Home Visiting

Welcome to the home visiting section of our early childhood intervention professional development center. There are many types of home visiting programs and this page is designed as a resource for understanding the different home visiting models and programs within the District of Columbia. ...

Evidence-based home visiting programs support a family’s ability to enhance their child’s growth and development. Trained and competent home visitors evaluate homes for risk factors that may lead to adverse child health outcomes and provide support and intervention that will ultimately enhance a child’s ability to learn, grow, and flourish. The federal government augmented its commitment to home visiting programs by including funding for evidence based home visiting programs within the Patient Protection and Affordable Care Act in 2010. This funding created the Maternal Infant and Early Childhood Home Visiting grant program (MIECHV). The MIECHV program awards grant funding to all states and territories to establish comprehensive home visiting programs that will show improvement in six benchmark areas ranging from maternal and newborn health to the economic sufficiency of families. The program currently serves 15,000 families. The purposes of home visiting programs are to:

Read more about Home Visiting: Supporting Families to Flourish Through Quality Programs

District of Columbia

The Maternal, Infant and Early Childhood Home Visiting Programs (MIECHV)            
The Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) provides funds for states to implement evidence-based home visiting program services to at-risk families, as defined by the federal Home Visiting Evidence of Effectiveness (HomVEE) http://homvee.acf.hhs.gov/Models.aspx. The DC Department of Health is responsible for overseeing the implementation of DC’s MIECHV funds and implements the Parents as Teachers (PAT), Home Instruction for Parents of Preschool Youngsters (HIPPY) and Healthy Families America (HFA) home visiting programs. To read more about these specific programs, read Home Visiting: Supporting Families to Flourish Through Quality Programs

Learning Community

Many of the home visitors need and want to share information and learn more about providing high quality home visiting services. The Georgetown University Center for Child and Human Development is proud to host and facilitate a learning community that provides training opportunities, communications and sharing of information.

2015 - 2016 Training Opportunities

All trainings are in person sessions the first Friday of the month from 10am- 1pm unless otherwise noted. Registration will be linked to each training announcement when available. Recordings (when available), handouts and resources will also be provided here after the events.

Communication and Sharing of Information

The learning community has an email newsletter every month. If you are a provider of home visiting services in the District of Columbia and want to be a part of this learning community, contact Rachel Brady at rab9@georgetown.edu. The email group also ask questions and shares information about providing high quality services in the District of Columbia.

Tips for Introducing and Getting Consent- Screening and Assessment

Use the following tips to create your own way of introducing and discussing screening and assessment tools with families in your program.

Introducing Screening Tools to Families

It is important to help families understand that we use the screening and assessment tools to support their needs as parents. Use and adapt these tips to introduce the different assessments before and during the consent process.

Here are some great videos to use for your self or with families for learning more about the relationship with stress and early learning. There are other videos on these websites beyond what is highlighted that are also great for learning and sharing with families.

United Front Home Visiting Community (Minnesota Coalition for Targeted Home Visiting) Brain Builders
http://unitedfrontmn.org/homevisiting/multimedia/

Center on the Developing Child: Harvard University and the National Scientific Council on the Developing Child
Three Core Concepts in Early Development(click onto the Resource Library section for more videos)

  1. Experiences Build Brain Architecture
  2. Server & Return Interaction Shapes
  3. Toxic Stress Derails Healthy Development

Introduction to Consent for Screening Tools

After discussing the importance of the screening and assessment tools, home visitors must get written permission to perform the screenings or assessments. Here are some tips for discussing this important consent process. Use and adapt these tips to the specific families that you work with

More Information

Here are other resources to discuss development and other screening and assessments with families

Center for Disease Control and Prevention (CDC) Learn the Signs. Act Early.

US Department of Health & Human Services, Office of the Administration for Children & Families

Urban Institute: Addressing Parent Mental Health in Home Visiting Services

Learning Modules

This series of learning modules is designed to promote the home visitor's knowledge of the foundations of early learning, warning signs of developmental delays, meeting the needs of families, and understanding the emerging profession of home visiting. The modules have been listed in a sequence that is beneficial for the learner but can be viewed in any order.

Introduction Materials

Healthy Brain Development: The Importance of the First Three Years
This module presents the scientific basis for providing early services and supports to young children and their families.  Emphasis is on the application of this evidence to home visiting.

Typical Child Development from Birth to Age 5
This module presents information on typical child development in 5 domains of development: Adaptive, Cognition, Communication, Motor, and Social-Emotional through age 5 and the interaction of the developmental domains.

Developmental Warning Signs
Building upon typical development, this module describes specific behaviors that may indicate a child has a developmental delay or disability.

Screening
This module presents the importance of developmental screening, tools that are available, discussing findings with families, and referring to appropriate resources.

Safety and Nutrition
This module presents critical safety and health issues of concern to families with young children. It focuses on physical safety, nutrition, and the importance of physical activity.

Families with Complex Needs I: Homelessness
Many families are struggling with and experiencing increased levels of adversity. Understanding the challenges and locating resources within the community are key to lessen any negative impact. This module and the next explore identifying community based family supports that are responsible to the concerns, priorities, and resources of the family. This first module focuses on the needs and challenges of families who are without permanent housing.

Families with Complex Needs II: Low Literacy and Cognitive Disabilities
Many families are struggling with and experiencing increased levels of adversity. Understanding the challenges and locating resources within the community are key to lessen any negative impact. This module and the previous one explore identifying community based family supports that are responsible to the concerns, priorities, and resources of the family. This focuses on working with parents who have intellectual disabilities or low literacy.

Positive Parenting
This module describes the meaning of family engagement, positive parenting and responding appropriately to the child based on the child’s cues.  Recognizing that parents are their child’s first and most important teachers is an important part of influencing the parent- child interaction style to promote a healthy, loving relationship.

Working with Community Resources
This module describes the need for home visitors to collaborate with a variety of community programs and resources, especially those related to serving children with developmental delay. A particular emphasis is on the programs in the District of Columbia:  Strong Start, Early Stages, DC Early Childhood Programs, DC Child Care Connection.

Routines Based Learning
This module explores the importance of using everyday activities and routines as a context for learning. The importance of coordinated, predictable practices in promoting healthy child development are described.

Cultural Competence
This module explores the cultural values, beliefs, traditions of families which may influence child rearing.  The role of the home visitor in respecting cultural influences is discussed.

Child Abuse and Neglect
This module discusses the contemporary and ecological context of family violence in the United States, including the role of culture in contributing to, maintaining, and providing rationalizations for violence in interpersonal relationships. It describes the impact of chronic neglect has on brain development as well as social-emotional behavior and learning. 

The Home Visitor, an Emerging Profession
This module describes the importance of establishing a trusting, open relationship with the families the home visitor serves.  The art and science of communication, collaboration and professional boundaries, and procedures for home visitor safety in high risk neighborhoods are discussed.