session10b

Partnerships with Families to Promote Health and Wellness: 

Partnerships with Families to Promote Health and Wellness

High-Risk Prenatal Care Clinic: 

High-Risk Prenatal Care Clinic

Disease-Centered Care: 

Disease-Centered Care Developed for the Maternal and Child Bureau of DHHS.

Family-Centered Care Core Concepts: 

 Respect  Information  Strengths  Support  Choice  Collaboration  Flexibility  Empowerment Family-Centered Care Core Concepts

Partnerships with families at all levels of care and service delivery is what distinguishes family-centered care from traditional approaches. : 

Partnerships with families at all levels of care and service delivery is what distinguishes family-centered care from traditional approaches.

You can’t promote health and wellness without families.You can’t build healthy communities without families.: 

You can’t promote health and wellness without families. You can’t build healthy communities without families.

Focus groups and surveys are not enough.: 

Focus groups and surveys are not enough.

Partnership Roles for Families . . . : 

Partnership Roles for Families . . . Serve as members or chairs of committees and task forces. Participate in needs assessments. Participate in quality improvement and evaluation initiatives. Provide peer support and develop peer support programs. Serve as family faculty for students and trainees. Serve in paid family liaison positions.

Why involve families as partners?: 

Why involve families as partners? Bring important perspectives about the strengths and gaps in the system. Keep staff grounded in reality. Provide timely feedback and ideas. Inspire and energize staff. Bring connections with the community. Offer an opportunity to “give back.”

Leadership for Partnerships Community LevelUniversity LevelCounty LevelState Level: 

Leadership for Partnerships Community Level University Level County Level State Level

Community Leadership for Partnerships Rural Maine: 

Community Leadership for Partnerships Rural Maine

Family Pediatrics PracticeWinthrop, ME: 

Family Pediatrics Practice Winthrop, ME “Families can help us and lead us in developing the practice.”

Family Pediatrics PracticeWinthrop, ME: 

Family Pediatrics Practice Winthrop, ME HEALTHY FUTURES A community-based infrastructure promotes health through one-to one nurse relationships with individuals, families, and primary care providers. Part of each nurse’s time is devoted to community health policy and programs. Administered by nurses and financed by third party payers.

Family Pediatrics PracticeWinthrop, ME: 

Family Pediatrics Practice Winthrop, ME HEALTHY FUTURES Volunteer facilitators are convening age-specific groups (birth to 20 years, 20 to 60 years, 60-85 years, and over 85 years to explore needs, strategies, and available resources to promote health and wellness.

Community Leadership for Partnerships Inwood Heights, NY: 

Community Leadership for Partnerships Inwood Heights, NY

Community School — Inwood Heights, New York: 

Community School — Inwood Heights, New York Families collaborated with school officials, health professionals, and other community organizations

Inwood Heights School New York City: 

Inwood Heights School New York City Family resource center in the school lobby. Health clinic for children and families. Job training and work opportunities for youngsters and their families.

Community Leadership for Partnerships The Bronx, NY: 

Community Leadership for Partnerships The Bronx, NY

Morris Heights Birthing CenterThe Bronx, NY: 

Morris Heights Birthing Center The Bronx, NY

Hope Reborn: Empowering Families in the South Bronx: 

Hope Reborn: Empowering Families in the South Bronx

Community Leadership for Partnerships Boston, MA: 

Community Leadership for Partnerships Boston, MA

Boston Medical CenterBoston , MA: 

Boston Medical Center Boston , MA

Pediatric Pathways — Primary Care Clinician and Family Advocate, Boston Medical Center: 

Pediatric Pathways — Primary Care Clinician and Family Advocate, Boston Medical Center The pediatric well child visit is a window of opportunity to address critical issues that impact child health and development. Lower drop-out rates Increased immunization rates Reduced ER visits and hospitalizations Kaplan-Sanoff, Zero to Three, 1995

The Dad’s ProgramBoston Medical Center, Boston, MA: 

The Dad’s Program Boston Medical Center, Boston, MA Dad mentors meet with each new Dad Weekly support groups meetings with Dads Survival Kits for Dad’s Dads teaching infant massage

Primary Care Family Help Desk Boston Medical Center, Boston, MA: 

Primary Care Family Help Desk Boston Medical Center, Boston, MA Project HEALTH developed by university students to promote health and overcome obstacles presented by poverty.

Primary Care Family Help Desk Boston Medical Center, Boston, MA: 

Primary Care Family Help Desk Boston Medical Center, Boston, MA Assisted 700 families at the Family Help Desk at a cost of $322 for the year. Project HEALTH replicated in four communities. Project HEALTH enhances social responsibility within its student volunteers.

Project HEALTH . . . The core components: 

Project HEALTH . . . The core components Volunteer service by students. Mentoring of student volunteers by physicians, nurses, lawyers, and family advocates. Weekly opportunities for reflection with invited speakers.

University Leadership for PartnershipsCenter for the Study of Social Issues, University of North Carolina at Greensboro: 

University Leadership for Partnerships Center for the Study of Social Issues, University of North Carolina at Greensboro

Center for the Study of Social Issues, UNC at Greensboro: 

Center for the Study of Social Issues, UNC at Greensboro Fosters collaboration across across disciplines and departments within the University and with the community and with families. The center helps communities develop, implement, and evaluate new models and new approaches.

Center for the Study of Social Issues, UNC at Greensboro: 

Center for the Study of Social Issues, UNC at Greensboro High Point Violence Prevention — families, a school principal, police chief, court counselors, ministers, and social service agencies working together to create supportive communities.

Center for the Study of Social Issues, UNC at Greensboro: 

Center for the Study of Social Issues, UNC at Greensboro Families serve as educators for students in pre-service programs preparing them to be nurses, social workers, psychologists, therapists, and educators.

County Leadership for PartnershipsKing County, WA: 

County Leadership for Partnerships King County, WA

King County Blended Funding Project: 

King County Blended Funding Project  A children’s managed care program with a family participation service model and a family-initiated evaluation component.  Funds pooled from education, child welfare, and mental health.

King County Blended Funding Project: 

King County Blended Funding Project Families can decide for themselves how dollars will be spent for their children with special mental health needs as long the services were developed by a collaborative team created by the family.

King County Blended Funding Results: 

King County Blended Funding Results Increase in community connections and peer support for child and family. Proportion of children living in community homes increased from 24% to 64%. Children attending community schools increased from 48% to 84%. The average cost of care decreased by $1,166 per child / family.

Slide39: 

EVALUATION MODEL: FAMILIES AS FULL PARTNERS RESEARCHER FAMILY DIRECTOR INTERPRET IMPLEMENT DESIGN

Families as Full Research Partners — King County Blended Funding Project: 

Families as Full Research Partners — King County Blended Funding Project Children’s Mental Health Program Vander Stoep et al, The Journal of Behavioral Health Services & Research, 1999.

Families as Full Research Partners — King County Blended Funding Project: 

Families as Full Research Partners — King County Blended Funding Project Children’s Mental Health Program Vander Stoep et al, The Journal of Behavioral Health Services & Research, 1999.

State Leadership for PartnershipsWisconsin : 

State Leadership for Partnerships Wisconsin

Slide43: 

Family-centered care Community-wide leadership Resiliency Outreach Cultural Competence Guiding Principles for Maternal and Child Health —Wisconsin Public Health

Prenatal Care CoordinationMilwaukee, WI: 

Prenatal Care Coordination Milwaukee, WI When asked what they wanted from the health care system, women living in inner city Milwaukee responded, “Respect and dignity.”

Prenatal Care Coordination ProgramSinai Samaritan Medical Center, Milwaukee: 

Prenatal Care Coordination Program Sinai Samaritan Medical Center, Milwaukee Increased # of prenatal care visits Increased birth weight and gestational age Fewer low birth weight babies Decreased number of NICU days Shift in staff attitudes With a an average of only three hours of contact with women during their pregnancy, findings include:

Wisconsin Common Ground. . . reducing infant mortality: 

Wisconsin Common Ground . . . reducing infant mortality

Wisconsin Medicaid: 

Wisconsin Medicaid Wisconsin Medicaid regulations stipulate that providers must develop a quality improvement/assurance plan for the provision of family-centered services within the prenatal care coordination program.

Families Helping Families A State-Wide Conference: 

Families Helping Families A State-Wide Conference Sponsored by Great Lakes Inter-Tribal Council and Black Health Care Coalition. Connects families to other families. Families learn about health and social issues and identify potential solutions.

In Summary. . . : 

In Summary. . . Create a variety of meaningful partnerships opportunities for families. Tap into the strengths of families to build communities and enhance health and wellness.