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Indian River County Healthy Start Coalition, Inc. Healthy Families Indian River Program Children's Services Advisory Committee Grant 2006-07 G. TIMETABLE (Section G not to exceed one page) 1. List the major action steps, activities or cycles of events that will occur within the program year. New programs should include any start-up planning that may occur outside the funding year. In com ing the timetable, review information detailed in prior sections. Month/ Activities Period The major steps for the overall program are: Weekly Pregnant women are offered the universal HS/HF screen by OB providers in all counties. The voluntary screen identifies risk factors for child abuse. With client consent, HF IRC receives a copy of all screens from the Health Department. Referrals also come from the social worker at Indian River Memorial Hospital at the time of birth. Additional referrals may come from any agency in the community. Families can be eligible for assessment during pregnancy or up to two weeks after the birth of their child. The Healthy Families Family Assessment Worker (FAW) conducts a face-to-fac assessment to determine if they are eligible for Healthy Families. The FA communicates with the HS Care Coordination team to determine their status with H status prior to performing the assessment. On-going, After the assessment, if the family is eligible for Healthy Families, and is interested in up to 5 participation, the Program Manager reviews the case with the FAW. The case (family) years then goes to the HF Supervisor, who reviews the family's needs and determines the best Family Support Worker (FSW) for case management assignment. The family is then assigned and phone contact must be attempted within 72 hours by the FSW. A subsequent home visit attempt must be completed within 5 days. Once contact is made with the family, initial goal setting is done within one month of opening the case. Supervisors review all cases assigned to every FSW weekly for a minimum of two hours. Goals are reviewed and updated with the family and Supervisor every 90 days. These goals can be modified during 90 days if needed. For pregnant women, the determination of weekly or bi-weekly visits during pregnancy is made. After birth, visits are weekly for a minimum of 6 months. Bi-weekly visits can be conducted if the mom returns to work, with phone contacts in between. Six to eight months after birth, the Supervisor and FSW will determine if the family can move_ to level two, where the family will receive- bi-weekly visits. This - determination is based on the family's progress in meeting their goals as well as overall family needs. The Ages and Stages Questionnaire Child Developmental Assessment tool (available in Spanish and English) is conducted every four months and goes all the way to 60 months. A copy of the first one is attached. The Parent Child Assessment/Observation tool is completed at one month, then every six months. Home Safety checks are conducted at one month then again at six months. The family and target child must complete goals and advance through levels to achieve program graduation. 11