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Organization: Indian River County Healthy Start Coalition, Inc. Program: TL.0 Newborn Program
<br /> Funder. IRC Board of County Commissioners — Children's Services Advisory Committee - 2004 Grant Application
<br /> Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page)
<br /> 1 . a) What is the unacceptable condition requiring change? b) Who has the need ?
<br /> c) Where ;do they live? d) Provide local, state, or national trend data, with reference
<br /> source, that corroborates that this is an area of need. What: Babies do not come with
<br /> instruction books. In today' s system of health care, the mothers of newborns are released
<br /> from the hospital within 48 hours, and in many cases less than 24 hours. Unlike past
<br /> generations, support systems; such as the newborn' s grandmother, aunts or even available
<br /> health care providers for; these mothers are in many cases non-existent, particularly in the
<br /> State`of Florida; that has 'many transplant residents leaving the mother and family to fend for
<br /> themselves:4 In irianycases " there is nowhere to turn for 'parents of newborns to help ;with
<br /> `sem y !
<br /> thehi even c 'of u>tfant care issues, such as : handling, feedm nurturing,
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<br /> ,. p �� M . ... .. safety and
<br /> growth)t e e o men The TLC Newborn ro am IIs .void
<br /> anrgap of care,, ,
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<br /> e ucahon an supporWho. ' Indian River Coun had 1 ,05 ,11:6 rths m 2002. Of these
<br /> births, 62.8% wer6from' white mothers, 15 . 3 % black, 19.0% Hispanic and 2.9% "other"
<br /> mothers: In 2002, almost half, or 45 % of all births are covered under Medicaid or indigent
<br /> funding, which amounts to 475 babies being from low income families. Of all the births in
<br /> 2002 (the latest year for complete birth data), 39. 6 %, or 418 babies, ,were to unwed mothers,
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<br /> with black un ed births at 76.5%. In terms of education status of the` newborn's mother,
<br /> 28.3 %2 or299 0 If
<br /> mothers did not have a 12�` grade education or.GED These figures
<br /> w zF a s ` .yap ' • b,'.`< ':a � i • fir' t r
<br /> `above p 'I ess f. ffies at higher risk, but 'race income status' Lack of two anent
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<br /> ,S y + S SF^'#f .r; + t '4 . % n f. ILL
<br /> .,;fid tRfi "m5°f • �i' t G:' ! „ e E +r ?# 4isr ` , >� J ' a
<br /> domes, ca o eveaze not the,only risk factors for add' Llressor to needs `ofaii` ><nfantl `
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<br /> How to properie�are of a baby crosses' all socio. and economic boll fl undaries. Where :
<br /> The TLC prograzn serves mothers and families of newborns from the entire county. Based
<br /> I the latest year for birth data with zip code information, 20.3 % of the births were from the
<br /> Vero Beach zip code (32960), 16. 9% in the Oslo — southeast zip code (32962), 13 . 8 % in the
<br /> Gifford/Winter Beach/Wabasso zip code (32967), 12 .2% in the Sebastian zip code (32958)
<br /> and 9. 1 % mi the Fellsmere zip code (32948) . Other parts of the county encompass the
<br /> i� remaining percentage•: The information reported above is derived from birth outcome data
<br /> provided t6i'l lthy` Start from the Florida Department of Health — Vital Statistic Office•
<br /> There are no progIll, rams or services that provide "universal" support for all families of
<br /> newborns besides the TLC Newborn ro tyThe TLC Newborn
<br /> p gram m Indian River Coun ,
<br /> p�mgram h, as; 6% participation of all families of newborns over the last three ears , '
<br /> , '' }f fGe h: '3.+ • • . . .:i k, ": rk •X"R •'v>, .^F`E: . L;'ai ycy1f`eIt:: y !
<br /> whiCih
<br /> amounts WIN s M0 0 fain <hes each ear receLvinlLfr
<br /> services addressor an infant' s needs,
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<br /> 2. a) Identify 'similar programs that are currently serving the needs of your targeted
<br /> population ; b) Explain how these existing programs are under-serving the targeted
<br /> population of your program. The TLC Program is totally unique not only in Indian River
<br /> it
<br /> County, but in the entire state of Florida. The program is unique due to its universal nature, and
<br /> t touches almost every family of newborns in Indian River County. Healthy Start Care
<br /> Coordination and Healthy Families have similar target populations with regard to the infants and
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<br /> families of newborns," but only serve those families who are scored "at-risk" on the Healthy
<br /> ,a Starf/Familits postnatal 'screen. They are primarily intensive home-based case management
<br /> s pr'o zgrams with the ma ori of services be
<br /> Ill . • � , J tY ginning prenatally. In 2003 , Healthy Start provided 91 _ .
<br /> "( infants with on=`going care coordination and Healthy Families - IRC served 145 infants.
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