Home Visiting CollaborativeA Family Support System of Care in Sonoma County

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Home Visiting Background

Sonoma County’s Population: 450,000

Annual births: 5,000

Medi-Cal births: 2,250 (45%)

First time Medi-Cal birth: 700 (14%)

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Sonoma County Upstream Initiative

What is Upstream?

Relation to Home Visiting Tier 1: Evidence-Based Practices

- NFP- AVANCE- Triple P

Tier 2: Promising Practices- TPC – application in process

Tier 3: Innovative Practices- FN – application in process

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Who is on the Home Visiting Collaborative? It consists of community-based and county organizations with home visiting programs for high risk pregnant and parenting families.

Child Parent Institute – CPI * Community Action Partnership - CAP Department of Health Services MCAH

Program* Early Learning Institute – ELI* First 5 Human Services Department – HSD North Bay Regional Center - NBRC Special Education Local Plan Area - SELPA* First members/Starter Group

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Home Visiting CollaborativeVision & Mission

VisionAll families with infants and young children will have the resources they need to raise healthy, thriving children, who are ready to learn!

Mission Ensure that local home visiting programs are aligned and sufficiently robust to address families’ needs. Members commit to work together to provide cost-effective care and reduce duplication of services and service gaps.

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Goals

Develop systems of care to reduce gaps & duplications of service

Strengthen coordinated referral processes Share data, best practices & promote evidence-based programs Identify home visitor core competencies & address training

needs Identify opportunities to leverage resources whenever possible

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

SuccessesDevelopment of a structured Steering Committee & Collaborative

Steering Committee CollaborativeMonthly meetings Quarterly meetings8-10 members 20-30 participants

Executive Directors & Managers Directors, Managers,

Supervisors, Home Visitors, Community Partners & Supporters

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Roles

The Steering Committee focuses on: Planning Collaborative meetings Developing work plans Identifying service gaps and overlaps Reviewing community bench marks

Collaborative Meeting training topics 2013-14 Strengthening Families/Collective Impact Silent Signs of Compassion Fatigue Resiliency & Strength-Based Home Visiting Violence in Sonoma County-Preliminary

Findings/Field Safety Data & Evidence Based Programs & Practices

Successes - Roles & Trainings

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Opportunities

Core CompetenciesShared training modules, such as Touchpoints, ASQs and Strengthening Families

Service AnalysisGraphic representation of countywide programsShared measurements

Centralized Referral System A longer term goal

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Challenges

Multiple Agencies

Conflicting Program Mandates

Demand for Services vs Capacity

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Next Steps

Retreat planned for January 2015

Formal work plan to be decided for 2015

Working more closely with Upstream Investments and First 5

SONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTHSONOMA COUNTY DEPARTMENT OF HEALTH SERVICES PUBLIC HEALTH

Questions?

Pauline RichardsonHealth Program ManagerMCAH HV Programs(707) 565-4487Pauline.Richardson@Sonoma-county.org

Thank you for your time and

participation!

Angie Dillon-ShoreResearch & Evaluation ManagerUpstream Investments, HSD(707) 565-5849adillonshore@schsd.org