEPTEMBER 29, 2027 IS 1,006.75. TENNESSEE MAINTAINS STRONG PARTNERSHIPS WITH INFANT AND EARLY CHILDHOOD PARTNERS AND STATE AGENCIES INVOLVED IN PERPETUATING A COLLABORATIVE AND COMPREHENSIVE INFANT AND EARLY CHILDHOOD SYSTEM IN TENNESSEE. PARTNERS INCLUDE: THE EARLY SUCCESS COALITION IN MEMPHIS, TN; THE ASSOCIATION FOR INFANT MENTAL HEALTH IN TENNESSEE (AIMHITN); THE DEPARTMENT OF HUMAN SERVICES (TDHS); THE TENNESSEE COMMISSION ON CHILDREN AND YOUTH (TCCY); AND THE TENNESSEE YOUNG CHILD WELLNESS COUNCIL (TNYCWC, UNDER THE AUSPICES OF THE TCCY).

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - GUAM FY25 NCC APPLICATION: I. PROJECT ABSTRACT ADDRESS: 155 HESLER PLACE, HAGATNA PROJECT DIRECTOR NAME; MARGARITA B. GAY CONTACT PHONE NUMBER: (671) 634-7408 – (VOICE) EMAIL ADDRESS MARGARITA.GAY@DPHSS.GUAM.GOV WEBSITE ADDRESS: HTTP://WWW.DPHSS.GUAM.GOV ANNOTATION: THE GUAM DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES (DPHSS) AND THE BUREAU OF FAMILY HEALTH AND SOCIAL SERVICES (BFHNS) ARE THE LEAD AGENCY RESPONSIBLE FOR THE ADMINISTRATION AND IMPLEMENTATION OF GUAM'S EARLY CHILDHOOD HOME VISITING PROGRAM, ALSO KNOWN AS PROJECT BISITA, I FAMILIA (IN THE CHAMORRO LANGUAGE MEANING, "TO VISIT THE FAMILY"). PROJECT BISITA I FAMILIA (PBIF) IS AN EVIDENCE-BASED HOME VISITING SERVICE FOR PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN AT HIGH RISK FOR POOR OUTCOMES. THE VOLUNTARY PROGRAM INTENDS TO SUPPORT AND COORDINATE COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD HOME VISITING SERVICES FOR ELIGIBLE FAMILIES. GUAM'S HOME VISITING PROGRAM, PBIF, AIMS TO HELP GUAM'S PARENTS AND CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS. PROJECT BISITA'S PRIORITY CRITERIA FOR ENROLLMENT ARE A MATERNAL AGE OF LESS THAN 21 YEARS, LOW MATERNAL EDUCATION, AND LOW INCOME. THE PROJECT ALSO SERVES PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN AT INCREASED RISK FOR MALTREATMENT DUE TO PRIOR INVOLVEMENT WITH THE CHILD PROTECTION SYSTEM OR A HISTORY OF MENTAL HEALTH ISSUES. PURPOSE: THE PROGRAM'S PURPOSE IS TO HELP PARENTS OR CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS BY FOLLOWING AN EVIDENCE-BASED HOME VISITING MODEL. PROJECT BISITA I FAMILIA'S PURPOSE IS TO DELIVER EVIDENCE-BASED HOME VISITING SERVICES TO PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN WHO ARE AT HIGH RISK AND MAY HAVE UNFAVORABLE OUTCOMES IN THE FUTURE. THE SERVICE IS NOT JUST ABOUT PROVIDING CARE, BUT ALSO ABOUT ADDRESSING THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH. BY GUIDING FAMILIES TO COMMUNITY RESOURCES, INCREASING FAMILY LITERACY, AND PROMOTING PARENT-CHILD BONDING. THE PROGRAM IS COMMITTED TO REDUCING POTENTIAL HEALTH DISPARITIES AND ENSURING THAT EVERY FAMILY HAS AN EQUAL OPPORTUNITY TO A HEALTHY AND THRIVING LIFE. GOALS AND OBJECTIVES: GOAL 1: PROJECT BISITA I FAMILIA WILL PROVIDE HIGH-QUALITY, VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES IN HIGH-RISK COMMUNITIES. OBJECTIVE 1A: BY SEPTEMBER 30, 2027, 105 FAMILIES IN HIGH-RISK COMMUNITIES IDENTIFIED RECEIVE HIGH-QUALITY VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES. GOAL 2: IVE EFFORTS WITH EARLY CHILDHOOD AND OTHER CHILD AND FAMILY-SERVING AGENCIES. OBJECTIVE 2A: BY SEPTEMBER 30, 2027, PROJECT BISITA STAFF WILL ATTEND FOUR STAFF TRAINING AND PARENT WORKSHOPS ANNUALLY WITH OTHER EARLY CHILDHOOD PROGRAMS. GOAL 3: ENHANCE STAFFING AND ADMINISTRATIVE STRUCTURES TO DEVELOP HIGH-QUALITY ONGOING HOME VISITING PROGRAM STAFF TRAINING. OBJECTIVE3A: BY SEPTEMBER 30, 2027, PROJECT BISITA WILL HAVE SEVEN HOME VISITORS CERTIFIED IN THE HFA HOME-VISITING MODEL. GOAL 4: EXPAND THE DATABASE SYSTEM TO IMPROVE PROJECT BISITA'S ABILITY TO MEET DATA COLLECTION AND REPORTING REQUIREMENTS. OBJECTIVE4A: BY SEPTEMBER 30, 2027, PROJECT BISITA'S DATA SYSTEM WILL BE ENHANCED AND REFINED EVERY SIX MONTHS TO MEET THE REQUIREMENTS OF THE MIECHV FEDERAL GRANT AND HFA EVIDENCE-BASE HOME VISITING MODEL.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - GUAM MIECHV FY 2024 NON-COMPETING CONTINUATION APPLICATION PROJECT ABSTRACT ADDRESS: 155 HESLER PLACE, HAGATNA`, GUAM 96910 PROJECT DIRECTOR NAME: MARGARITA B. GAY CONTACT PHONE NUMBER: (671) 634-7408 EMAIL ADDRESS MARGARITA.GAY@DPHSS.GUAM.GOV WEBSITE ADDRESS: HTTP://WWW.DPHSS.GUAM.GOV HTTP://WWW.PROJECTBISITA.ORG AMOUNT OF FUNDS REQUESTED: $1,658,857.00 ANNOTATION: GUAM'S HOME VISITING PROGRAM, PROJECT BISITA I FAMILIA (PBIF), AIMS TO HELP GUAM'S PARENTS AND CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS. PBIF'S PRIORITY CRITERIA FOR ENROLLMENT ARE A MATERNAL AGE OF LESS THAN 21 YEARS, LOW MATERNAL EDUCATION, AND LOW INCOME. THE PROJECT ALSO SERVES PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN AT INCREASED RISK FOR MALTREATMENT DUE TO PRIOR INVOLVEMENT WITH THE CHILD PROTECTION SYSTEM OR A HISTORY OF MENTAL HEALTH ISSUES. PROBLEM: THE PROGRAM FACES MANY PROCUREMENT ISSUES, STAFF RECRUITMENT, AND PARTICIPANT RETENTION AND RECRUITMENT CHALLENGES. PURPOSE: THE PROGRAM'S PURPOSE IS TO HELP THE PARENTS OR CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS BY FOLLOWING AN EVIDENCE-BASED HOME VISITING MODEL. PBIF'S PURPOSE IS TO DELIVER EVIDENCE-BASED HOME VISITING SERVICES TO PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN WHO ARE AT HIGH RISK FOR POOR OUTCOMES. THE SERVICE IS NOT JUST ABOUT PROVIDING CARE BUT ALSO ABOUT ADDRESSING THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH. BY GUIDING FAMILIES TO COMMUNITY RESOURCES, INCREASING FAMILY LITERACY, AND PROMOTING PARENT-CHILD BONDING, THE PROGRAM IS COMMITTED TO REDUCING HEALTH DISPARITIES AND ENSURING EVERY FAMILY HAS AN EQUAL CHANCE AT A HEALTHY AND PROSPEROUS LIFE. GOALS AND OBJECTIVES (1) PBIF WILL PROVIDE HIGH-QUALITY, VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES IN HIGH-RISK COMMUNITIES. BY SEPTEMBER 30, 2026, 105 FAMILIES IN HIGH-RISK COMMUNITIES IDENTIFIED RECEIVE HIGH-QUALITY VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES. (2) STRENGTHEN COLLABORATIVE EFFORTS WITH EARLY CHILDHOOD AND OTHER CHILD AND FAMILY-SERVING AGENCIES. BY SEPTEMBER 30, 2026, PROJECT BISITA STAFF WILL ATTEND FOUR STAFF TRAINING AND PARENT WORKSHOPS ANNUALLY, ALONG WITH OTHER EARLY CHILDHOOD PROGRAMS. (3) ENHANCE STAFFING AND ADMINISTRATIVE STRUCTURES TO DEVELOP HIGH-QUALITY ONGOING HOME VISITING PROGRAM STAFF TRAINING. BY SEPTEMBER 30, 2026, PROJ ECT BISITA WILL HAVE SEVEN HOME VISITORS CERTIFIED IN THE HFA HOME-VISITING MODEL. (4) EXPAND THE DATABASE SYSTEM TO IMPROVE PROJECT BISITA'S ABILITY TO MEET DATA COLLECTION AND REPORTING REQUIREMENTS. BY SEPTEMBER 30, 2026, PROJECT BISITA'S DATA SYSTEM WILL BE ENHANCED AND REFINED EVERY SIX MONTHS TO MEET THE REQUIREMENTS OF THE MIECHV FEDERAL GRANT AND HFA EVIDENCE-BASED MODEL. APPROACH: PBIF USES HEALTHY FAMILIES AMERICA AS ITS EVIDENCE-BASED MODEL AND HAS NO PROMISING APPROACH. THE VILLAGES IDENTIFIED BY THE NEEDS ASSESSMENT THAT THE PROGRAM STARTED TO SERVE; CHALAN PAGO-ORDOT, ASAN-MAINA, HAGATNA, AGAT, AND TAMUNING-TUMON-HARMON. THE PROGRAM WILL CONTINUE TO VISIT AND ENROLL FAMILIES WHO RESIDE IN THE VILLAGES OF DEDEDO, MANGILAO, AND YIGO. THE TOTAL PROPOSED CASELOAD OF MIECHV FAMILY SLOTS IS 105.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - I. ABSTRACT ADDRESS: MISSISSIPPI STATE DEPT. OF HEALTH, 570 E. WOODROW WILSON, 0-200, JACKSON, MS 39216 PROJECT DIRECTOR: DR. ANNALYN WHITT, DIRECTOR OF HEALTH SERVICES; PROGRAM MANAGER: JERMAINE BAILEY CONTACT: (601) 576-7465 VOICE, (601) 576-7825 FAX EMAIL: ANNALYN.WHITT@MSDH.MS.GOV; JERMAINE.BAILEY@MSDH.MS.GOV WEB SITE: WWW.MSDH.MS.GOV GRANT PROGRAM FUNDS REQUESTED: $3,983,699.00 ANNOTATION: MIECHV-MS WILL IMPLEMENT A VOLUNTARY EVIDENCE-BASED HOME VISITING (EBHV) PROGRAM FOR EXPECTANT AND NEW PARENTS WITH CHILDREN UP TO KINDERGARTEN IN 16 COUNTIES TO IMPROVE THEIR HEALTH AND WELL-BEING. MIECHV-MS WILL ALSO PROVIDE HEALTH AND DEVELOPMENTAL SCREENINGS FOR ENROLLED FAMILIES AND MAKE APPROPRIATE LINKAGES AND REFERRALS FOR COMMUNITY RESOURCES AND SUPPORTS IN PARTNERSHIP WITH HEALTH, SOCIAL SERVICE, AND INTERVENTION PROFESSIONALS. THIS PROJECT PERIOD, MIECHV-MS WILL IMPROVE THE PROGRAM INFRASTRUCTURE, IMPLEMENT EBHV SERVICES WITH ELIGIBLE FAMILIES, AND ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT. PROBLEM: SELECTED MISSISSIPPI COMMUNITIES HAVE POOR MATERNAL AND CHILD HEALTH OUTCOMES, ADVERSE PERINATAL OUTCOMES, POOR HEALTH RANKINGS, AND SIGNIFICANT HEALTH DISPARITIES. POVERTY RATES EXCEEDED 23% OVERALL WITH HIGHER RATES FOR CHILD POVERTY. SUBSTANCE USE DISORDERS, MENTAL HEALTH DISORDERS, AND CHILD MALTREATMENT IN THE TARGET COMMUNITIES ARE HIGHER THAN THE STATE AVERAGES. PURPOSE: THE PURPOSE OF THE PROGRAM IS TO IMPROVE HEALTH AND WELL-BEING FOR FAMILIES IN TARGETED AREAS IN MISSISSIPPI BY PROVIDING EBHV. GOAL(S) AND OBJECTIVES: PROJECT GOALS ARE: (1) ENSURE THE MIECHV-MS PROGRAM HAS SUFFICIENT INFRASTRUCTURE TO DELIVER EBHV SERVICES; (2) IMPLEMENT AN EBHV MODEL WITH ELIGIBLE PREGNANT WOMEN AND CHILDREN UP TO KINDERGARTEN; AND (3) ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT INITIATIVES THAT MAINTAIN AND EXCEED THE PROGRAM’S FIDELITY. PROJECT OBJECTIVES ARE: 1.1 THROUGH 9/29/2026, MSDH WILL MAINTAIN AFFILIATION AND DATA SHARING AGREEMENTS WITH THE MODEL DEVELOPER(S) OF THE SELECTED EBHV MODEL(S). 1.2 THROUGH 9/29/2026, MSDH WILL RECRUIT AND RETAIN PERSONNEL WHO REFLECT THE RACIAL AND ETHNIC DIVERSITY OF THE COMMUNITIES SERVED TO IMPLEMENT EBHV, INCLUDING STATE PROGRAM PERSONNEL, LOCAL AREA SUPERVISORS, AND PARENT EDUCATORS/HOME VISITORS. 1.3 THROUGH 9/29/2026, MIECHV-MS WILL MAINTAIN, IMPLEMENT, AND REVIEW/REVISE POLICIES AND PROCEDURES FOR IMPLEMENTATION OF EBHV AND MANAGEMENT OF THE MIECHV GRANT. 1.4 THROUGH 9/29/2026, ALL MIECHV-MS LOCAL AREA SUPERVISORS AND HOME VISITORS WILL COMPLETE REQUIRED EBHV MODEL FOUNDATIONAL AND IMPLEMENTATION TRAINING TIMELY. 1.5 THROUGH 9/29/2026, MSDH WILL COMPLETE AND SUBMIT ALL APPLICATIONS AND COLLECT AND REPORT ALL REQUIRED DATA, PROGRAM ACTIVITIES, AND PERFORMANCE OUTCOMES TO THE HRSA AND EBHV MODEL DEVELOPER(S). 2.1 BY 9/29/2026, MSDH WILL RECRUIT, ENROLL, AND PROVIDE SERVICES FOR A CASELOAD OF 540 ELIGIBLE FAMILIES WHO REFLECT THE RACIAL, ETHNIC, AND LINGUISTIC DIVERSITY OF THE COMMUNITIES ANNUALLY, ACROSS MIECHV-MS 16 COMMUNITIES. 3.1 THROUGH 9/29/2026, MIECHV-MS WILL MAINTAIN AN ADVISORY COMMITTEE AND PARTNERSHIP AGREEMENTS THROUGH THE DURATION OF THE PERFORMANCE PERIOD. 3.2 THROUGH 9/29/2026, MIECHV-MS WILL MAINTAIN CONTINUOUS QUALITY IMPROVEMENT (CQI) TEAM(S) TO ENSURE PROGRAM EFFECTIVENESS USING PLAN-DO-STUDY-ACT (PDSA) METHODOLOGY. APPROACH: MIECHV-MS WILL IMPLEMENT PARENTS AS TEACHERS WITH 540 FAMILIES IN COLLABORATION WITH OTHER ORGANIZATIONS TO ENSURE MAXIMUM IMPACT IN IDENTIFIED COMMUNITIES, INCLUDING: CLAIBORNE, COAHOMA, COPIAH, DESOTO, HINDS, HOLMES, HUMPHREYS, ISSAQUENA, JEFFERSON, NESHOBA, SHARKEY, SUNFLOWER, TALLAHATCHIE, TUNICA, WASHINGTON, AND WILKINSON.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - I. PROJECT ABSTRACT PROJECT TITLE: HAWAII MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) FORMULA GRANT PROJECT FY 2025 APPLICANT NAME: HAWAII STATE DEPARTMENT OF HEALTH ADDRESS: 1250 PUNCHBOWL STREET, HONOLULU, HAWAII 96813-2416 PROJECT DIRECTOR NAME: MATTHEW J. SHIM, PHD, MPH, CHIEF, FAMILY HEALTH SERVICES DIVISION CONTACT PHONE NUMBERS: 808-586-4122 EMAIL ADDRESS: MATTHEW.SHIM@DOH.HAWAII.GOV ANNOTATION: THE HAWAII MIECHV FORMULA GRANT PROJECT FY 2025 MAINTAINS COLLABORATION ACROSS COMPREHENSIVE HOME VISITING SERVICES SYSTEMS TO SUPPORT SCREENING AND REFERRAL EFFORTS. THE RESULT IS A NETWORK OF PARTNERSHIPS WITH BIRTHING HOSPITALS, PHYSICIANS, THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN, COMMUNITY HEALTH CENTERS, AND PRENATAL CLINICS THAT OFFER VOLUNTARY HOME VISITING SERVICES TO PREGNANT WOMEN OR CAREGIVERS OF CHILDREN BIRTH TO KINDERGARTEN ENTRY. THESE SERVICES IMPROVE OUTCOMES AND REDUCE HEALTH DISPARITIES FOR FAMILIES LIVING IN AT-RISK COMMUNITIES. PROBLEM: ACCORDING TO THE 2025 MIECHV NEEDS ASSESSMENT, FAMILIES RESIDING IN HAWAII FACE UNEQUAL BIRTH, HEALTH, AND DEVELOPMENTAL OUTCOMES BASED ON THEIR COMMUNITY OF RESIDENCE. PURPOSE: THE FORMULA GRANT PROJECT FY 2025 WILL PROVIDE A COMPREHENSIVE EARLY IDENTIFICATION (EID) SYSTEM AND EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES RESIDING IN ONE OF THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREAS TO IMPROVE OUTCOMES FOR AT-RISK CHILDREN. GOALS AND OBJECTIVES: THE GRANTEE WILL ACHIEVE FOUR (4) GOALS: 1) INCREASE PROGRAM SUCCESS IN REACHING, ENGAGING, AND RETAINING HIGH-RISK FAMILIES; 2) INCREASE PROGRAM SUCCESS IN RECRUITING AND RETAINING HOME VISITORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS; AND 4) PROMOTE THE SUSTAINABILITY OF THE HOME VISITING PROGRAM THROUGH A CONTINUOUS QUALITY IMPROVEMENT (CQI) PROCESS. THE GRANTEE WILL MEET THESE GOALS BY PURSUING THE FOLLOWING OBJECTIVES: 1) MAINTAIN 85% CAPACITY UTILIZATION THROUGHOUT THE PERIOD OF PERFORMANCE; 2) UTILIZE THE RESULTS OF THE TRAINING NEEDS ASSESSMENT TO PRIORITIZE AND IMPLEMENT PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR HOME VISITORS AND SUPERVISORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS BY INCREASING THE NUMBER OF CLEAR POINTS OF CONTACT FOR RECOMMENDED MENTAL HEALTH SERVICES DURING THE PERIOD OF PERFORMANCE, WITH SPECIAL CARE GIVEN TO OFFERING CLEAR POINTS OF CONTACT FOR APPROPRIATE SERVICES WITHIN THE COMMUNITY; AND 4) ENSURE THAT THE PROGRAM IS SUSTAINABLE AND CONTINUOUSLY IMPROVING SO THAT IT CAN HAVE A POSITIVE IMPACT ON OUTCOMES AND REDUCE HEALTH AND DEVELOPMENTAL DISPARITIES IN THE COMMUNITY. WE WILL CONTINUE TO HOLD QUARTERLY MEETINGS WITH LOCAL IMPLEMENTING AGENCIES (LIAS) THROUGHOUT THE PERIOD OF PERFORMANCE TO: 1) SHARE ADVANCEMENTS IN THE FIELD OF CQI; 2) ENSURE CONSISTENCY OF CQI EFFORTS ACROSS LIAS; AND 3) PROVIDE CONTINUED TECHNICAL ASSISTANCE (TA) IN INTEGRATING HEALTH EQUITY ISSUES INTO CQI EFFORTS THROUGHOUT THE PERIOD OF PERFORMANCE. HAWAII IS REQUESTING $3,894,545.00 IN BASE FUNDING AND REQUESTING A MATCH OF $1,075,093.00 FOR A TOTAL BUDGET OF $5,328,002.00 PLANNED TO PROVIDE EVIDENCE-BASED HOME VISITING SERVICES. SOURCE OF NON-FEDERAL FUNDING: HAWAII STATE GENERAL FUNDS. METHODOLOGY: THE MIECHV EID PROGRAM SCREENS AND REFERS FAMILIES WHO RESIDE IN PRIORITY AT-RISK COMMUNITIES STATEWIDE, AS DESCRIBED UNDER SUBSECTION 511(B)(1)(A). THE EID SYSTEM APPROACHES PRENATAL WOMEN AND PARENTS OF NEWBORNS WHO RESIDE IN THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREA TO SCREEN FOR HOME VISITING PROGRAM ELIGIBILITY. KEY ACTIVITIES INCLUDE PARTNERSHIPS WITH TITLE IV-E, TITLE V, EARLY CHILDHOOD COMPREHENSIVE SERVICES GRANTEES TO IMPROVE INTEGRATION WITH EARLY CHILDHOOD SYSTEMS. MODELS: HFA, HIPPY, AND PAT. COMMUNITIES SERVED: DOWNTOWN, EAST HAWAII, KAUAI, LANAI, LEEWARD, MAUI, METRO HONOLULU, MOLOKAI, SOUTHCENTRAL, AND WEST HAWAII. PROPOSED CASELOAD SLOTS: 418 (FY26), 447 (FY27). CURRENT CASE

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - IOWA DESIRES TO PROVIDE EVIDENCE-BASED HOME VISITATION TO 772 VULNERABLE FAMILIES THAT ARE PREGNANT OR HAVE SMALL CHILDREN, RESIDING IN THE MOST AT-RISK COMMUNITIES IN THE STATE. IOWA SUPPORTS THE HOME VISITING WORKFORCE WITH INNOVATIVE STRATEGIES IN ORDER TO RETAIN THE MOST QUALIFIED HOME VISITORS. IOWA WILL CONTINUE ITS TRADITION OF CONTRIBUTING TO THE EVIDENCE-BASE BY PARTICIPATING IN THE COORDINATED STATE EVALUATION FOCUSED ON WORKFORCE SUPPORTS. IOWA HAS A RICH HISTORY OF BI-PARTISAN SUPPORT FOR CHILDREN AND FAMILIES, DEDICATING STATE FUNDS FOR HOME VISITING SERVICES SINCE 1988. IOWA’S INVESTMENTS IN HOME VISITING HAVE HISTORICALLY BEEN IN LOCALLY DEVELOPED MODELS THAT LACK AN EVIDENCE-BASE. PURPOSE: PROVIDING HIGH QUALITY, EVIDENCE-BASED HOME VISITING IN 24 IOWA COUNTIES TO 772 FAMILIES. GOALS & OBJECTIVES: THE PROJECT SUPPORTS SIX GOALS AND 16 OBJECTIVES. GOAL 1: FOCUS ON AT-RISK AND HIGH NEEDS CHILDREN AND THEIR FAMILIES. *EXPAND ACCESS TO HOME VISITING IN TARGETED COMMUNITIES AND REACH FULL-SERVICE CAPACITY. *STRENGTHEN REFERRAL NETWORKS WITH HOSPITALS, WIC, HEALTHCARE PROVIDERS, AND CHILDCARE SERVICES. GOAL 2: SUPPORT CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES THAT ADDRESS COMMUNITY-IDENTIFIED BARRIER(S), *DESIGNATE A CQI LEAD PER PROGRAM, ENSURING 80% PARTICIPATION IN CHECK-INS. *UTILIZE DATA TO IDENTIFY AND IMPLEMENT CQI PROJECTS ALIGNED WITH HRSA REQUIREMENTS. GOAL 3: STRENGTHEN LEADERSHIP, COLLABORATION AND COORDINATION OF EARLY CHILDHOOD PARTNERS FOR THE INTEGRATION OF A COMPREHENSIVE EARLY CARE, HEALTH AND EDUCATION SYSTEM, *COORDINATE MIECHV EFFORTS WITH EARLY CHILDHOOD SERVICE PROVIDERS. *ALIGN PROFESSIONAL DEVELOPMENT WITH KEY PARTNERS, INCLUDING EARLY EDUCATION ORGANIZATIONS. *MAINTAIN A LOCAL INTAKE SYSTEM FOR REFERRALS AND FAMILY SUPPORT PROGRAM COORDINATION. GOAL 4: SUPPORT INFORMED DECISION-MAKING FOR PROGRAM DEVELOPMENT, PUBLIC POLICY, AND FISCAL MANAGEMENT AT THE STATE AND LOCAL LEVELS THROUGH THE USE OF RESULTS ACCOUNTABILITY DATA. *ASSIST FAMILY SUPPORT PROFESSIONALS IN ACCURATE DATA COLLECTION FOR PERFORMANCE IMPROVEMENT. *ENSURE FULL-SERVICE CASELOADS AND ADHERENCE TO HOME VISIT REQUIREMENTS. GOAL 5: ENSURE IOWA'S HOME VISITING PROFESSIONALS POSSESS THE CORE COMPETENCIES REQUIRED TO BE EFFECTIVE IN THEIR POSITIONS. *SUPPORT CERTIFICATION FOR FAMILY SUPPORT PROFESSIONALS THROUGH TRAINING INITIATIVES. *ENHANCE STAFF SKILLS IN MENTAL HEALTH SUPPORT. *PROMOTE COMPETITIVE WAGES TO ATTRACT AND RETAIN QUALIFIED PROFESSIONALS, RECOMMENDING A $18/HR STARTING WAGE. GOAL 6: PROVIDE THE OPPORTUNITY FOR IOWA’S AT-RISK FAMILIES TO BE PARTNERS IN PLANNING AND IMPLEMENTING HOME VISITING SERVICES. THE GOALS WILL BE ACCOMPLISHED THROUGH A VARIETY OF OBJECTIVES AND ACTIVITIES. *ENCOURAGE FAMILY PARTICIPATION IN EVALUATIONS AND MAINTAIN A PARENT ADVISORY COUNCIL WITH AT LEAST 50% PAST OR CURRENT PROGRAM PARTICIPANTS. APPROACH: IOWA SUPPORTS HEALTHY FAMILIES AMERICA, NURSE FAMILY PARTNERSHIP AND PARENTS AS TEACHERS HOME VISITING MODELS. TARGETED COMMUNITIES INCLUDE APPANOOSE, BLACK HAWK, CASS, CERRO GORDO, CLINTON, DES MOINES, FREMONT, HENRY, JEFFERSON, LEE, MAHASKA, MARSHALL, MONROE, MONTGOMERY, MUSCATINE, PAGE, POLK, POTTAWATTAMIE, SCOTT, TAMA, TAYLOR, WAPELLO, WEBSTER AND WOODBURY. FAMILIES THAT MEET ONE OR MORE OF THE MIECHV ELIGIBILITY CRITERIA WILL BE THE TARGET FOR THESE SERVICES. IOWA WILL HAVE A CASELOAD CAPACITY OF 772 FAMILIES EACH YEAR OF THIS PROJECT. IOWA WILL SUPPORT 9 LIA’S UNDER THIS PROJECT. IOWA MIECHV WILL UTILIZE FEDERAL AND STATE MATCHING FUNDS TO EXPAND EVIDENCE-BASED HOME VISITING INTO THREE NEW COUNTIES, SERVING AN ADDITIONAL 60 ELIGIBLE FAMILIES. STATE EARLY CHILDHOOD IOWA FUNDS THAT SUPPORT EVIDENCE-BASED PARENTS AS TEACHERS HAVE BEEN COMMITTED AS MATCH TO SUPPORT THIS GRANT APPLICATION.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) – MISSISSIPPI PROJECT NARRATIVE: SEPTEMBER 30, 2024 – SEPTEMBER 29, 2026 I. ABSTRACT ADDRESS: MISSISSIPPI STATE DEPT. OF HEALTH, 570 E. WOODROW WILSON, 0-200, JACKSON, MS 39216 PROJECT DIRECTOR: DR. SHELIA ANTHONY, CHILD HEALTH DIRECTOR CONTACT: (601) 576-7472 VOICE, (601) 576-7825 FAX EMAIL: SHELIA.ANTHONY@MSDH.MS.GOV GRANT PROGRAM FUNDS REQUESTED: $3,983,699.00 WEB SITE: WWW.MSDH.MS.GOV ANNOTATION: MIECHV-MS WILL IMPLEMENT A VOLUNTARY EVIDENCE-BASED HOME VISITING (EBHV) PROGRAM FOR EXPECTANT AND NEW PARENTS WITH CHILDREN UP TO KINDERGARTEN IN 16 COUNTIES TO IMPROVE THEIR HEALTH AND WELL-BEING. MIECHV-MS WILL ALSO PROVIDE HEALTH AND DEVELOPMENTAL SCREENINGS FOR ENROLLED FAMILIES AND MAKE APPROPRIATE LINKAGES AND REFERRALS FOR COMMUNITY RESOURCES AND SUPPORTS IN PARTNERSHIP WITH HEALTH, SOCIAL SERVICE, AND INTERVENTION PROFESSIONALS. THIS PROJECT PERIOD, MIECHV-MS WILL IMPROVE THE PROGRAM INFRASTRUCTURE, IMPLEMENT EBHV SERVICES WITH ELIGIBLE FAMILIES, AND ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT. PROBLEM: SELECTED MISSISSIPPI COMMUNITIES HAVE POOR MATERNAL AND CHILD HEALTH OUTCOMES, ADVERSE PERINATAL OUTCOMES, POOR HEALTH RANKINGS, AND SIGNIFICANT HEALTH DISPARITIES. POVERTY RATES EXCEEDED 23% OVERALL WITH HIGHER RATES FOR CHILD POVERTY. SUBSTANCE USE DISORDERS, MENTAL HEALTH DISORDERS, AND CHILD MALTREATMENT IN THE TARGET COMMUNITIES ARE HIGHER THAN THE STATE AVERAGES. PURPOSE: THE PURPOSE OF THE PROGRAM IS TO IMPROVE HEALTH AND WELL-BEING FOR FAMILIES IN TARGETED AREAS IN MISSISSIPPI BY PROVIDING EBHV. GOAL(S) AND OBJECTIVES: PROJECT GOALS ARE: (1) ENSURE THE MIECHV-MS PROGRAM HAS SUFFICIENT INFRASTRUCTURE TO DELIVER EBHV SERVICES; (2) IMPLEMENT AN EBHV MODEL WITH ELIGIBLE PREGNANT WOMEN AND CHILDREN UP TO KINDERGARTEN; AND (3) ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT INITIATIVES THAT MAINTAIN AND EXCEED THE PROGRAM’S FIDELITY. PROJECT OBJECTIVES ARE: 1.1 THROUGH 9/29/2027, MSDH WILL MAINTAIN AFFILIATION AND DATA SHARING AGREEMENTS WITH THE MODEL DEVELOPER(S) OF THE SELECTED EBHV MODEL(S). 1.2 THROUGH 9/29/2027, MSDH WILL RECRUIT AND RETAIN QUALIFIED PERSONNEL TO IMPLEMENT EBHV, INCLUDING STATE PROGRAM PERSONNEL, LOCAL AREA SUPERVISORS, AND PARENT EDUCATORS/HOME VISITORS. 1.3 THROUGH 9/29/2027, MIECHV-MS WILL MAINTAIN, IMPLEMENT, AND REVIEW/REVISE POLICIES AND PROCEDURES FOR IMPLEMENTATION OF EBHV AND MANAGEMENT OF THE MIECHV GRANT. 1.4 THROUGH 9/29/2027, ALL MIECHV-MS LOCAL AREA SUPERVISORS AND HOME VISITORS WILL COMPLETE REQUIRED EBHV MODEL FOUNDATIONAL AND IMPLEMENTATION TRAINING TIMELY. 1.5 THROUGH 9/29/2027, MSDH WILL COMPLETE AND SUBMIT ALL APPLICATIONS AND COLLECT AND REPORT ALL REQUIRED DATA, PROGRAM ACTIVITIES, AND PERFORMANCE OUTCOMES TO THE HRSA AND EBHV MODEL DEVELOPER(S). 2.1 BY 9/29/2027, MSDH WILL RECRUIT, ENROLL, AND PROVIDE SERVICES FOR A CASELOAD OF 360 ELIGIBLE FAMILIES FROM ACROSS MIECHV-MS 16 COMMUNITIES. 3.1 THROUGH 9/29/2027, MIECHV-MS WILL MAINTAIN AN ADVISORY COMMITTEE AND PARTNERSHIP AGREEMENTS THROUGH THE DURATION OF THE PERFORMANCE PERIOD. 3.2 THROUGH 9/29/2027, MIECHV-MS WILL MAINTAIN CONTINUOUS QUALITY IMPROVEMENT (CQI) TEAM(S) TO ENSURE PROGRAM EFFECTIVENESS USING PLAN-DO-STUDY-ACT (PDSA) METHODOLOGY. APPROACH: MIECHV-MS WILL IMPLEMENT PARENTS AS TEACHERS WITH 360 FAMILIES IN COLLABORATION WITH OTHER ORGANIZATIONS TO ENSURE MAXIMUM IMPACT IN IDENTIFIED 16 COMMUNITIES, INCLUDING: CLAIBORNE, COAHOMA, COPIAH, DESOTO, HINDS, HOLMES, HUMPHREYS, ISSAQUENA, JEFFERSON, NESHOBA, SHARKEY, SUNFLOWER, TALLAHATCHIE, TUNICA, WASHINGTON, AND WILKINSON

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES HOME VISITING UNIT 320 S. WALNUT ST., LANSING, MI 48933 | TIFFANY KOSTELEC | 517.242.7905| KOSTELECT@MICHIGAN.GOV | WWW.MICHIGAN.GOV/HOMEVISITING | GRANT FUNDS REQUESTED: $10,619,295 PURPOSE: THE MICHIGAN HOME VISITING INITIATIVE (MHVI) IS DESIGNED TO INTEGRATE THE HOME VISITING SYSTEM WITHIN THE COMPREHENSIVE EARLY CHILDHOOD SYSTEM; AND CREATE AN EVIDENCE-BASED, DATA-DRIVEN SYSTEM THAT WILL IMPROVE THE WELL-BEING OF FAMILIES AND CHILDREN IN COMMUNITIES FACING DECADES OF DISINVESTMENT, ULTIMATELY REDUCING HEALTH DISPARITIES. GOALS AND OBJECTIVES: GOALS AND KEY OBJECTIVES FOR THIS PROJECT ARE: • ALL COMPONENTS OF THE HV SYSTEM WILL BE FAMILY CENTERED AND GUIDED BY PARENT PARTNERSHIP AND VOICE. O CONSUMER VOICE IN SELECTING PROGRAM IMPROVEMENT PROJECTS. • ENSURE FAMILIES RECEIVE HIGH QUALITY, EQUITABLE SERVICES THAT MEET MODEL STANDARDS. O DEVELOP A PROCESS TO COLLECT WORKFORCE DATA TO USE IN EQUITY AND STRATEGIC PLANNING. O RECEIVE TRAINING ON A MENTAL HEALTH APP. • ALL MDHHS-HVU LIAS WILL IMPLEMENT POLICIES THAT STRENGTHEN SUPPORT FOR FAMILIES. O LIAS WILL UNDERSTAND THE URGENT MATERNAL WARNING SIGNS CAMPAIGN. O LIAS WILL PARTICIPATE IN SELF-ADVOCACY SKILL BUILDING TRAINING. METHODOLOGY: CONTINUE IMPLEMENTATION OF HV PROGRAMS IN COMMUNITIES THAT CONTRIBUTE TO A FAMILY’S EXPERIENCE OF RISK. OUTREACH/ENROLLMENT IS CONDUCTED TO FAMILIES WHO ARE IDENTIFIED AS HAVING PRIORITY IN THE MIECHV LEGISLATION INCLUDING: FAMILIES WITH CHILDREN AT RISK FOR MALTREATMENT, FAMILIES WHO HAVE A HISTORY OF SUBSTANCE USE, FAMILIES WHO EXPERIENCE LOW INCOME, AND FAMILIES WITH CHILDREN WITH DELAYS OR DISABILITIES. PRIORITY POPULATIONS FOR MIECHV COMMUNITIES WERE IDENTIFIED THROUGH THE 2020 STATEWIDE NEEDS ASSESSMENT. 1,580 IS THE TOTAL NUMBER OF FAMILIES SERVED UNDER THIS BASE GRANT. 1,411 FAMILIES WILL BE SERVED IN YEAR 1 AND 169 FAMILIES WILL BE SERVED IN YEAR 2. COMMUNITIES SERVED AND PROPOSED SERVICE CAPACITY ARE: 1. INGHAM, AND SAGINAW COUNTIES: EHS MODEL – WITH A PROPOSED CAPACITY OF 40 FAMILIES IN FY26; CURRENT CASELOAD OF MIECHV SLOTS IS 40. 2. GENESEE COUNTY: PAT MODEL – WITH A PROPOSED CAPACITY OF 129 FAMILIES IN FY26. 3. KALAMAZOO, KENT, MUSKEGON, SAGINAW, AND WAYNE COUNTIES: HFA MODEL – WITH A PROPOSED CAPACITY OF 481 FAMILIES IN FY25. CURRENT CASELOAD OF MIECHV SLOTS IS: 490. 4. BERRIEN, CALHOUN, GENESEE, INGHAM, KENT, OAKLAND, SAGINAW, AND WAYNE: NFP MODEL – WITH A PROPOSED CAPACITY OF 930 FAMILIES IN FY25. CURRENT CASELOAD OF MIECHV SLOTS IS: 1,125. MICHIGAN SUPPORTS LOCAL HOME VISITING LEADERSHIP GROUPS THAT COORDINATE AND BUILD RELATIONSHIPS TO ENSURE APPROPRIATE LINKAGES AND REFERRAL NETWORKS FOR FAMILIES. MICHIGAN ALSO ALIGNS ACTIVITIES AT THE STATE LEVEL THROUGH MULTIPLE EARLY CHILDHOOD AND HOME VISITING PARTNERSHIPS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - NEW MEXICO EARLY CHILDHOOD EDUCATION & CARE DEPARTMENT 1120 PASEO DE PERALTA SANTA FE, NM 87502 JOHANNA KEHOE, DEPUTY DIRECTOR, FAMILY SUPPORT & EARLY INTERVENTION MOBILE: 505-660-7435 EMAIL ADDRESS. JOHANNAD.KEHOE@ECECD.NM.GOV HTTP://NMECECD.ORG REQUESTING $4,476,858.00 FEDERAL BASE- $3,750,965.00 FEDERAL MATCHING-$725,893.00 ANNOTATION: NEW MEXICO EARLY CHILDHOOD EDUCATION & CARE DEPARTMENT (ECECD) OVERSEES THE STATES LOCAL IMPLEMENTING AGENCIES (LIAS). ECECD PROVIDES IMPORTANT EARLY CHILDHOOD INFRASTRUCTURE SERVICES TO ELIGIBLE FAMILIES IN ALL REGIONS OF THE STATE. AS A RESULT, NEW MEXICO’S HIGHEST-RISK FAMILIES CAN ACHIEVE POSITIVE OUTCOMES IN CHILDREN’S OVERALL DEVELOPMENT, INCREASE SCHOOL READINESS, AND ENHANCE PARENTS’ ABILITIES TO SUPPORT AND NURTURE THEIR CHILDREN. ALONG WITH SUPPORT TO COLLABORATE WITH GOVERNMENTAL ENTITIES AND OTHER LOCAL PROVIDERS TO INCREASE AWARENESS AND FAMILY ENGAGEMENT WITHIN THE COMMUNITIES OF NEW MEXICO. PROBLEM: ECECD DETERMINES AREAS OF INEQUITY IN THE STATE WHERE FAMILIES AND CHILDREN ARE MOST AT RISK. ECECD BELIEVES ALL FAMILIES CAN BENEFIT FROM HOME VISITING BUT TAKES A TARGETED UNIVERSAL APPROACH TO ENSURE THAT THE MOST AT-RISK AREAS RECEIVE EXTRA FOCUS AND SUPPORT. HOME VISITING IS PROVIDED TO FAMILIES PRENATALLY TO THE AGE OF FIVE YEARS OLD. BY SETTING THE FOUNDATION FOR EARLY PRENATAL CARE AND ENCOURAGING HEALTHY BIRTHS, HOME VISITORS ASSIST FAMILIES IN PREPARING FOR PREGNANCY, PROVIDE SUPPORT DURING PREGNANCY, AND PROMOTE THE DELIVERY OF A HEALTHY BABY. PURPOSE: NEW MEXICO LEVERAGES THE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) FEDERAL GRANT TO FUND EVIDENCE-BASED HOME VISITING DIRECT SERVICES AND INVESTS IN INFRASTRUCTURE SUPPORTS FOR DATA MANAGEMENT AND ONGOING PROFESSIONAL DEVELOPMENT TO ENSURE QUALITY SERVICES AND PROGRAMMING. NEW MEXICO’S HOME VISITING PROGRAM IS WELL-ESTABLISHED AND IS COMMITTED TO A TARGETED UNIVERSALISM APPROACH, IMPROVING EARLY CHILDHOOD OUTCOMES FOR ALL CHILDREN AND FAMILIES, ESPECIALLY THOSE IN AT-RISK COMMUNITIES, BY ENHANCING AND EXPANDING SUPPORTIVE RELATIONSHIPS FOR CHILDREN AND THEIR FAMILIES. ECECD WORKS WITH LOCAL IMPLEMENTING AGENCIES (LIAS) TO ADMINISTER EVIDENCE-BASED HOME VISITING ACROSS THE STATE. ECECD ALSO PARTNERS WITH THE UNIVERSITY OF NEW MEXICO FOR INFRASTRUCTURE SUPPORT, INCLUDING DATA MANAGEMENT AND CONTINUOUS PROFESSIONAL GROWTH AND DEVELOPMENT. NEW MEXICO HOME VISITING GOALS AND OBJECTIVES: NEW MEXICO’S LIAS PROVIDE A RANGE OF HOME VISITATION SERVICES AND MODELS TO FAMILIES BEGINNING PRENATALLY UNTIL THEIR CHILDREN ARE FIVE YEARS OLD. HOME VISITORS SUPPORT FAMILIES BY PROMOTING EARLY PRENATAL CARE AND HEALTHY BIRTHS, TEACHING POSITIVE PARENTING AND SAFETY PRACTICES, SCREENING FOR DEVELOPMENTAL DELAYS AND MENTAL HEALTH CONCERNS, ASSISTING WITH ACCESS TO HEALTH INSURANCE AND CARE, AND REFERRING FAMILIES TO APPROPRIATE COMMUNITY SUPPORTS. GOAL 1. NEW MEXICO FAMILIES WHO PARTICIPATE IN THE NEW MEXICO MIECHV HOME VISITING PROGRAM WILL HAVE AN ALIGNED SYSTEM APPROACH FOR PRENATAL THROUGH FIVE SERVICES. LIAS WILL TARGET PREGNANT PEOPLE AND YOUNG CHILDREN IN IDENTIFIED AT-RISK COMMUNITIES TO IMPROVE HEALTH OUTCOMES. GOAL 2: ELIGIBLE ENROLLED PARENTS/CAREGIVERS AND CHILDREN WILL BE SCREENED TO PROMOTE IMPROVED PRENATAL, MATERNAL, AND CHILD HEALTH OUTCOMES. APPROACH: NEW MEXICO WILL CONTINUE ITS CURRENT USE OF THE EVIDENCE-BASED MODELS, NURSE FAMILY PARTNERSHIP (NFP), AND PARENTS AS TEACHERS (PAT). NEW MEXICO WILL SERVE THE FOLLOWING COMMUNITIES WITH FFY24 MIECHV FORMULA GRANT: DONA ANA, OTERO, ROOSEVELT, CURRY, LUNA, HIDALGO, BERNALILLO, VALENCIA, RIO ARRIBA, AND SANDOVAL COUNTIES IN THE PROPOSED ALLOCATION, NEW MEXICO HOME VISITING IS WORKING TOWARDS FILLING ALL ALLOTTED SLOTS. NEW MEXICO INTENDS TO CONTINUE OUTREACH AND RECRUITMENT EFFORTS TO MAINTAIN ENROLLMENT OF THE 648 MIECHV FAMILY SLOTS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT PROJECT TITLE: MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM BASE AND MATCHING GRANTS FY 2024 APPLICANT NAME: MINNESOTA DEPARTMENT OF HEALTH ADDRESS: 625 ROBERT ST N, ST. PAUL, MN 55155-2538 PROJECT DIRECTOR: JENNIFER LIPPERT PHONE NUMBER: 651-201-3640 EMAIL ADDRESS: JENNIE.LIPPERT@STATE.MN.US MIECHV PROJECT FUNDS REQUESTED: $10,286,509 ANNOTATION: THE MIECHV PROJECT WILL SUPPORT THE CONTINUATION OF EVIDENCE-BASED HOME VISITING SERVICES AND IMPROVE HEALTH AND DEVELOPMENTAL OUTCOMES FOR FAMILIES RESIDING IN AT-RISK COMMUNITIES. FAMILIES SERVED INCLUDE THOSE WHO ARE PREGNANT AND/OR PARENTING CHILDREN UP TO TWO YEARS OLD AND EXPERIENCING POVERTY, HOUSING INSECURITY, AND/OR LIMITED ACCESS TO HEALTH CARE; IMPACTED BY MENTAL ILLNESS, SUBSTANCE USE, INTIMATE PARTNER VIOLENCE, AND/OR THE CRIMINAL JUSTICE SYSTEM; HAVE CHILDREN WITH SPECIAL HEALTH NEEDS; AND FAMILIES WHO HAVE LIMITED ACCESS TO SOCIAL SUPPORTS AND SERVICES INCLUDING IMMIGRANT AND REFUGEE COMMUNITIES. ACTIVITIES INCLUDE PROVIDING FUNDS TO LOCAL IMPLEMENTING AGENCIES (LIAS) TO PROVIDE HOME VISITING IN AT-RISK COMMUNITIES, SUBRECIPIENT MONITORING, TECHNICAL ASSISTANCE TO LIAS TO SUPPORT IMPLEMENTATION OF PROGRAMS WITH FIDELITY TO EVIDENCE-BASED MODELS, CONTINUOUS QUALITY IMPROVEMENT, PERFORMANCE MEASUREMENT, AND COLLABORATION WITH EARLY CHILDHOOD SYSTEM PARTNERS. PROBLEM: MANY MINNESOTA FAMILIES FACE STRESSORS THAT AFFECT CHILDREN’S PHYSICAL, SOCIAL, AND EMOTIONAL DEVELOPMENT. FREQUENT EXPOSURE TO THESE STRESSORS INCREASES THE LIKELIHOOD OF FACING HEALTH DISPARITIES LATER IN LIFE. BY SUPPORTING FAMILIES AT THE BEGINNING OF THEIR CHILDREN’S LIVES, HOME VISITING IMPROVES FAMILY AND CHILD WELLBEING AND EMPOWERS PARENTS TO NURTURE THEIR CHILD’S DEVELOPMENT. PURPOSE: TO IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND FAMILY WELLBEING THROUGH PROVIDING COORDINATED, COMPREHENSIVE, HIGH-QUALITY, AND VOLUNTARY EARLY CHILDHOOD HOME VISITING SERVICES TO FAMILIES IN MINNESOTA AT-RISK COMMUNITIES. GOALS AND OBJECTIVES: THE MINNESOTA DEPARTMENT OF HEALTH WILL ACHIEVE THE FOLLOWING GOALS: 1) STRENGTHEN AND IMPROVE THE STATE'S INFRASTRUCTURE, ACTIVITIES AND PROGRAMS CARRIED OUT UNDER TITLE V; 2) IMPROVE COORDINATION OF SERVICES FOR AT-RISK COMMUNITIES; 3) IDENTIFY AND PROVIDE COMPREHENSIVE HOME VISITING SERVICES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES WHO RESIDE IN AT RISK COMMUNITIES AND CONTINUALLY MONITOR SERVICE DELIVERY. APPROACH: MINNESOTA LIAS WILL PROVIDE SERVICES TO A PROPOSED CASELOAD OF 1,178 FAMILY SLOTS DURING BOTH FEDERAL FISCAL YEARS OF THE PROJECT PERIOD. LIAS WILL IMPLEMENT THE MATERNAL EARLY CHILDHOOD SUSTAINED HOME-VISITING (MECSH) AND NURSE-FAMILY PARTNERSHIP (NFP) MODELS. LIAS WILL SERVE ANOKA, BENTON, CARLTON, CASS, DAKOTA, HENNEPIN, OLMSTED, RAMSEY, SAINT LOUIS, SHERBURNE, STEARNS, WASHINGTON, AND WRIGHT COUNTIES.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT FOR THE USVI MIECHV PROGRAM ADDRESS: 3241 ESTATE CONTANT 3RD FL ST. THOMAS, VI 00802 PROJECT DIRECTOR: JANIS VALMOND CONTACT NUMBER: 340-777-8804 EMAIL ADDRESS: JANIS.VALMOND@DOH.VI.GOV WEBSITE: WWW.DOH.VI.GOV 1. PROJECT ABSTRACT A. STANDARD OMB-APPROVED PROJECT ABSTRACT SUMMARY FORM THE VIRGIN ISLANDS MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (VI MIECHV) PROGRAM AIMS TO ENHANCE ACCESS TO QUALITY HEALTHCARE, PROMOTE HEALTH EQUITY FOR MATERNAL AND CHILD HEALTH, AND STRENGTHEN WORKFORCE CAPACITY FOR HOME VISITING. THIS INITIATIVE WILL INCREASE FAMILY ENROLLMENT IN EVIDENCE-BASED HOME VISITING MODELS, EXPAND COMMUNITY HEALTH OUTREACH TO UNDERSERVED AREAS THROUGH THE EXPANSION OF SERVICES OF NURSE FAMILY PARTNERSHIP (NFP) TO ST. CROIX. THE PROGRAM WILL IMPLEMENT HEALTH EQUITY INITIATIVES BY IMPLEMENTING STAFF TRAINING ON TOPICS RELATED TO HEALTH EQUITY AND CULTURE SENSITIVITY. THE PROGRAM ADDRESSES MATERNAL AND CHILD HEALTH DISPARITIES AND SOCIOECONOMIC CHALLENGES BY PROVIDING COMPREHENSIVE SUPPORT SERVICES AND IMPROVING HEALTHCARE ACCESS. PROBLEM: THE VI FACES SIGNIFICANT MATERNAL AND CHILD HEALTH DISPARITIES, INCLUDING HIGH RATES OF PRETERM BIRTHS AND LOW BIRTH WEIGHT, PARTICULARLY IN LOW-INCOME COMMUNITIES. THERE IS ALSO A NEED TO ADDRESS SOCIOECONOMIC CHALLENGES SUCH AS POVERTY, SUBSTANCE ABUSE, AND MENTAL HEALTH ISSUES THAT AFFECT MANY FAMILIES. PURPOSE: THE PURPOSE OF THE VI MIECHV PROGRAM IS TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES, ENHANCE SERVICE DELIVERY, AND ENSURE HEALTH EQUITY TO MOTHERS AND BABIES ACROSS THE TERRITORY OF ST. THOMAS, ST. JOHN AND ST. CROIX BY IMPLEMENTING EVIDENCE-BASED HOME VISITING MODELS AND COMPREHENSIVE SUPPORT SERVICES. GOALS AND OBJECTIVES: 1. ENHANCE ACCESS TO QUALITY HEALTHCARE AND INCREASE THE NUMBER OF FAMILIES ENROLLED IN NURSE FAMILY PARTNERSHIP (NFP) & HEALTHY FAMILIES AMERICA (HFA) PROGRAMS TO MEET THE TARGET POPULATION OF 100 FAMILY’S TERRITORY WIDE. OBJECTIVES: 1.1 COLLABORATE WITH TWO NEW HEALTHCARE PROVIDERS TO BOOST REFERRAL RATES. 1.2 CONDUCT AT LEAST THREE COMMUNITY HEALTH OUTREACHES INDEPENDENTLY AND/OR IN CONJUNCTION WITH COMMUNITY PARTNERS ANNUALLY. OBJECTIVES: 2.1 ENSURE ALL MIECHV STAFF COMPLETE HEALTH EQUITY TRAINING WITHIN SIX MONTHS OF EMPLOYMENT. OBJECTIVES: 3. STRENGTHEN WORKFORCE CAPACITY: RECRUIT AND TRAIN ADDITIONAL HOME VISITORS SPECIALIZING IN EARLY CHILDHOOD DEVELOPMENT WITHIN THE NEXT YEAR. 3.1 OFFER COMPETITIVE COMPENSATION PACKAGES TO ATTRACT NEW RECRUITS. 3.2 OFFER PROFESSIONAL DEVELOPMENT OPPORTUNITIES TO 100% OF THE STAFF ANNUALLY. APPROACH: LIST THE FOLLOWING: ELIGIBLE EVIDENCE-BASED MODELS AND PROMISING APPROACHES SUPPORT WITH MIECHV AWARD FUNDS. • NURSE FAMILY PARTNERSHIP (NFP) AND HEALTHY FAMILIES AMERICA (HFA) ARE THE TWO VOLUNTARY EVIDENCE-BASED MODELS THAT WILL BE UTILIZED USING THE NEW AWARD FUNDS. NFP WILL SERVE THE FIRST-TIME MOTHERS AND THEIR CHILDREN, PROVIDING HOME VISITING SERVICES DURING PREGNANCY AND CONTINUING THROUGH THE CHILD’S FIRST TWO YEARS OF LIFE. HEALTHY FAMILIES AMERICA (HFA) TARGETS PARENTS FACING CHALLENGES SUCH AS SINGLE PARENTHOOD, LOW INCOME, CHILDHOOD HISTORY OF ABUSE AND OTHER ADVERSE CHILD EXPERIENCES. HOME VISITING SERVICES ARE INITIATED DURING PREGNANCY OR AFTER BIRTH BEFORE THE CHILD TURNS THREE MONTHS OF AGE AND CONTINUE UNTIL THE CHILD IS THREE YEARS OLD. COMMUNITIES IDENTIFIED IN YOUR STATEWIDE NEEDS ASSESSMENT THAT YOU INTEND TO SERVE AND ANY SPECIFIC TARGET POPULATION GROUPS (S) TO BE SERVED WITHIN THOSE COMMUNITIES. • THE PROGRAM PRIMARILY SERVES LOW-INCOME FAMILIES, TEEN MOTHERS, AND FAMILIES WITH A HISTORY OF SUBSTANCE ABUSE, MENTAL HEALTH ISSUES, OR OTHER RISK FACTORS THAT MAY IMPACT MATERNAL AND CHILD HEALTH OUTCOMES IN ST. THOMAS, ST. JOHN AND ST. CROIX. TOTAL PROPOSED CASELOAD OF MIECHV FAMILY SLOTS (SEE APPENDIX B FOR A DEFINITION OF CASELOAD OF MIECHV FAMILY SLOTS) FOR EACH FEDERAL FISCAL YEAR WITHIN PERI

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT PROJECT TITLE: HAWAII MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) FORMULA GRANT PROJECT FY 2024 APPLICANT NAME: HAWAII STATE DEPARTMENT OF HEALTH (DOH) ADDRESS: 1250 PUNCHBOWL STREET, HONOLULU, HAWAII 96813-2416 PROJECT DIRECTOR NAME: MATTHEW J. SHIM, PHD, MPH, CHIEF, FAMILY HEALTH SERVICES DIVISION CONTACT PHONE NUMBERS: 808-586-4122 EMAIL ADDRESS: MATTHEW.SHIM@DOH.HAWAII.GOV ANNOTATION: THE HAWAII MIECHV FORMULA GRANT PROJECT FY 2024 MAINTAINS COLLABORATION OF COMPREHENSIVE EARLY IDENTIFICATION (EID) PROGRAMS. THE RESULT IS A NETWORK OF PARTNERSHIPS WITH BIRTHING HOSPITALS, PHYSICIANS, THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC), COMMUNITY HEALTH CENTERS, AND PRENATAL CLINICS THAT OFFER VOLUNTARY HOME VISITING SERVICES TO PREGNANT WOMEN OR CAREGIVERS OF CHILDREN BIRTH TO KINDERGARTEN ENTRY. THESE SERVICES IMPROVE OUTCOMES AND REDUCE HEALTH DISPARITIES FOR FAMILIES LIVING IN COMMUNITIES AT GREATEST RISK. PROBLEM: PER THE 2020 MIECHV NEEDS ASSESSMENT, FAMILIES RESIDING IN HAWAII FACE UNEQUAL BIRTH, HEALTH, AND DEVELOPMENT OUTCOMES BASED ON THE COMMUNITY IN WHICH THEY LIVE. PURPOSE: THE FORMULA GRANT PROJECT FY 2024 WILL PROVIDE COMPREHENSIVE EID AND EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES RESIDING IN ONE OF THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREAS TO IMPROVE OUTCOMES FOR AT-RISK CHILDREN. GOALS AND OBJECTIVES: THE GRANTEE WILL ACHIEVE FOUR (4) GOALS: 1) INCREASE PROGRAM SUCCESS IN REACHING, ENGAGING, AND RETAINING HIGH-RISK FAMILIES; 2) INCREASE PROGRAM SUCCESS IN RECRUITING AND RETAINING HIGH-QUALITY HOME VISITORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS; AND 4) PROMOTE THE SUSTAINABILITY OF OUR PROGRAM OF HOME VISITING THROUGH THE ENHANCEMENT OF CONTINUOUS QUALITY IMPROVEMENT (CQI). THE GRANTEE WILL MEET THESE GOALS BY PURSUING THE FOLLOWING OBJECTIVES: 1) MAINTAIN 85% CAPACITY UTILIZATION THROUGHOUT THE PERIOD OF PERFORMANCE; 2) UTILIZE THE RESULTS OF THE TRAINING NEEDS ASSESSMENT TO PRIORITIZE AND IMPLEMENT PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR HOME VISITORS AND SUPERVISORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS BY INCREASING THE NUMBER OF CLEAR POINTS OF CONTACT FOR RECOMMENDED MENTAL HEALTH SERVICES DURING THE PERIOD OF PERFORMANCE, WITH SPECIAL CARE MADE TO OFFER CLEAR POINTS OF CONTACT FOR CULTURALLY DIVERSE AND APPROPRIATE SERVICES WITHIN THE COMMUNITY; AND 4) ENSURE THAT THE PROGRAM IS SUSTAINABLE AND CONTINUOUSLY IMPROVING SO THAT IT CAN HAVE A POSITIVE IMPACT ON OUTCOMES AND REDUCE HEALTH AND DEVELOPMENTAL DISPARITIES IN THE COMMUNITY. WE WILL CONTINUE TO HOLD QUARTERLY MEETINGS WITH LOCAL IMPLEMENTING AGENCIES (LIAS) THROUGHOUT THE PERIOD OF PERFORMANCE TO: 1) SHARE ADVANCEMENTS IN THE FIELD OF CQI; (2) ENSURE CONSISTENCY OF CQI EFFORTS ACROSS LIAS; AND 3) PROVIDE CONTINUED TECHNICAL ASSISTANCE (TA) IN INTEGRATING HEALTH EQUITY ISSUES INTO CQI EFFORTS THROUGHOUT THE PERIOD OF PERFORMANCE. HAWAII IS REQUESTING $3,894,545.00 IN BASE FUNDING AND REQUESTING A MATCH OF $725,892.00 FOR A TOTAL BUDGET OF $4,620,437.00. METHODOLOGY: THE MIECHV EID PROGRAM SCREENS AND REFERS FAMILIES WHO RESIDE IN THE PRIORITY AT-RISK COMMUNITIES STATEWIDE, AS DESCRIBED UNDER SUBSECTION 511(B)(1)(A). THE EID PROGRAMS APPROACH PRENATAL WOMEN AND PARENTS OF NEWBORNS WHO RESIDE IN THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREA TO SCREEN FOR THE YOUR OHANA NETWORK PROGRAM ELIGIBILITY. KEY ACTIVITIES INCLUDE PARTNERSHIPS WITH TITLE IV-E, TITLE V, AND CORE STATE VIOLENCE AND INJURY PREVENTION PROGRAM (SVIPP) GRANTEES TO IMPROVE INTEGRATION WITH EARLY CHILDHOOD SYSTEMS. MODELS: HFA, HIPPY, AND PAT. COMMUNITIES SERVED: DOWNTOWN – KALIHI, EAST HAWAII, KOLOA, LANAI, MOLOKAI, WEST HAWAII, WAHIAWA, WAIANAE, AND MAUI. PROPOSED CASELOAD SLOTS: 474 (FY25), 474 (FY26). CURRENT CASELOAD SLOTS: 474.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT SUMMARY ADDRESS: 450 W. STATE STREET - 4TH FLOOR, BOISE, ID 83702-6056 PROJECT DIRECTOR: TARYN YATES PHONE: (208) 334-4961 EMAIL ADDRESS: TARYN.YATES@DHW.IDAHO.GOV WEBSITE: HTTPS://HEALTHANDWELFARE.IDAHO.GOV/SERVICES-PROGRAMS/CHILDREN-FAMILIES/ABOUT-HOME-VISITING FUNDS REQUESTED: $3,956,227 ANNOTATION: THE IDAHO MIECHV PROGRAM SERVES 27 OF 44 COUNTIES IN THE STATE WITH PLANS TO EXPAND TO 41 BY SEPTEMBER 2025. SERVICES ARE IMPLEMENTED THROUGH EACH OF THE SEVEN PUBLIC HEALTH DISTRICTS ACROSS THE STATE AND WILL SOON BE ACCOMPANIED BY TWO ADDITIONAL PROGRAMS, INCLUDING A TRIBAL PROGRAM, TO MEET THE GROWING NEED IN THE STATE. THE IDAHO MIECHV PROGRAM AIMS TO OFFER HIGH QUALITY SERVICES TO AS MANY FAMILIES AS POSSIBLE WHILE MAINTAINING A STABLE AND SKILLED WORKFORCE. WITH LIMITED SERVICES AVAILABLE TO YOUNG FAMILIES, HOME VISITING IS A CRITICAL SERVICE TO MEET THE NEEDS OF IDAHO’S FAMILIES. PROBLEM: IDAHO IS A RURAL AND HISTORICALLY UNDERSERVED AREA. THERE IS A LACK OF ADEQUATE HEALTHCARE, MENTAL HEALTHCARE, AND EARLY CHILDHOOD SERVICES IN MOST REGIONS OF THE STATE. HOME VISITING MEETS FAMILIES WHERE THEY ARE AND SERVES NOT ONLY AS A DIRECT SUPPORT, BUT AS A CONNECTION TO THE RESOURCES THAT DO EXIST IN THEIR COMMUNITIES. PURPOSE: HOME VISITING PROGRAMS AIM TO SUPPORT FAMILIES IN AT-RISK COMMUNITIES, ADVANCE HEALTH EQUITY BY LEVERAGING INDIVIDUAL FAMILY STRENGTHS, IDENTIFY AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, AND ENSURE CHILDREN AND FAMILIES HAVE EQUAL OPPORTUNITY TO REACH THEIR FULLEST POTENTIAL. GOALS AND OBJECTIVES: IDAHO MIECHV AIMS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED HOME VISITING PROGRAMS THAT SERVE FAMILIES IN AT-RISK COMMUNITIES TO IMPROVE OUTCOMES, ENSURE HIGH-QUALITY HOME VISITING SERVICES, AND COLLABORATE WITH STATE AND LOCAL PARTNERS TO COORDINATE EARLY CHILDHOOD SYSTEMS AND HIGH-QUALITY SERVICES. IDAHO MIECHV WILL ACCOMPLISH THIS BY: 1) DEMONSTRATING OUTCOMES THROUGH PROGRAM EVALUATION AND BENCHMARK REPORTING 2) OFFERING REFLECTIVE CONSULTATION AND TRAINING OPPORTUNITIES TO HOME VISITORS THAT ARE ALIGNED AND COORDINATED WITH THE COMPETENCIES OF INFANT MENTAL HEALTH 3) DEVELOPING AND SUPPORTING CQI PROJECTS 4) BUILDING A COLLABORATIVE OF HOME VISITING PROGRAMS STATEWIDE 5) IMPLEMENTING A SUSTAINABLE MEDICAID BILLING PROCESS APPROACH: IDAHO MIECHV HAS ESTABLISHED CONTRACTS WITH LIAS TO DELIVER EBHV SERVICES IN AT-RISK COMMUNITIES USING THE NURSE-FAMILY PARTNERSHIP (NFP) AND PARENTS AS TEACHERS (PAT) MODELS. THE AT-RISK COMMUNITIES IN IDAHO FUNDED BY IDAHO MIECHV INCLUDE THE FOLLOWING: ADA, ADAMS, BANNOCK, BEAR LAKE, BENEWAH, BINGHAM, BOISE, BONNER, BONNEVILLE, BOUNDARY, CANYON, CARIBOU, CASSIA, CLARK, CLEARWATER, CUSTER, ELMORE, FRANKLIN, FREMONT, GEM, GOODING, IDAHO, JEFFERSON, JEROME, KOOTENAI, LATAH, LEMHI, LEWIS, LINCOLN, MADISON, MINIDOKA, NEZ PERCE, ONEIDA, OWYHEE, PAYETTE, POWER, SHOSHONE, TETON, TWIN FALLS, VALLEY, WASHINGTON, AND COUNTIES, AS WELL AS THE COUNTIES THAT ENCOMPASS THE COEUR D’ ALENE, NEZ PERCE, AND SHOSHONE-BANNOCK TRIBAL RESERVATIONS. THE 2024 NEEDS ASSESSMENT AMENDMENT IDENTIFIED ALL 44 IDAHO COUNTIES AS COMMUNITIES IN NEED OF SERVICES. OF THOSE 44 COUNTIES, A TOTAL OF 41 WILL BE SERVED WITH MIECHV FUNDS. THE TOTAL PROPOSED CASELOAD OF FAMILY SLOTS IS 528 FOR FY2024 AND FY2025. KEY ACTIVITIES TO ENSURE APPROPRIATE NETWORKING AND SUPPORT INCLUDE: REGULARLY COORDINATING AND CONVENING WITH STATE AND COMMUNITY PARTNERS TO GUIDE PLANNING AND IMPLEMENTATION; EVALUATION OF PROGRAM ACTIVITIES, OUTCOMES, AND IMPLEMENTATION; AND SUBRECIPIENT MONITORING VIA CHECK-IN CALLS, REPORTS, DATA ANALYSIS, AND BIENNIAL SITE VISITS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT ABSTRACT SUMMARY ADDRESS: 450 W. STATE STREET - 4TH FLOOR, BOISE, ID 83702-6056 PROJECT DIRECTOR: TARYN YATES PHONE: (208) 334-0658 EMAIL ADDRESS: TARYN.YATES@DHW.IDAHO.GOV WEBSITE: HTTPS://HEALTHANDWELFARE.IDAHO.GOV/SERVICES-PROGRAMS/CHILDREN-FAMILIES/ABOUTHOME- VISITING FUNDS REQUESTED: $4,374,987 PURPOSE: HOME VISITING PROGRAMS SUPPORT FAMILIES, LEVERAGE INDIVIDUAL FAMILY STRENGTHS, AND ENSURE CHILDREN AND FAMILIES HAVE OPPORTUNITIES TO REACH THEIR FULLEST POTENTIAL. EXPECTANT PARENTS AND PARENTS OF YOUNG CHILDREN ARE PAIRED WITH A DESIGNATED HOME VISITOR, TYPICALLY A TRAINED NURSE, SOCIAL WORKER, OR OTHER EARLY CHILDHOOD PROFESSIONAL. HOME VISITING IS A LONG TERM, RELATIONSHIP-BASED PROGRAM WITH SUSTAINABLE POSITIVE OUTCOMES FOR FAMILIES. GOALS AND OBJECTIVES: THE IDAHO HOME VISITING PROGRAM (IHVP) AIMS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED SERVICES THAT IMPROVE OUTCOMES FOR FAMILIES, ENSURE HIGH QUALITY SERVICES, AND COLLABORATE WITH STATE AND LOCAL PARTNERS TO STRENGTHEN EARLY CHILDHOOD SYSTEMS AND COORDINATE SERVICES. IHVP WILL ACCOMPLISH THIS BY: 1) DEMONSTRATING OUTCOMES THROUGH PROGRAM EVALUATION AND BENCHMARK REPORTING 2) OFFERING REFLECTIVE CONSULTATION AND TRAINING OPPORTUNITIES TO HOME VISITORS THAT ARE ALIGNED AND COORDINATED WITH THE COMPETENCIES OF INFANT MENTAL HEALTH 3) DEVELOPING AND SUPPORTING CQI PROJECTS 4) MAINTAINING AN EFFECTIVE MEDICAID BILLING PROCESS APPROACH: THE IHVP HAS ESTABLISHED CONTRACTS WITH EIGHT LOCAL IMPLEMENTING AGENCIES (LIAS) TO DELIVER EVIDENCE-BASED HOME VISITING (EBHV) SERVICES IN AT-RISK COMMUNITIES USING THE NURSE-FAMILY PARTNERSHIP AND PARENTS AS TEACHERS MODELS. EFFORTS ARE ALSO UNDERWAY TO FUND A NINTH LIA IMPLEMENTING FAMILY SPIRIT. THE AT-RISK COMMUNITIES IN IDAHO FUNDED BY IHVP INCLUDE THE FOLLOWING: ADA, ADAMS, BANNOCK, BEAR LAKE, BENEWAH, BINGHAM, BOISE, BONNER, BONNEVILLE, BOUNDARY, CANYON, CARIBOU, CASSIA, CLARK, CLEARWATER, CUSTER, ELMORE, FRANKLIN, FREMONT, GEM, GOODING, IDAHO, JEFFERSON, JEROME, KOOTENAI, LATAH, LEMHI, LEWIS, LINCOLN, MADISON, MINIDOKA, NEZ PERCE, ONEIDA, OWYHEE, PAYETTE, POWER, SHOSHONE, TETON, TWIN FALLS, VALLEY, AND WASHINGTON COUNTIES, AS WELL AS THE COUNTIES THAT ENCOMPASS THE COEUR D’ ALENE, NEZ PERCE, AND SHOSHONE-BANNOCK TRIBAL RESERVATIONS. THE 2024 NEEDS ASSESSMENT AMENDMENT IDENTIFIED ALL 44 IDAHO COUNTIES AS COMMUNITIES IN NEED OF SERVICES. OF THOSE 44 COUNTIES, A TOTAL OF 41 WILL BE SERVED WITH MIECHV FUNDS. MUCH OF THIS EXPANSION IS POSSIBLE BECAUSE OF THE MATCHING FUNDS AVAILABLE TO IDAHO. LIAS ARE PREDICTING GROWTH OF THEIR PROGRAMS TO MEET THE NEEDS OF ALL IDENTIFIED MIECHV COMMUNITIES. MATCHING FUNDS WILL ALSO BE USED TO IMPROVE SUPPORTS AVAILABLE TO LIAS INCLUDING TECHNICAL ASSISTANCE AND REFLECTIVE CONSULTATION. IDAHO’S STATE GENERAL FUNDS ARE NOT CONSIDERED PART OF THE MAINTENANCE OF EFFORT AND ARE RENEWED AT A RATE OF $1,000,000 ANNUALLY. THESE FUNDS MEET MATCH REQUIREMENTS. THE TOTAL PROPOSED CASELOAD OF FAMILY SLOTS IS 417 FOR FY 2025 AND 505 FOR FY 2026. KEY ACTIVITIES TO ENSURE APPROPRIATE NETWORKING AND SUPPORT INCLUDE: REGULARLY COORDINATING AND CONVENING WITH STATE AND COMMUNITY PARTNERS TO GUIDE PLANNING AND IMPLEMENTATION; EVALUATION OF PROGRAM ACTIVITIES, OUTCOMES, AND IMPLEMENTATION; AND SUBRECIPIENT MONITORING VIA CHECK-IN CALLS, REPORTS, DATA ANALYSIS, AND BIENNIAL SITE VISITS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2024 FORMULA GRANT APPLICANT NAME: TENNESSEE DEPARTMENT OF HEALTH, DIVISION OF FAMILY HEALTH AND WELLNESS ADDRESS: 710 JAMES ROBERTSON PARKWAY, ANDREW JOHNSON TOWER, 8TH FLOOR NASHVILLE, TN 37243 PROJECT DIRECTOR NAME: SARAH SANDERS, SECTION CHIEF, EARLY CHILDHOOD INITIATIVES CONTACT INFORMATION: PHONE: 615-253-4137 EMAIL ADDRESS: SARAH.SANDERS@TN.GOV PURPOSE: THE FY 2024 MIECHV GRANT WILL ENSURE THAT TENNESSEE FAMILIES ARE SERVED WITH HIGH QUALITY HOME VISITING SERVICES PROVIDED BY AN EXPERTLY TRAINED WORKFORCE AND THAT THE EARLY CHILDHOOD SYSTEM IS COMPREHENSIVE AND COORDINATED AND ENSURES THAT FAMILIES ARE ENROLLED IN THE MOST APPROPRIATE SERVICES AS EARLY AS POSSIBLE. GOALS AND OBJECTIVES: GOAL 1: BY SEPTEMBER 29, 2026, ASSURE AVAILABILITY OF HIGH QUALITY EBHV SERVICES IN THIRTY-ONE OF THE MOST AT-RISK COUNTIES IN TENNESSEE. GOAL 2: BY SEPTEMBER 29, 2026, STRENGTHEN THE CAPACITY OF TENNESSEE’S HOME VISITING WORKFORCE TO EFFECTIVELY IMPLEMENT HIGH-QUALITY, FAMILY-CENTERED, RESILIENCE-INFORMED, AND CULTURALLY SENSITIVE SERVICES. GOAL 3: BY SEPTEMBER 29, 2026, PROMOTE A COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD SYSTEM IN TENNESSEE THAT BEGINS PRENATALLY OR AT BIRTH. GOAL 4: BY SEPTEMBER 29, 2026, MAINTAIN COORDINATION OF FAMILY SERVING TDH AND OTHER STATE AGENCY PROGRAMS TO INCREASE COORDINATION OF REFERRALS OF FAMILIES INTO EBHV SERVICES. METHODOLOGY: PLANNED PROJECT ACTIVITIES WILL RESULT IN FAMILIES BEING SERVED BY EBHV PROGRAMS IN THIRTY-ONE OF THE MOST AT-RISK COMMUNITIES, INCLUDING ONE ADDITIONAL PROJECT THAT SERVES MILITARY FAMILIES LIVING CLOSE TO FORT CAMPBELL ARMY INSTALLATION. TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) AND STATE FUNDED EBHV PROGRAMS ALSO CONTRIBUTE TO THE CASELOAD, BASED ON THE HRSA DEFINITION OF CASELOAD. MIECHV FUNDS SUPPORT THE IMPLEMENTATION OF TWO EBHV MODELS: HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT). THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2024 - SEPTEMBER 29, 2025 IS 1,073 AND THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2025 - SEPTEMBER 29, 2026 IS 1,074. TENNESSEE MAINTAINS STRONG PARTNERSHIPS WITH INFANT AND EARLY CHILDHOOD PARTNERS AND STATE AGENCIES INVOLVED IN PERPETUATING A COLLABORATIVE AND COMPREHENSIVE INFANT AND EARLY CHILDHOOD SYSTEM IN TENNESSEE. PARTNERS INCLUDE: THE EARLY SUCCESS COALITION IN MEMPHIS, TN; THE ASSOCIATION FOR INFANT MENTAL HEALTH IN TENNESSEE (AIMHITN); THE DEPARTMENT OF HUMAN SERVICES (TDHS); THE TENNESSEE COMMISSION ON CHILDREN AND YOUTH (TCCY); AND THE TENNESSEE YOUNG CHILD WELLNESS COUNCIL (TNYCWC, UNDER THE AUSPICES OF THE TCCY).

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: NORTH DAKOTA MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING FORMULA AWARD (NORTH DAKOTA MIECHV) PROJECT DIRECTOR NAME: ALLISON MAHONEY RECIPIENT NAME: PREVENT CHILD ABUSE NORTH DAKOTA MAILING ADDRESS: 418 E BROADWAY AVE, STE 250, BISMARCK ND, 58501 CONTACT INFORMATION: (701) 223-9052; AMAHONEY@PCAND.ORG; WWW.PCAND.ORG FUNDS REQUESTED: $1,294,162.00 ANNOTATION: THE NORTH DAKOTA MIECHV (ND MIECHV) PROGRAM PROVIDES VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES TO AT-RISK FAMILIES. ND MIECHV AIMS TO IMPROVE CHILDREN AND FAMILIES’ HEALTH OUTCOMES AND IMPROVE CARE COLLABORATION IN TARGETED COMMUNITIES. PREVENT CHILD ABUSE NORTH DAKOTA, ND MIECHV LOCAL IMPLEMENTING AGENCIES (LIAS), AND STATEWIDE PARTNERS WORK TOGETHER TO BUILD AND STRENGTHEN TRIBAL AND STATE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD EDUCATION, AND SERVICE REFERRAL SYSTEMS FOR FAMILIES ACROSS NORTH DAKOTA. PROBLEM: MANY NORTH DAKOTA FAMILIES LIVE IN GEOGRAPHIC AREAS WITH A LACK OF ACCESS TO MEDICAL, BEHAVIORAL HEALTH, AND FAMILY SUPPORT SERVICE OPTIONS. HOME VISITING PROGRAMS ALLOW FAMILIES TO DEVELOP RELATIONSHIPS WITH TRAINED PROFESSIONALS WHO CAN PROVIDE SUPPORT AND MAKE SERVICE REFERRALS AND CONNECTIONS. FURTHERMORE, HOME VISITORS PROVIDE EDUCATION ON CHILD DEVELOPMENT AND POSITIVE PARENTING PRACTICES, EMPOWERING PARENTS, AND GUARDIANS TO INCREASE THEIR CAPACITY TO RAISE HEALTHY, HAPPY FAMILIES. PURPOSE: THE PURPOSE OF ND MIECHV IS TO CONNECT FAMILIES WITH ONE OR MORE RISK FACTORS OF POOR HEALTH OR SOCIAL OUTCOMES, LIVING IN HIGH-NEEDS AREAS, WITH TRAINED PROFESSIONAL SUPPORT IN ORDER TO MORE EASILY ACCESS MENTAL HEALTH SCREENINGS, PARENTING EDUCATION, AND RESOURCES TO PLAN FOR THE FUTURE. GOALS AND OBJECTIVES: THE MAJOR GOALS AND OBJECTIVES OF THE NORTH DAKOTA MIECHV PROGRAM ARE AS FOLLOWS: GOAL 1: INCREASE THE CAPACITY OF MIECHV PROGRAMS TO IMPLEMENT EFFECTIVE EVIDENCE-BASED HOME VISITING SERVICES. OBJ. 1: BY JUNE 30, 2025, ND MIECHV LIAS WILL RECEIVE AN ANNUAL REPORT DETAILING HOME VISITOR PERFORMANCE, MIECHV PERFORMANCE MEASURE PROGRESS, AND BEST PRACTICES FOR IMPROVEMENT. OBJ. 2: BY SEPTEMBER 29, 2025, SITE SUPERVISORS OF MIECHV FUNDED LIAS WILL DEVELOP AND MANAGE INDIVIDUAL PROFESSIONAL DEVELOPMENT PLANS FOR ALL HOME VISITORS, BASED ON BIANNUAL STAFF ASSESSMENT. GOAL 2: COORDINATE WITH LOCAL, TRIBAL, STATE, AND PRIVATE STAKEHOLDERS TO ACHIEVE COMPREHENSIVE STATEWIDE EARLY CHILDHOOD SYSTEMS DEVELOPMENT. OBJ. 1: BY SEPTEMBER, 29,2026 ND MEICHV WILL IDENTIFY AND ADVOCATE FOR HOME VISITING PROGRAMS IN THEIR ABILITY TO BECOME REGISTERED MEDICAID-APPROVED PROVIDERS. OBJ. 2: BY SEPTEMBER 29, 2026, ND MIECHV AND THE ND HOME VISITING COALITION WILL PROVIDE FEEDBACK ON WHAT A PLAN FOR A COORDINATED REFERRAL SYSTEM FOR FAMILY-BASED SERVICES COULD LOOK LIKE WITHIN THE STATE. GOAL 3: ENSURE ACCURATE DATA COLLECTION, INTERPRETATION, AND REPORTING, AS WELL AS CONTINUOUS QUALITY IMPROVEMENT. (CQI). OBJ. 1: BY SEPTEMBER 29, 2025 ND MIECHV WILL DEVELOP A COMPREHENSIVE PROGRAM LEVEL DATA REPORTING PROCESS MAP. OBJ. 2: BY SEPTEMBER 29, 2026 ND MIECHV LIA'S WILL MONITOR THEIR LOCAL DATA PROCESS AND ADJUST ACCORDINGLY. METHODOLOGY NORTH DAKOTA MIECHV USES TWO EVIDENCE-BASED HOME VISITING MODELS TO SERVE 184 FAMILIES IN THE STATE. FAMILIES (90) RESIDING IN ROLETTE COUNTY, INCLUDING THE RESERVATION OF THE TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS, IMPLEMENT PARENTS AS TEACHERS CURRICULUM, AND FAMILIES(54) IN BURLEIGH, MORTON, SIOUX, AND GRANT COUNTIES RECEIVE NURSE-FAMILY PARTNERSHIP SERVICES. THE STANDING ROCK SIOUX TRIBE PROVIDES PARENTS AS TEACHERS TO THOSE RESIDING (40) IN SIOUX COUNTY. NORTH DAKOTA MIECHV PRIORITY POPULATIONS INCLUDE FAMILIES THAT ARE LOW INCOME, INCLUDE PARENTS UNDER THE AGE OF 21, HAVE A HISTORY OF CHILD ABUSE OR NEGLECT, HAVE A HISTORY OF SUBSTANCE MISUSE, USE TOBACCO PRODUCTS, AND INCLUDE MEMBERS OF THE MILITARY.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: FAMILY FOUNDATIONS HOME VISITING PROGRAM APPLICANT NAME: WISCONSIN DEPARTMENT OF CHILDREN AND FAMILIES MAILING ADDRESS: 201 WEST WASHINGTON AVENUE, MADISON, WI 53703 PROJECT DIRECTOR NAME: TERRI ENTERS, HOME VISITING COORDINATOR PHONE: 608-422-6969 EMAIL: TERRI2.ENTERS@WISCONSIN.GOV WEBSITE: HTTPS://DCF.WISCONSIN.GOV/CWPORTAL/HOMEVISITING ANNOTATION: WISCONSIN’S FAMILY FOUNDATIONS HOME VISITING (FFHV) PROGRAM IS LED BY THE DEPARTMENT OF CHILDREN AND FAMILIES (DCF) AND SUPPORTED BY PARTNER AGENCIES, THE DEPARTMENT OF HEALTH SERVICES (DHS), THE DEPARTMENT OF PUBLIC INSTRUCTION (DPI), THE WISCONSIN CHILD ABUSE AND NEGLECT PREVENTION BOARD (CANPB), AND THE OFFICE OF CHILDREN’S MENTAL HEALTH (OCMH). THE FFHV PROGRAM PROVIDES HIGH QUALITY, EVIDENCE-BASED HOME VISITING SERVICES WITH THE GOALS OF IMPROVING MATERNAL AND CHILD HEALTH AND SCHOOL READINESS AND REDUCING CHILD ABUSE AND NEGLECT. PURPOSE: BUILDING ON PREVIOUS MIECHV FUNDS AND AVAILABLE STATE GENERAL PURPOSE REVENUE (GPR) AND TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) DOLLARS, THE FY2025 MIECHV GRANT OF $9,308,174 AND MATCHING GRANT OF $1,383,782 WILL BE USED TO CONTINUE TO SUPPORT THE FFHV PROGRAM TO PROVIDE HIGH QUALITY, EVIDENCE-BASED HOME VISITING SERVICES TO HIGH-NEED FAMILIES SUSCEPTIBLE TO POOR CHILD AND FAMILY OUTCOMES. THE ADDITIONAL FUNDING WILL BE UTILIZED TO ADD 2 STATE AWARDEE STAFF AND STABILIZING THE CURRENT HOME VISITING WORKFORCE. GOALS FOR THE FY2025 MIECHV GRANT INCLUDE: 1) BUILD ON THE SUCCESSFUL IMPLEMENTATION OF HIGH QUALITY, EVIDENCE-BASED HOME VISITING IN AT-RISK COMMUNITIES, INCLUDING EXPANDING HOME VISITING CAPACITY TO SERVE THE MAXIMUM NUMBER OF FAMILIES. 2) ENSURE HOME VISITING PROGRAMS AND STAFF STATEWIDE RECEIVE PROFESSIONAL DEVELOPMENT OPPORTUNITIES THAT PROMOTE BEST PRACTICE AND EFFECTIVE SERVICE DELIVERY, SUPPORT IMPLEMENTATION, AND BRING ABOUT MEANINGFUL PRACTICE CHANGE IN SERVING MIECHV ENROLLED FAMILIES. 3) CREATE A CULTURE OF QUALITY AND MEANINGFUL ENGAGEMENT OF FAMILY VOICE IN HOME VISITING, USING BENCHMARK REPORTING, CONTINUOUS QUALITY IMPROVEMENT (CQI), AND EVALUATION TO INFORM HOW HOME VISITING SERVICES ARE DELIVERED IN WISCONSIN. 4) EMBED EVIDENCE-BASED HOME VISITING IN WELL-COORDINATED AND ROBUST STATEWIDE AND LOCAL EARLY CHILDHOOD SYSTEM. 5) PARTNER WITH KEY AGENCIES TO SUPPORT A COORDINATED LINKAGE AND REFERRAL NETWORK AND CONTINUUM OF EARLY CHILDHOOD AND PERINATAL SERVICES FOR FAMILIES IN ELIGIBLE COMMUNITIES. METHODOLOGY: FY2025 MIECHV GRANT FUNDS WILL SUPPORT SERVICES TO HIGH-NEED FAMILIES IN 40 COUNTIES AND 6 TRIBES THROUGH 2,172 FAMILY SLOTS IN FY2025 AND 2,172 FAMILY SLOTS IN FY2026. SERVICES WILL BE PROVIDED USING FOUR EVIDENCE-BASED MODELS: HEALTHY FAMILIES AMERICA, PARENTS AS TEACHERS, EARLY HEAD START-HOME BASED, AND NURSE-FAMILY PARTNERSHIP. DCF WORKS CLOSELY WITH HOME VISITING PROGRAMS AND PARTNER AGENCIES, SUCH AS THE BIRTH TO THREE PROGRAM, TITLE V, AND WIC, TO SUPPORT ELIGIBLE FAMILIES WITH APPROPRIATE LINKAGES AND REFERRALS TO COMMUNITY RESOURCES.