Skip to main content
Erschienen in:

08.11.2017 | From the Field

Lessons Learned: Implementation of Pilot Universal Postpartum Nurse Home Visiting Program, Massachusetts 2013–2016

verfasst von: Katie Stetler, Christine Silva, Susan E. Manning, Elizabeth M. Harvey, Emma Posner, Becca Walmer, Karin Downs, Milton Kotelchuck

Erschienen in: Maternal and Child Health Journal | Ausgabe 1/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose Home visiting programs for new families in the United States have traditionally served high-risk families. In contrast, universal home visiting models serve all families regardless of income, age, risk or other criteria. They offer an entry point into a system of care for children and families, with the potential to improve population health. This paper describes lessons learned from the first three years of implementing a universal home visiting model. Description Welcome Family is a universal home visiting program in Massachusetts that offers a one-time visit by a nurse to new mothers up to eight weeks postpartum. The Massachusetts Department of Public Health (MDPH) is piloting Welcome Family in four communities with the goal of expanding statewide. Assessment Welcome Family served over 3000 families in its first three years. Program performance measures provided a framework to examine successes and challenges related to outreach and enrollment, program operations, and linkages with community resources. Early challenges included increasing referrals to a new program and limited capacity to serve all women giving birth. Local implementing agencies tested innovative strategies and MDPH made program modifications, such as developing quarterly data reports and establishing a learning collaborative, to address identified challenges. Conclusion MDPH is committed to the success of Welcome Family and uses continuous quality improvement to maximize the impact of the program on families and the system of care in Massachusetts. Lessons learned from the Massachusetts pilot can inform other states’ efforts to enhance their early childhood systems of care through expanding universal home visiting.
Literatur
Zurück zum Zitat Dodge, K. A., Goodman, B., Murphy, R. A., O’Donnell, K., et al. (2013). Randomized control trial of universal postnatal home visiting: impact on emergency care. Pediatrics, 132(2), S140–S146.CrossRefPubMedPubMedCentral Dodge, K. A., Goodman, B., Murphy, R. A., O’Donnell, K., et al. (2013). Randomized control trial of universal postnatal home visiting: impact on emergency care. Pediatrics, 132(2), S140–S146.CrossRefPubMedPubMedCentral
Zurück zum Zitat Dodge, K. A., Goodman, B., Murphy, R. A., O’Donnell, K., et al. (2014). Implementation and randomized controlled trial of universal nurse home visiting. American Journal of Public Health, 104(1), S136–S143.CrossRefPubMedPubMedCentral Dodge, K. A., Goodman, B., Murphy, R. A., O’Donnell, K., et al. (2014). Implementation and randomized controlled trial of universal nurse home visiting. American Journal of Public Health, 104(1), S136–S143.CrossRefPubMedPubMedCentral
Zurück zum Zitat Fine, A., & Kotelchuck, M. (2010). Rethinking MCH: The life course model as an organizing framework. U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Retrieved from http://www.aucd.org/docs/rethinkingmch.pdf. Accessed 22 Apr 2016. Fine, A., & Kotelchuck, M. (2010). Rethinking MCH: The life course model as an organizing framework. U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Retrieved from http://​www.​aucd.​org/​docs/​rethinkingmch.​pdf. Accessed 22 Apr 2016.
Zurück zum Zitat Finello, K. M., Terteryan, A., & Riewerts, R. J. (2016). Home visiting programs: what the primary care clinician should know. Current Problems in Pediatric and Adolescent Health Care, 46(4), 101–125.CrossRefPubMed Finello, K. M., Terteryan, A., & Riewerts, R. J. (2016). Home visiting programs: what the primary care clinician should know. Current Problems in Pediatric and Adolescent Health Care, 46(4), 101–125.CrossRefPubMed
Zurück zum Zitat Geeraert, L., Van den Noortgate, W., Grietens, H., & Onghena, P. (2004). The effects of early prevention programs for families with young children at risk for physical child abuse and neglect: A meta-analysis. Child Maltreatment, 9(3), 277–291.CrossRefPubMed Geeraert, L., Van den Noortgate, W., Grietens, H., & Onghena, P. (2004). The effects of early prevention programs for families with young children at risk for physical child abuse and neglect: A meta-analysis. Child Maltreatment, 9(3), 277–291.CrossRefPubMed
Zurück zum Zitat Guterman, N. B. (1999). Enrollment strategies in early home visitation to prevent physical child abuse and neglect and the ‘Universal versus targeted’ debate: A meta-analysis of population-based and screening-based programs. Child Abuse & Neglect, 23(9), 863–890.CrossRef Guterman, N. B. (1999). Enrollment strategies in early home visitation to prevent physical child abuse and neglect and the ‘Universal versus targeted’ debate: A meta-analysis of population-based and screening-based programs. Child Abuse & Neglect, 23(9), 863–890.CrossRef
Zurück zum Zitat Krugman, R. D. (1993). Universal Home Visiting: A Recommendation from the U.S. Advisory Board on child abuse and neglect. Future of Children, 3(3), 184–191.CrossRef Krugman, R. D. (1993). Universal Home Visiting: A Recommendation from the U.S. Advisory Board on child abuse and neglect. Future of Children, 3(3), 184–191.CrossRef
Zurück zum Zitat Sweet, M., & Appelbaum, M. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75(5), 1435–1456.CrossRefPubMed Sweet, M., & Appelbaum, M. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75(5), 1435–1456.CrossRefPubMed
Metadaten
Titel
Lessons Learned: Implementation of Pilot Universal Postpartum Nurse Home Visiting Program, Massachusetts 2013–2016
verfasst von
Katie Stetler
Christine Silva
Susan E. Manning
Elizabeth M. Harvey
Emma Posner
Becca Walmer
Karin Downs
Milton Kotelchuck
Publikationsdatum
08.11.2017
Verlag
Springer US
Erschienen in
Maternal and Child Health Journal / Ausgabe 1/2018
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-017-2385-x