promising practice: men in mch
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City M at CH Conference 2008 September 20-23, 2008 Albuquerque, NM. Healthy Start, Inc. Pittsburgh/Allegheny County, PA. Promising Practice: Men in MCH. Michael Caliguiri, M.S. Field Manager. Benjamin Davis Program Specialist. - PowerPoint PPT PresentationTRANSCRIPT
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CityMatCH Conference 2008
September 20-23, 2008
Albuquerque, NM
Healthy Start, Inc.Pittsburgh/Allegheny County, PA
Michael Caliguiri, M.S.Field Manager
Benjamin DavisProgram Specialist
Healthy Start, Inc. is supported in part by Project No. CFDA #93.926E from the Healthy Start Initiative, Division of Perinatal Systems & Women’s Health, Maternal & Child Health Bureau, Health Resources & Services Administration, and Department of Health & Human Services.
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The Problems (Pittsburgh/ Allegheny County) African American (AA) infants dies at
almost 4 times the rate of whites while representing just over 10% of the total births*
80% of AA births are to unmarried women [almost 40% for whites]*
2xs as many LBW for African American as for Whites*
Teen birth rate (15-17yrs) for AA is 8 times higher than Whites (45/ 5.6)*
*PA Dept. of Health EPIQMS (2003-05)
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The Mission
The mission of Healthy Start, Inc. is to focus primarily on the reduction of infant mortality and low birth weight babies in Southwestern Pennsylvania in such a way as to make valuable use of its resources, preserve its flexibility and continue to offer seamless services with the intent of improving the quality of life of infants, toddlers, youths, siblings, parents, and grandparents.
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The Purpose To create and coordinate a
comprehensive system that ensures infants are born healthy into homes where they will be nurtured and valued.
To demonstrate innovative ways to reduce infant mortality in some of the areas with the highest infant mortality rate in the country.
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Men Need What Women Need – Comprehensive Teams and Services
Care Coordination - Outreach Workers Health Screening & Education - Nurses Depression Screening & Referral -
PHQ-9 Assessment Tool by Pfizer, Inc. Targeted Case Management – CACs Program Evaluation – MIS Indigenous Personnel – HR
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Successful Program Strategies
Indigenous Employees Holistic in Approach Community-Based & Culturally Sensitive Multi-Disciplinary Speak to Male-Specific Topics Collaborative Across Systems Outcomes-Oriented
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IMPACTS (-)…
“Children who live absent their biological fathers are, on average, at least 2 to 3 times more likely to be poor, to use drugs, to experience educational, health, emotional and behavioral problems, to be victims of child abuse, and to engage in criminal behavior.”
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IMPACTS (+)…
“Children with involved, loving fathers are significantly more likely to do well in school, have healthy self-esteem, exhibit empathy and pro-social behavior, and avoid high-risk behaviors such as drug use, truancy, and criminal activity.” –
-NFI; Father Facts, 4th Ed.
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Male Initiative Program (MIP)
The purpose is to inform male partners and spouses of how influential they are to the outcome of a pregnancy and the ongoing health and well-being of their babies.
Fathers/ male caregivers receive identical services to those of enrolled women, while individualizing plans to meet male-specific needs.
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Core Services for Men: The Basics Male Friendly Language, Literature &
Materials Male Role Models & Examples Male Staff Activities & Events Flexible Schedule Skill Enhancement & Support
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Depression Screening & Referral for Men• PHQ-9 (Pfizer) Self Assessment Tool• Specialized Training for Outreach Workers (Lay/
Non-Professional) on: Counseling Techniques of Dialectical Behavioral
Therapy (DBT) Where to Turn for Community Services and
Referral Procedures Administering and Scoring the PHQ-9
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Depression Screening & Referral for Men Referral System
Community based SWHealth Start, Inc. SW
*DBT developed Marsha Linehan, M.D., Univ. of Washington
*DBT Training Developed in Conjunction with University of Pittsburgh, Western Psychiatric Institute & Clinic, Katherine Wisner, M.D
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Build a Referral Network for Men! Local Health Providers Employment & Training Housing Authorities – City/County Local/ State Health Department Mental Health/ D&A Treatment Centers and
Systems Family Planning Child Protection Services
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Evaluation
Participant Information Management System (PIMS)
Referral & Enrollment Database Case Management Forms
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Life Skills Groups
“FAMILY” Focus NightMonthly education forums for fathers/ male Monthly education forums for fathers/ male
caregivers as well as mothers, children, and caregivers as well as mothers, children, and support personssupport persons
Promotes peer to peer (man to man) Promotes peer to peer (man to man) learning and discoverylearning and discovery
Increases empathy and understanding Increases empathy and understanding specific to gender roles and responsibilitiesspecific to gender roles and responsibilities
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Life Skills Groups
Interactive Health Learning Mechanisms Roundtable Discussions
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Building Blocks for Programs
Provide economic, social, and emotional support for parents
Use screenings, assessments, and evaluations to monitor well-being and plan next steps
Build on strengths of participants Educate staff and advocate for further
research
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Linkage Across Services
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Promoting Responsible Fatherhood Grantee 2006-2011Three Primary Components
1. Case Management/ Care Coordination for Fathers/ Male Caregivers
2. Healthy Marriage/ Cooperative Parenting Counseling
3. Domestic Violence Counseling and Education
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Responsible Fatherhood Projected Impacts• Increase case management/ care
coordination service capacity by 350• Expand eligibility and scope of
participants• Strengthen parental involvement for 300
couples• Decrease in parental conflict via
Prevention (education) and Intervention (counseling)
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Challenges
Literacy Mentality
ParentingEmploymentDepression
Advocacy Sustainability
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Strategic Sustainability Planning o Should be a written document with specific
steps and outcomeso Include evaluation as part of planning (# of
months/ years)o Identify resources large and small and of
various systems (local/ federal; philanthropic)
o Assure that outcomes meet the mission of the funding sources you approach
o Sustainability is just as much collaboration and partnership as much as financial
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Sustainability Evaluation(s)o Quantitative & Qualitative assessments to
determine impact of male-based programs on MHC outcomes (see poster display!)
o National Healthy Start Association Dad’s Matter Cohort (Ken Scarborough)
o National Responsible Fatherhood Clearinghouse
o Low/ No Cost strategies, tools, approacheso Timely submission of grant and other
required reportso Knowledge Dissemination across systems
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Sustainability Successes Grantee for federal PRF/HM Community Development Block Grant (5K) –
marketing Department of Community & Economic
Development (30K) – personnel Heinz Foundation – non-federal match and
commitment to child health and development outcomes
DV, FQHC, Faith-based Partnerships (collaborative agreement + financial)
Family Support/ Head Start Center in-kind support and shared program capacity
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Lessons Learned Strengthening entire families, especially
fathers, are proven strategies associated with childhood success.
Healthy Start has shown that local communities can, with support, develop and implement innovative approaches to reducing infant mortality
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For more information about us,call the Healthy Start, Inc. Helpline at:
(412) 247-1000 or
(724) 425-1799or
visit our website at:www.healthystartpittsburgh.org
Healthy Start, Inc.
Healthy Start, Inc. is supported in part by Project No. CFDA #93.926E from the Healthy Start Initiative, Division of Perinatal Systems & Women’s Health, Maternal & Child Health Bureau, Health Resources & Services Administration, and Department of Health & Human Services.