Nurse-Family Partnership in Rhode Island RI Nurse-Family Partnership® (NFP) is an evidenced-based community health program that helps transform the lives of vulnerable mothers pregnant with their first child. Each mother served by NFP is partnered with a registered nurse to receive home visits from prenatal through the baby’s second birthday. Mothers, babies, families and communities all benefit. NURSE-FAMILY PARTNERSHIP GOALS 1 Improve pregnancy outcomes by helping women engage in good preventive health practices, including thorough prenatal care from their healthcare providers, improving diet and nutrition as well as reducing the use of cigarettes, alcohol and illegal substances. 2 Improve child health and development by helping parents provide responsible and competent care. 3 Improve the economic self-sufficiency of the family by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find work. 91% 89% 91% babies born full term babies born at a healthy weight (>5.5 lb) mothers initiated breastfeeding POSITIVE OUTCOMES FOR Rhode Island Cumulative data as of 12/31/16, clients served by Rhode Island’s Nurse-Family Partnership. MOMS’ DEMOGRAPHICS AT ENROLLMENT MEDIAN AGE: 20 89% UNMARRIED 66% RECEIVE MEDICAID cumulative as of 12/31/16 RACE 20% Black/African-American 28% White 1% American Indian/Alaska Native 2% Asian/Pacific Islander 3% Multiracial 46% Declined to self-identify ETHNICITY 44% non-Hispanic/Latina 54% Hispanic/Latina 2% Declined to self-identify 10/1/10 – 12/31/16; all data is selfidentified Nurse-Family Partnership in Rhode Island Established In 2010 801 Families Served 3 Counties Served 1 Agency Based on a review of 41 NFP evaluation studies, Dr. Ted Miller of the Pacific Institute for Research and Evaluation predicts that nationwide every dollar invested in NFP will yield a return on investment to government of $4.50 and to society of $8.10. RI NFP IN RHODE ISLAND In 2005, the Successful Start Steering Committee — Rhode Island’s Early Childhood Comprehensive System planning group — identified establishing a NFP program as one of its core strategies. In 2010, funding became available to establish a NFP program through Children’s Friend. Since its inception in 1834, the mission of Children’s Friend has been to promote the well-being and healthy development of Rhode Island’s most vulnerable children by providing flexible, effective and culturally relevant services that support and strengthen families and communities, which makes them the ideal agency to implement Nurse-Family Partnership. The organization offers services ranging from family counseling, crisis intervention and fatherhood initiatives to Head Start/Early Head Start and also provides quality care and education to children ages three, four and five. The Rhode Island NFP program is rooted in strong, collaborative relationships between several partners. - Rhode Island KIDS COUNT, a statewide children’s policy and advocacy organization; Children’s Friend; Bradley/ Hasbro Children’s Research Center at Brown University Medical School; and several state agencies, including the Rhode Island Department of Health, the Department of Human Services, and the Department of Children, Youth and Families, all played a role in launching NFP services in the state. FUNDING AND POLITICAL CONTEXT The Nurse-Family Partnership program is a core component of the state’s Maternal, Infant and Early Childhood Home Visiting (MIECHV) program, which is managed by the Rhode Island Department of Health. In 2008, Rhode Island became one of 15 states selected by the U.S. Department of Health and Human Services, Administration for Children and Families (ACF) to receive a multiyear award to develop and implement evidence-based home visitation. Rhode Island KIDS COUNT served as the initial grantee for the ACF grant “Supporting Evidence-Based Home Visitation Programs to Prevent Child Maltreatment,” and led the planning and initial implementation process to establish NFP in Rhode Island. The Rhode Island NFP program uses multiple funding streams that include the MIECHV Program, and the Rhode Island Department of Human Services (Temporary Assistance for Needy Families dollars). In addition, Children’s Friend can bill Medicaid for three postpartum visits under the “rehabilitative and habilitative services” category. The Rhode Island Health Department is actively exploring ways to expand Medicaid coverage for NFP. NATIONAL RECOGNITION “Programs such as the NurseFamily Partnership — in which nurses visit first-time, lowincome mothers to provide information on nutrition and parenting — may be a more focused (and cost-effective) way to increase the school readiness of at-risk kids.” Michael Gerson, “Discipline, With Love,” The Washington Post, Oct. 2, 2014 “…the Nurse-Family Partnership, one of my favorite groups fighting poverty in America. It sends nurses on regular visits to at-risk firsttime moms. The nurses warn about alcohol or drug abuse and encourage habits of attentive parenting, like reading to the child.” Nicholas Kristof, “Cuddle Your Kid!” The New York Times, Oct. 20, 2012 National Service Office: 1900 Grant Street, Suite 400 • Denver, CO 80203-4304 • nursefamilypartnership.org Interested in learning more about NFP in RI? Please contact us at: [email protected]
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