Maternal, Infant and Early Childhood Homevisiting Grant Program - Project Title: Colorado- HRSA FY 2024 MIECHV Program: Base and Matching Grant Awards Applicant Name: Colorado Department of Early Childhood Project Director: Brittany Martens, MIECHV Program Manager Address: Colorado Department of Early Childhood 710 S. Ash St (Building C), Denver, CO 80220 P| (303) 653-3109 F (303)-866-4453, brittany.martens@state.co.us; https://cdec.colorado.gov Annotation: Colorado MIECHV will implement three evidence-based home visiting models across 21 counties to improve parent and family outcomes, including decreases in preterm birth rates and child maltreatment investigated cases, increases in breastfeeding and primary caregiver education attainment, and improvements in other crucial indicators (as set by HRSA’s MIECHV benchmarks). CO MIECHV will continue to build statewide collaboration and systems of support and referral networks for home-visiting professionals through enhanced opportunities at orientation training. Colorado will work to expand access to services through an updated needs assessment. Problem: Colorado will continue to recruit at-risk families, including families experiencing low incomes, living in poverty, low educational attainment, families impacted by domestic violence, families affected by substance abuse, and families facing stressors that put them at risk for premature birth, low-birth-weight infants, infant mortality, poor health, or maltreatment. Purpose: Enhance parent and family outcomes through evidence-based home visiting across 21 counties, targeting preterm birth reduction, breastfeeding promotion, caregiver education improvement, and strengthening support networks for professionals while expanding service access. Goals and Objectives: SMARTIE GOAL 1: In every month of the period of performance (September 30, 2024 – September 29, 2026) provide evidence-based home visiting services in 21 Colorado counties serving a caseload of 1,407 families. 1.1. SMARTIE Objective: In every month of the performance period, provide evidence-based home visiting services in 21 CO counties, increasing by 5% in year two to meet the maximum capacity caseload of 1,472 families. SMARTIE GOAL 2: Provide additional support to home visitors to improve workforce development, retention, and satisfaction of home-visiting professionals and leaders during the performance period (Oct 2024- Sep 2026.) 2.1. SMARTIE Objective: Between October 1, 2024, and September 29, 2026, enhance collaboration with internal and external partners to increase training opportunities for HV professionals at a total of eight (8) orientations and advance three (3) specific areas of equity, diversity, and inclusion, language justice, and mental health. SMARTIE GOAL 3: Improve family engagement in home visiting services and assess the expansion of services into new high-risk counties through an updated needs assessment. 3.1. SMARTIE Objective: Increase average monthly caseloads to 80% between October 1, 2024, and September 29, 2026, across urban, rural, and frontier counties. Approach: Colorado will continue utilizing the evidence-based HIPPY, NFP, and PAT models with state intermediaries and local implementing agencies. The CO MIECHV communities to be served for the FY 24 grant timeline represent counties determined as high risk in the 2020 MIECHV needs assessment. Twenty-one Colorado counties were identified as having high concentrations of risk, including seven urban counties, eight rural counties, and six frontier counties. Colorado MIECHV will continue working with the following high-risk counties for the grant period: Adams, Denver, El Paso, Gilpin, Mesa, Pueblo, Teller, Alamosa, Conejos, Crowley, Fremont, Montezuma, Montrose, Otero, Prowers, Bent Costilla, Dolores, Huerfano, Las Animas, and Saguache. Colorado will provide services to a caseload of 1,407 families in year one and 1,472 families in year two.