Maternal, Infant and Early Childhood Homevisiting Grant Program - Project Title: Oregon Maternal Infant and Early Childhood Home Visiting Program Applicant: Oregon Health Authority, Public Health Division Address: 800 NE Oregon Street, Suite 825, Portland, Oregon, 97232 Project Director: Drew Strayer drew.strayer@oha.oregon.gov Contact: Phone: 503-949-8132 Web Site: www.healthoregon.org/homevisiting ANNOTATION: The Oregon MIECHV Program will sustain the enrollment capacity of evidence-based home visiting available to eligible families in at-risk communities identified through state and local needs assessments. Sustainability is reinforced through collaborative efforts with state partner agencies to integrate home visiting as a service strategy within a comprehensive early childhood system. Efforts include support for local system alignment, development and capacity, workforce development and professional supports, technology improvements and robust implementation of Continuous Quality Improvement (CQI) that lead to improved outcomes for eligible families. PROBLEM: Oregon has inadequate home visiting service capacity and coordination to meet the state demand. The statewide Needs Assessment found that among the eight home visiting models available in Oregon, only 8% of eligible families are receiving a home visiting service. In addition, training and supports are insufficient for preparing the workforce to effectively work with complex family circumstances. PURPOSE: The Oregon MIECHV Program seeks to sustain expansion of high-quality, voluntary, evidence-based home visiting, and to enhance the capacity and capabilities of the home visiting professional practice. GOALS AND OBJECTIVES: The Oregon MIECHV program will sustain enrollment capacity for evidence-based home visiting and improve outcomes through workforce supports as well as stakeholder and parent partnerships. The objectives include: 1. Sustain, and evaluate opportunities to build additional capacity of high-quality, evidence-based home visiting services with attention to at-risk communities identified through a state needs assessment. 2. Effectively support and strengthen the activities of Title V. 3. Effectively integrate evidence-based home visiting within the comprehensive early childhood and health systems to improve coordination of services and professional supports in the at-risk communities to improve outcomes for eligible families. METHODOLOGY: Grant funds will support three evidence-based home visiting models, Early Head Start – home Based (EHS), Healthy Families Oregon (HFO) and Nurse-Family Partnership (NFP), in at-risk communities identified through a state needs assessment including Clatsop, Crook, Jackson, Klamath, Lane, Lincoln, Malheur, Marion, Morrow, Multnomah, Umatilla and Yamhill Counties and seeks to expand into newly identified at-risk communities including Baker, Coos, Douglas, Grant, Jefferson, Lake, and Polk. The program proposes to sustain and expand enrollment of the three models across the state while building a regional home visiting system infrastructure through FY25. Funding sustains support for community-based system alignment activities that unite home visiting as a network of service, incorporated and linked to child and family services and supports included in a comprehensive early childhood system. Stakeholder and parent partners will collaborate on the development, implementation and assessment of grant activities to support transformation in early learning and health and assure the integration of a high-quality, equitable and comprehensive early childhood system. Current Caseload: EHS (145); HFO (268); NFP (432); for a total of 845 family slots. FY23 & FY24 Caseload will be EHS (125); HFO (268); NFP (420); for a total of 813 family slots.