Maternal, Infant and Early Childhood Homevisiting Grant Program - New Hampshire Maternal, Infant and Early Childhood Home Visiting (MIECHV) Grant Program Introduction: New Hampshire will serve pregnant women and families in all New Hampshire counties using the Healthy Families America (HFA) model and the Child Welfare Protocols (CWP). This project period will continue the expansion New Hampshire began in late 2022, partnering with the Division for Children, Youth and Families (DCYF) in implementing its Family First Prevention Services Act (FFPSA) Prevention Plan, funding HFA New Hampshire, expanding home visiting services to a broader range of families referred by DCYF to include children up to age two. During the project period, New Hampshire MIECHV will focus on implementation with fidelity, reducing missing data through training and technical assistance, and staff retention through ensuring adequate training, reasonable caseload expectations and building community collaboration across MIECHV sites. Purpose: The purpose of this project is to implement voluntary, evidence-based home visiting services through the HFA model and coordinate comprehensive high-quality services to eligible families. HFA has remained New Hampshire’s model of choice for traditional referrals implementing a nurse enhancement across each site. For families referred by the DCYF, New Hampshire implements the CWP enhancement due to HFA’s proven outcomes in improving maternal and child health, child development, family economic self-sufficiency, and reducing child maltreatment. Goals and Objectives: Goal 1: New Hampshire Local Implementing Agencies (LIA’s) will apply the HFA home visiting model with fidelity, serving the HRSA defined priority populations. Objective 1.1 New Hampshire MIECHV will support the LIAs in demonstrating fidelity to the HFA model through promoting familiarity with Best Practice Standards and HFA tools. Objective 1.2 New Hampshire MIECHV will provide services to families across the state with a focus on enrolling members of priority populations identified by HRSA. Goal 2: Develop and implement leadership opportunities for direct-service staff to support workforce retention at the LIA level. Objective 2.1 Direct service staff will have a variety of leadership opportunities. Objective 2.2 Direct service staff will facilitate affinity groups of shared interests and peer support networks. Objective 2.3 Direct service staff will co-facilitate onboarding sessions for new hires. Goal 3: Sustain program enrollment at or above 85% of HRSA defined capacity. Objective 3.1 Capacity will be monitored monthly by New Hampshire MIECHV. Objective 3.2 New Hampshire MIECHV & LIAs will collaborate with community partners to promote home visiting. Goal 4: New Hampshire MIECHV will establish a statewide participant advisory board. Objective 4.1 Identify parent leaders to participate in the advisory board. Objective 4.2 New Hampshire MIECHV will provide leadership training for parents who are interested in participating on the statewide community advisory board (CAB). Objective 4.3 CAB will meet with a minimum of six parent leaders and three community members. Approach: New Hampshire LIAs will implement the Healthy Families America model with fidelity to HRSA priority populations in all New Hampshire counties, as identified in the 2020 Statewide Needs Assessment update. New Hampshire plans to focus on increasing enrollment and retention of child-welfare referred families and Woman, Infants and Children Program (WIC) participants through state-level collaboration. New Hampshire MIECHV’s proposed caseload is planned to increase from 314 in year one to 392 in year two of the project period. New Hampshire MIECHV plans to use state general funds for the non-federal match and serve all cities and towns through six LIAs located across 11 sites. The matching funds will be added to LIA contracts to support reaching underserved populations in each catchment area as identified by the gap analysis.
