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Organization: Indian River County Healthy Start Coalition, Inc. Program: TLC Newborn Program
<br /> Funder: IRC Board of County Commissioners — Children's Services Advisory Committee - 2004 Grant Application
<br /> ability to reach families of newborns at the hospital and in their home, there are very few barriers
<br /> to service delivery. The success of the TLC Newborn program is shown through its
<br /> participation rate of over 96 percent over the last three years. As a comparison, the acceptance
<br /> rate for the Healthy Start prenatal Screen was only 56% in 2003 and 42% for the Healthy Start
<br /> Infant/Postnatal Screen. This indicates nearly half of the pregnant women or infants in our
<br /> county are NOT being screened for risk factors and could potentially be missed in terms of
<br /> needing education and support. This is acceptable from a service delivery perspective, due to the
<br /> limited staff of Healthy Start Care Coordination not being able to serve more than a few hundred
<br /> families for ongoing case manage*went anyway. But TLC fills this gap in care and services and
<br /> p oxides a safety net for any families that were not screened for Healthy Start and might need
<br /> additional case management or nursing services. that Healthy Start or Healthy Families can offer.
<br /> One of the best indicators of the success of the TLC program, in addition to the Healthy Start and
<br /> alth"' Familie"s ro is they to
<br /> P ?s, <*, w infant mortals o ears
<br /> rate m the last two y
<br /> 3 e�a anc5.7 infant deaths per ,000live births in inds�an River County which has
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<br /> a . ,15
<br /> ., . , with postnatal
<br /> infant deaths (infant dying between 28 to 365 days of life) being extremely low and way below
<br /> the state average, which is the category that TLC services would most likely prevent. One new
<br /> component of the TLC program for 2004-OS will be a certified TLC Associate for breastfeeding
<br /> support, which accounted for 70% of the reason for mothers calling the TLC staff. This will be a
<br /> erfect compliment to the VNA home breastfeeding visitation cam onent added in 2001 -02.
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<br /> r 4 I ><sf"sfaffingneeded for yon>r program, wclndsng;regnired , ezperience and estimated
<br /> ,hR A ou p r ' lin program foi�aci' si�fimembeTt d .'` � . . e ;�s �r� rw •= r4
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<br /> er v fe y r nd/or volunteers (this secti6i ' s' hould
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<br /> conior� to the llnformahon m tl><e' Position Listing ii' the Budget Narrative Worksheet).
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<br /> TL doordinator — 32 hours per-week (80% Full Time Equivalent ,,, FTE)
<br /> TLC Assistant Coordinator — 20 hours per week
<br /> Three (3) TLC Family Associates - 10 hours per week each (one Family Assoc. is bilingual)
<br /> Secretary — 10 hours per week
<br /> The TLC staff have nursing, psychology or child education backgrounds and all have college
<br /> degrees. Their, continuity and professionalism. have been cornerstones for the program's success.
<br /> 5.AHow will the target population be made aware of the programs Contact is made at the
<br /> hospital with the mother and family of the newborn. TLC Newborn brochures which describe
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<br /> J-othe services, are at Indian River Mem^borial Hospital, Indian River County Department,
<br /> andobsetnc medical rovsde
<br /> p rs offices and distributed at health fairs. Hospital personnel ,.
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<br /> III Aenthussastically, describe and 'endorse TLC Newborn to the mothers. Because the program is
<br /> universal in nature, much of the awareness comes from word of mouth from the 1 ,000 new
<br /> moms and families the program serves each year, as well as from the grandparents and relatives
<br /> of the newborn . ."The IRCHS Coalition also markets the program through its newsletter, public
<br /> presentations, every other month Coalition meetings, and at health fairs or other public events.
<br /> 6. =TiHow-will the'program be accessible to target population (i.e., location, transportation,
<br /> d : hours of operation) ? Visits to Indian River Memorial Hospital are made six out of seven days
<br /> `A n t 'X
<br /> of each`Week bythe TLC Newborn personnel who meet the mother of every newborn either the
<br /> day of delivery of her baby or the day after. Infants born on Sunday are normallycontacted on
<br /> the second day after delivery. Follow up phone calls are made with each family, of a newborn
<br /> who w interested in artici atin ;which is over 96 percent of all newborn families in IRC. M "
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