Select Home Visitation Programs

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PACS Home Visitation Program has three components

#1 Select Home Visitation Program (SHV), funded by First 5LA.

PACS started its Select Home Visitation (SHV) Program in January2014 to serve families who live in the Long Beach and Wilmington Best Start neighborhoods.  Referrals come from the Welcome Baby Hospital sites.  Its purpose is to serve at-risk families with newborn babies in these neighborhoods.  At-risk families include teen parents, premature birth, unstable home life, homelessness, drug or alcohol use during pregnancy, financial challenges, mental health issues, domestic violence, more than one child under 5 years of age, past trauma, food insecurity and language barriers.

GOALS AND OBJECTIVES:

  • Support parents and promote a healthy parent-child relationship.
  • Assist families with building and sustaining community partnerships that will cultivate and strengthen the nurturing parent-child relationship(s) and
  • Promote healthy childhood growth and development while enhancing family functioning by reducing risk and building protective factors.
  • Help families build on their strengths so that children are well-supported.
  • Prepare the family’s home for each developmental stage of their child.
  • Reduce child abuse and prepare every child to be school-ready.

CRITERIA & REFERRAL PROCESS:

  • Mother/caregiver must live in specific zip codes of the Best Start neighborhoods.
  • Give birth at a Welcome Baby Hospital.
  • Identified as high-risk and screened at bedside by Wellness Baby staff or screened by BRIDGES staff and offered this service.
  • Must be referred to PACS by the Wellness Baby or BRIDGES staff.
  • Mother/caregiver can self-refer but must request services thru Welcome Baby program
  • Once the referral is assigned to PACS, within 48 hours a Select Home Visitor is assigned to contact the biological mother, inform her of SHV services and schedule the first home visit to start the process.
  • Home visitors will meet with the family at least one time per week, for approximately 1 hour, for the first 6 months of the program.

You helped me so much when I needed it the most…being pregnant and depressed was something I never imagined I’d find myself feeling…Your visits got me through!  Thank you for understanding me and knowing that I wasn’t losing my mind ... I learned how to be strong and take care of myself… And thanks to you… I feel better again and have my life back.”—CB

SERVICES:

  • Use the Healthy Families America Model (HFA) to promote healthy bonding and attachment
    • Educate about infant brain development
    • Assess early for development delays
  • Personal, one-to-one information and support to parents.
  • Weekly home visits for at least the first six months after the child’s birth. After the first six months, visits may occur less frequently depending on the family’s progress and challenges.
  • Services can be offered up until the child’s 5th birthday. The family may disenroll at any time.
  • Support mother to strengthen their parenting skills
  • Link families to community services and make referrals
  • Make referrals for mental health services if needed
  • The services are available in English and Spanish.
  • Other services include infant massage demonstrations, family goal planning, referrals for other services such as benefits enrollment, and supplies free of charge such as diapers, clothing, safety seats, baby wipes, baby food, bedding, etc.
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#2 Home Visitation Initiative (HVI)  and #3 Home Visitation Program Expansion (HVPE), funded by the LA County Department of Public Health www.publichealth.lacounty.gov/mch

Vision:  To promote maternal health and well-being, improve infant and child health and development, strengthen family functioning, and cultivate strong communities.

CRITERIA AND REFERRALS:

Both programs accept at-risk families prenatally and postnatally up to the age of 3 months for enrollment.  Families are pre-screened to meet high risk requirements.

Referrals come from the Dept. of Public, medical providers, Dept. of Mental Health contracted clinics, community members, self-referral, Welcome Baby programs, Nurse Family Partnership, and through outreach by the PACS HVE staff.

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PROGRAM GOALS AND OBJECTIVES:

  • Reduce child abuse and maltreatment;
  • Teach positive parenting skills and parent-child interactions;
  • Promote child school readiness;
  • Increase early learning in the home, with an emphasis on strong communication between parents and children that stimulate early language development;
  • Conduct screenings and provide referrals to address postpartum depression, substance abuse, family violence, legal issues, and homelessness through case management support;
  • Screen infants for developmental delays as early as 2 month (Ages & Stages/ASQ3/ASQSE2); facilitate early prevention for autism and other developmental disabilities;
    • Supportive developmental materials are provided and referrals are made as needed;
  • Increase access to primary care medical services;
    • support timely well-child visits, as well as
    • postpartum visits with a healthcare provider for mothers/caregivers
    • increase child immunization rates;
  • Education provided on breastfeeding, safe sleep practices, injury prevention, and family nutrition.
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SERVICES PROVIDED:

  • HVPE supervisor receives the referral and assigns a home visitor to assess the needs of the family.
  • Home visitor makes contact with the family to schedule initial Home Visit within 7 days.
  • Home visitor will schedule a visit for the following week to start the intake process. The Parent Survey Assessment screen (psycho-social) is administered.  The family needs to score 25 or above to be offered services.
  • If the mother/caregiver doesn’t score 25, the home visitor is trained to ask follow-up questions.
  • Once enrolled, the home visitor can meet with the family once a week for approximately one hour. These are voluntary and the client can disenroll at any time.
  • The services are available in English and Spanish.
  • Other services include infant massage demonstrations, family goal planning, referrals for other services such as benefits enrollment, and supplies free of charge such as diapers, clothing, safety seats, baby wipes, baby food, bedding, etc.
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OUR WARM THANKS TO BABY TO BABY

Provides PACS clients, and especially the families

In the Home Visitors Program with vital items.

Baby2Baby provides children living in poverty, ages 0-12 years, with diapers, clothing and all the basic necessities that every child deserves.  In the last 9 years, Baby2Baby has distributed over 100 million items to children in homeless shelters, domestic violence programs, foster care, hospitals, and underserved schools as well as children who have lost everything in the wake of disaster.  They have a list of non-profit organizations and PACS is fortunate to be one of them.

In 2019, Baby To Baby partnered with the Los Angeles Clippers and Kawhi Leonard to pledge one million backpacks to the children of L.A.  For many of these children who are homeless or in foster care, backpacks not only hold their schoolbooks and homework, but also all their personal belongings instead of a trash bag.  This donation gave children the pride they deserve and the confidence they need to start the school year off.

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BABY2BABY
5830 W. Jefferson Blvd
Los Angeles, CA 90016


June Sale – we love you and Jeff!!!  Every few weeks, they deliver these blankie kits for our families.  It has a bag, infant size blanket, finger puppet and book.  June has volunteers to sew the blankies.  She pays for all the materials and items, then delivers them to the fortunate agencies she supports.  The families love these and the blankies act as transitional objects as the babies grow.

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A personal message from June

Dear Blankie Friends,

This is the end of a very difficult year for many very young children. And you are among the folks that care about and for them. You take the time and effort to sew blankies that really belong in a children's museum, but have been given to our children since the beginning of the project.

Among my memories of this last year, are the 10 day-old baby that was shaking with drugs left in her body by a mother who was on opioids; a three month old boy who reached out to Jeff for some comforting; two seven year old girls who wanted blankies for their own, so that they could comfort themselves.

As you may know, Jeff and I have been going to after-school programs to show your Blankies and ask the children to send a message to our older children who are in need of encouragement and comfort. These elementary-age children understand immediately what our project is trying to accomplish, and they draw pictures and send messages of hope and sympathy that bring tears to my eyes.

I hope each of you will feel and understand the gratitude Jeff and I send you. For me, this project has been a lifesaver. At 94, you have made it possible for me to take a total of 848 lovely finished products to the DFCS Shelter, Para los Ninos, Jewish Family Services and the Pacific Asian Counseling Center.

So, not to be over-dramatic, but truly grateful.....we send you our wishes for a peaceful and loving New Year and the hope that all of our world's children will be loved, treasured and honored.

June and Jeff

December 2019

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Arms are for hugging.

Healthy Families America Model (HFA) is used in SHV, HVPE AND HVI

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The model promotes child well-being and prevents the abuse and neglect of our nation’s children by delivering home visiting services that empower families and communities.  Communities that provide access to Healthy Families America (HFA) see children become healthier, perform better in school, parents become more self-sufficient, and medical costs significantly decline.

HFA programs have demonstrated a positive impact on the following outcomes:

  • Reduced child maltreatment;
  • Improved parent-child interaction and school readiness;
  • Decreased dependency on public assistance and other social services;
  • Increased access to primary care medical services; and
  • Increased immunization rates.

The HFA program model is designed to help families manage life's challenges by building o their strengths and addressing challenges with a strengths-based focus rather than focusing on correcting weaknesses.

I didn’t know how to arise a kid, I needed help, I didn’t know where to go, I am an only child myself, so raising a boy, I had no clue, I was raised by my mother who did not show me what to do, my father was not around.. the HFA program changed my life to the nthth degree, to the point that I finished my HS education, just for him, to have a better life for him, to show him that you can overcome anything”! –RY

The HFA program offers weekly home visits for at least the first six months after the child’s birth. After the first six months, visits may occur less frequently depending on the family’s progress and challenges. Services can be offered up until the child’s 5th birthday but may be terminated sooner if the family’s progress suggest services are no longer required.

A child’s first relationships and earliest experiences lay the foundation for health and well-being throughout their entire lives. At scale, stronger childhoods lead to stronger families and more successful communities.