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Family Health Services Oklahoma State Department of Health

PUBLIC HEALTH AND CHILD ABUSE PREVENTION IN OKLAHOMA. Institute on Child Welfare for Governors’ Health and Human Services Policy Advisors Edd D. Rhoades, MD, MPH. Family Health Services Oklahoma State Department of Health. June 16, 2005. Public Health Tradition.

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Family Health Services Oklahoma State Department of Health

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  1. PUBLIC HEALTH AND CHILD ABUSE PREVENTION IN OKLAHOMA Institute on Child Welfare for Governors’ Health and Human Services Policy AdvisorsEdd D. Rhoades, MD, MPH Family Health Services Oklahoma State Department of Health June 16, 2005

  2. Public Health Tradition • Prevention Focus - reduce conditions associated with child abuse and neglect before it occurs • Multi-level Strategies - programs to strengthen communities and families, train professionals, and increase public awareness • Statewide Approach - needs assessment, best practices, evaluation, service accessibility and accountability June 16, 2005

  3. Public Health - Human Services Continuum June 16, 2005

  4. Family Support and Prevention Service • Office of Child Abuse Prevention • Child Abuse Training and Coordination • Community-based Child Abuse Prevention Grant • Children First Nurse Family Partnership June 16, 2005

  5. Child Abuse Prevention Act 1984 • Proclaiming child abuse in Oklahoma a public health crisis and declaring prevention a priority June 16, 2005

  6. Office of Child Abuse Prevention • Child Abuse Prevention State Plan • State Interagency Task Force • 17 District Task Forces • Community-based child abuse prevention projects • Training, technical assistance, evaluation, and quality improvement June 16, 2005

  7. Office of Child Abuse PreventionCommunity-based Projects • Criteria • Mother may enroll prenatally or up to three months postpartum • Families that qualify for C1 do not enroll in OCAP unless C1 is at capacity • OCAP not restricted to first-time mothers June 16, 2005

  8. Office of Child Abuse PreventionCommunity-based Projects • Services provided by community service contractors or health departments prenatally and up to the child’s fifth birthday • Healthy Families Critical Elements • Parents As Teachers Curriculum • Services available through 21 sites – not statewide June 16, 2005

  9. Office of Child Abuse PreventionCommunity-based Projects • Services Provided • Homes visits • Center-based support and education groups • Family Events • Child development assessments • Links to community resources June 16, 2005

  10. SFY 2005 COMMUNITY-BASED FAMILY RESOURCE AND SUPPORT PROGRAMS BY DISTRICT AND COUNTIES XIII WOODS XIV XVII KAY HARPER GRANT CIMARRON TEXAS BEAVER CRAIG WASHINGTON OTTAWA X OSAGE NOWATA ALFALFA WOODWARD NOBLE GARFIELD MAJOR ROGERS DELAWARE MAYES PAWNEE Counties included In Districts: I Pittsburg, Haskell, Leflore, Latimer II Adair, Cherokee, McIntosh, Muskogee, Okmulgee, Sequoyah, Wagoner III Cleveland, Coal, Garvin, McClain, Pontotoc IV Canadian, Kingfisher, Logan V Hughes, Pottawatomie, Seminole VI Caddo, Comanche, Cotton, Grady, Jefferson, Stephens VII Oklahoma VIII Greer, Harmon, Jackson, Kiowa,Tillman IX Beckham, Blaine, Custer, Dewey, Roger Mills, Washita X Beaver, Cimarron, Ellis, Harper, Texas, Woodward XI Creek, Lincoln, Okfuskee, Pawnee, Payne XII Tulsa XIII Craig, Delaware, Mayes, Nowata, Ottawa, Rogers, Washington XIV Alfalfa, Garfield, Grant, Major, Woods XV Carter, Johnston, Love, Murray XVI Atoka, Bryan, Choctaw, Marshall, McCurtain, Pushmataha XVII Kay, Noble, Osage ELLIS TULSA PAYNE XII DEWEY WAGONER II CREEK KINGFISHER LOGAN XI IV BLAINE CHEROKEE IX ROGER MILLS ADAIR LINCOLN MUSKOGEE OKLAHOMA VII OKFUSKEE CUSTER SEQUOYAH OKMULGEE CANADIAN MCINTOSH BECKHAM WASHITA V HUGHES HASKELL CADDO CLEVELAND POTTAWATOMIE SEMINOLE VI I KIOWA PITTSBURG GRADY GREER MCCLAIN LATIMER VIII LEFLORE PONTOTOC COMANCHE GARVIN III HARMON JACKSON COAL XVI STEPHENS MURRAY TILLMAN PUSHMATAHA JOHNSTON ATOKA COTTON CARTER XV JEFFERSON MCCURTAIN MARSHALL CHOCTAW LOVE BRYAN SFY2005 Contractors Counties served exclusively by SFY2005 CAP Fund Contractors Counties served exclusively by the Chickasaw Nation and the Comanche Nation of Oklahoma County served by CAP Fund Contractor and Comanche Nation Tribe June 16, 2005

  11. Office of Child Abuse PreventionCommunity-based Projects • State Fiscal Year 2004 • 1,052 families received home visitation • 15,421 home visits were completed • 978 families received center-based services • Funding $2.68 million June 16, 2005

  12. Child Abuse Training and Coordination • Child Abuse Training and Coordination Council • Multidisciplinary and discipline-specific training • Multidisciplinary team (MDT) training • Technical assistance to MDTs • Assessment of multidisciplinary teams June 16, 2005

  13. June 16, 2005

  14. CAPTA (Title II) Community-based Child Abuse Prevention (CBCAP) • Support community-based efforts to develop, operate, expand, enhance, and, where appropriate, to network, initiatives aimed at the prevention of child abuse and neglect, • Support networks of coordinated resources and activities to better strengthen and support families, and   • Foster an understanding, appreciation, and knowledge of diverse populations June 16, 2005

  15. Community-Based Child Abuse Prevention Activities • Training and technical assistance • Respite services • Fatherhood Initiative • Native American home visitation services • Evaluation • Network coordination • Public education • Oklahoma Funding FFY 05 approximately $900,000 June 16, 2005

  16. NURSE FAMILY PARTNERSHIP THREE GOALS • Improve pregnancy outcomes • Improve child health and development • Improve parents’ economic self-sufficiency June 16, 2005

  17. NURSE FAMILY PARTNERSHIP CONSISTENT RESULTS ACROSS TRIALS • Improvements in women’s prenatal health • Reductions in children’s injuries • Fewer subsequent pregnancies • Greater intervals between births • Increases in fathers’ involvement • Increases in employment • Reductions in welfare and food stamps • Improvements in school readiness June 16, 2005

  18. NURSE FAMILY PARTNERSHIP Elmira Trial • 56% Reduction in Emergency Room Visits (12-24 Months) • 80% Reduction in Child Maltreatment (Poor, Unmarried Teens) June 16, 2005

  19. NURSE FAMILY PARTNERSHIP NATIONAL REPLICATION • Now operating in over 250 counties in 23 states serving over 12,000 families per year. • Children First – Oklahoma’s Nurse Family Partnership established in 1997 June 16, 2005

  20. Children First • Public health nurses provide home visitation to parents expecting to deliver and/or parenting their first child • Based in county health departments with services delivered in every county • Mothers must be enrolled prior to 28 weeks of pregnancy and low income (185% FPL) • Research based practice June 16, 2005

  21. Children First Services • Child and maternal health assessments • Child development screenings • Parenting education • Health, safety, and nutrition education • Linking families with health care, child care, mental health services, job training, and other community services • Information and referral services June 16, 2005

  22. Children First Prevention Outcomes • OUHSC evaluation concluded that Children First (1998-2001) prevented: • 22 very premature births • 14 very low birthweight babies • 24 infant deaths • Babies born to C1 mothers were at about one-half the risk of death within the first year of life compared to babies of non-C1 mothers June 16, 2005

  23. Children First Services SFY 2004 • 5,869 families received services • 56,426 home visits were made • Funding State $10.9 million • Federal $800,000 June 16, 2005

  24. Smart Start Oklahoma • HB 1094, the Oklahoma Partnership for School Readiness Act, in April 2003 • Coordinates private and public funds to support Smart Start communities • Builds statewide public awareness of Oklahoma’s school readiness needs and solutions. • State Partnership • Foundation • Smart Start Communities June 16, 2005

  25. Smart Start Oklahoma Outcomes • Oklahoma children will live in families where adults nurture, teach and provide for them. • Oklahoma children will be born healthy and remain healthy. • Oklahoma children will learn and play in high quality child care settings when their families need those services. • Oklahoma children will enter school healthy and equipped with the age-appropriate cognitive, emotional, pre-literacy and social skills needed for learning. June 16, 2005

  26. Smart Start Oklahoma • Department of Human Services Child Care Stars Program • Dept of Education 4 Year Old Pre-Kindergarten Program • Maternal and Child Health Early Childhood Comprehensive Systems Initiative June 16, 2005

  27. CAPTA and Early Intervention • Keeping Children Safe Act of 2003 amended CAPTA • States required to develop “provisions and procedures for referral of a child under the age of 3 who is involved in a substantiated case of child abuse or neglect to early intervention services funded under Part C of the Individuals with Disabilities Education Act • Procedures implemented in SFY 05 for referrals of children in Oklahoma June 16, 2005

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