Maternal, Infant and Early Childhood Homevisiting Grant Program - 29 Hazen Drive, Concord, NH 03301-6510 Project Director- Kristi Hart, Administrator I Phone (603) 491-5399 email: kristi.hart@dhhs.nh.gov Website Address: https://www.dhhs.nh.gov/programs-services/population-health/maternal-child-health/home-visiting Funds Requested: $3,476,390 Purpose: New Hampshire (NH) proposes to serve families in each community identified as at-risk in the 2020 Needs Assessment Update through voluntary, evidence-based home visiting services for pregnant people and families with young children, using the Healthy Families America (HFA) model. Continuing to implement HFA in NH will provide opportunities for families, identified as belonging to priority populations to achieve improved outcomes through a relationship-based home visiting program. Through its updated sub-contracts, NH MIECHV collaborated with the NH Division for Children, Youth and Families (DCYF) utilizing Family First Prevention Services ACT (FFPSA) funding to expand services utilizing the HFA Child Welfare Protocols (CWP) to expand enrollment into the HFA program for families referred by DCYF up to a child’s second birthday. 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 one 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. Methodology: NH LIAs will implement the HFA model with fidelity statewide, to priority populations in every NH community, based on the 2020 Needs Assessment update. With a current service capacity of 248, activities during this project period will support service delivery to an increased number of 296 families. NH’s MIECHV is expanding its enrollment window through collaboration with DCYF to enroll at-risk families referred by DCYF utilizing the HFA CWP. Key Activities In NH, families are screened for tobacco use, maternal depression, intimate partner violence, and development, and are connected to associated community resources. Home visitors have training in SBIRT (Screening, Brief Intervention, and Referral to Services), and have knowledge of community and statewide treatment resources available for families with Substance Use Disorder. Through collaboration with statewide partners, families are connected with resources such as housing, nutrition, quality childcare, employment, and education in support of improving outcomes and building resilience.