Coordinated home visiting and early care and education referrals can help families get the services they need
By Tamara Halle and Van-Kim Bui Lin
The early care and education (ECE) and home visiting (HV) fields both provide services directly to children and families and refer families, as needed, to community resources to support children’s development and family well-being. Greater cooperation between the ECE and HV fields can help more families connect with services to support positive outcomes. The following suggestions can guide practitioners toward realizing this goal.
1. Strengthen early childhood networks. The HV and ECE fields each have strengths and weaknesses in referring families to services. Home visitors are well aware of the services available in their communities because they regularly provide referrals (e.g., mental health services, housing resources, or job assistance). However, home visitors see families once or twice a month and may be less familiar with families’ needs than ECE providers, who see families more regularly. Conversely, although ECE providers know families well, they may not be aware of available community services for families.
Strengthened connections between home visiting networks and child care providers could leverage the respective strengths of these fields to improve referrals for families. Efforts to connect ECE with HV are starting to emerge—from the federal level, with the Early Head Start-Child Care Partnerships; to the state level, with the inclusion of home visiting programs in quality rating and improvement systems.
2. Identify effective, individualized referral strategies. Studies show that home visiting models are effective at referring families to necessary community services, but the home visiting field can still improve its referral process. Identifying effective, individualized referral strategies could greatly improve families’ receipt of services. Previous research on Early Head Start (EHS), which includes a home visiting component, found that EHS families were more likely to access early intervention services than families who did not receive EHS when they were offered an individualized strategy (e.g., when home visitors used translators for non-English speakers or accounted for the family’s cultural norms). Further research can focus on identifying which referral strategies used in child care settings and home visiting programs are most effective for different populations. Precision research is a new research method that could help identify these individualized strategies.
3. Make a habit of following up on suggested referrals. Families may react positively to referrals from ECE providers because of the strong relationships between providers and families. However, ECE providers may be reluctant to ask parents whether they followed through on a referral for fear of hurting their relationship with the family. ECE providers could look to HV for effective strategies on following through with referrals without jeopardizing their relationships with families. For example, home visitors may contact the service provider on behalf of the family (warm referrals), or even sometimes accompany families to service providers. Depending on their specific relationship with a family and the capacity of staff, these strategies may work for ECE providers, too.
Both the ECE and HV fields aim to improve child and family well-being, partly through referrals to necessary community services. When home visiting and ECE providers work together, families are more likely to have their needs identified and obtain successful referrals to community-based services. Early childhood stakeholders can build a coordinated early childhood network via collaborations between home visiting and ECE at the federal, state, and/or community levels. This stronger early childhood system will better connect families to the services they need to ensure healthy child development.
Reprinted from www.childtrends.org.
By Neil Allen
Linda Baxter Lasco of Sunapee stopped by the TLC office today with several quilts she had made. She donated them to the families TLC works with. She makes the small quilts as samples to share with students of her scrap fabric machine quilting classes.
“I don’t have any lectures or classes for a bit so I thought I would donate what I’ve made. It is nice to know they’re being used,” Linda said.
Linda has donated quilts to TLC in the past, too. “I’m happy to know there is a place where I can take them and they’ll be used by families and babies,” she said.
Linda has been making quilts for nearly 50 years and is a fourth generation quilter. She started quilting while reading “The Mountain Artisan Quilting Book” by Alfred Allan Lewis.
“I remember telling my sister years ago, ‘I love quilts but I don’t think I could make them.’ I started reading the book and realized I was reading a pattern and tried it. I started making patchwork pillows and made one for a class in college,” she said.
She most recently held classes at the North Country Quilters & Sew ‘n Vac in Rumney, NH and offers classes to quilting guilds. In addition to teaching quilting, Linda has worked as an editor for the American Quilters Society. “I learned a lot from the books I edited,” she said.
Thank you, Linda, for the wonderful quilts. The families who receive them will love them!
The first week of August is World Breastfeeding Week and is sponsored by the World Alliance for Breastfeeding Action (WABA). WABA's goal is to foster a strong and cohesive breastfeeding movement, which will act on the various international instruments to create an enabling environment for mothers, thus contributing to increasing optimal breastfeeding and infant and young child feeding practices.
According to the WABA website, the 823,000 child deaths, 20,000 maternal deaths, and $302 billion in economic losses each year are stark reminders of the current reality. All of these, and more, could be prevented by scaling up breastfeeding.
Breastfeeding not only saves lives and money, it is the Foundation Of Life. World Breastfeeding Week (WBW) focuses on how breastfeeding helps prevent malnutrition in all its forms, ensures food security even in times of crisis and breaks the cycle of poverty.
In 2015, the United Nations launched the Sustainable Development Goals (SDGs), an agenda to transform our world through sustainable development by 2030. Some progress has been made in relation to the 17 SDGs, however, it has been slow. We must step up our efforts to reach the targets of the 2030 Agenda, and ensure that no one, and no issue is left behind. World Breastfeeding Week can help do just that.
WABA took on this challenge through our WBW-SDGs campaign, making links between breastfeeding and each of the SDGs. Our annual World Breastfeeding Week campaign highlights these links to ensure that the protection, promotion and support of breastfeeding is key to sustainable development.
Malnutrition, food insecurity and poverty affect millions and stand in the way of sustainable development. The 2018 Sustainable Development Goals Report highlights the importance of focusing on these problems. World hunger is rising again, in part due to food insecurity and other crises such as conflict, drought and disasters associated with climate change. Obesity and chronic diseases are rampant. Pockets of the worst forms of poverty still persist and the gap between rich and poor is increasing.
WABA was established in 1991 and is a global network of organizations and individuals who believe breastfeeding is the right of all children and mothers and who dedicated themselves to protect, promote, and support this right. For more information about WBW and WABA, visit worldbreastfeedingweek.org.
TlC's community nurse Karen Jameson, R.N., M.Ed recently wrote about breastfeeding and overcoming the sense of failure. You can read her blog post here.
Watch this video for more information about WBW:
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