Children’s Futures / Healthy Start Initiative

1. Children’s Futures / Healthy Start Initiative Solos To Symphonies Improving Pregnancy & Parenting Outcomes in Trenton, New Jersey

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3. Build Upon Existing Strengths • Healthy Mothers/Healthy Babies Coalition (HMHB) • Hospital & Community-Based OB Clinic Providers • MCH Support Services through Home Visiting • Local Public Health Agency funding for MCH • NJ Department of Health & Senior Services Grants • NJ Department of Human Services Grant • HRSA Healthy Tomorrows Partnership for Children Program

4. Analyze Barriers and Gaps • Only partial buy-in – Needed top level commitment to support systems change • No standard protocol for prenatal screening & risk assessment – Referral was at the provider’s discretion • Service coordination, collaboration & provision were still on a small scale – Support services were overextended • Key partners/services were missing from the mix, e.g. mental health, fatherhood, domestic violence & child care

5. Be Ready! Be Aggressive! New Opportunities May Arise… • New Private Partner & Funder… Children’s Futures, Inc. (Robert Wood Johnson Foundation) • New Public Funding Partners… HRSA Healthy Start Initiative NJJuvenile Justice Commission(Nurse Family Partnership)

6. Lead Administrative Partners • City of Trenton Division of Health • Children’s Futures, Inc. • Trenton Healthy Mothers / Healthy Babies Coalition Central New Jersey MCH Consortium

7. CF Core Interventions • Prenatal Screening - Addiction, Depression, Domestic Violence • Central Intake - Linkage to Home & Center-Based Services • Four Parent/Child Centers – Healthy Families Programs • Nurse Family Partnership Program • New Linkages to Behavioral Health, Domestic Violence, Fatherhood and Child Care Services

8. Children’s Futures / Healthy Start Initiative HealthStart Prenatal Clinics CF consent & screening Community Outreach and Referral Private OB / GYN Offices CF consent & screening Central Intake:City of Trenton - Division of Health Links women/families to home visit assessment & other services Core Support Services Behavioral Health Fatherhood Support Domestic Violence Child Care TIER III-A:Parent/Child Centers (PCC) Healthy Families Program TIER III-B: Citywide HF Program Mercer Street Friends TIER II: 1st time moms Nurse Family Partnership City of Trenton North Ward Ch Home South Ward El Centro East Ward St. Francis West Ward Mercer St. Other Children’s Futures Service Options TIER I:Parent/Child Center Center-Based Activities AND/ORLess Frequent Home Visits -- PHNs, BIBS mentors

9. Parent / Child Centers Solos to Symphonies PARENT/CHILD CENTERS Interagency Partnership GT Behavioral Health Substance Abuse Mental Health Domestic Violence Union Industrial Home Fatherhood Support Services Social Services TANF Food Stamps Housing Rental Assistance Transportation Job Training Emerg Assistance And more.... FAMILY SUPPORT SERVICES Child Care Connection Early Head Start Abbott Centers Family Daycare • Home Visiting • Healthy Families Model • Family Support • Prenatal/Parent Educ • Health Education • Infant/Child Developmnt • Early Literacy • Case Management • Center Activities • FAW / FSW / Partners • Creative Outreach • Family Fun Nights • Pregnancy Classes • Fatherhood Groups • Health Education • Other Activities… Health Care NJ FamilyCare Medical Care Dental Care WIC Specialty Care (e.g. HIV) BIBS Mentors Concerned Pastors Mt. Zion AME Shiloh Baptist Education GED / Adult Literacy Immigration Services Child Protective Services DYFS Special Child Health Services / Early Intervention

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16. Children’s Futures / Healthy Start Initiative Program Development: A Tale of Two Approaches Approach one: • Issue RFP: what would improve outcomes • Result: wish list, disconnected and competitive • Disadvantage: starts with dividing the money

17. Approach one: Issue RFP: what would improve outcomes Result: wish list, disconnected and competitive Disadvantage: starts with dividing the money Approach two: Convene stakeholders Set baseline Define outcomes Review research Develop strategy Last: who gets the money Children’s Futures / Healthy Start Initiative Program Development: A Tale of Two Approaches

18. Children’s Futures / Healthy Start Initiative Collaboration: Prescribe or Nurture? • Collaboration Definition: What’s in it for me? • Tap into leaders who get it and want to • Nurture new relationships • Create broader system approach • Build channels of communication

19. Children’s Futures / Healthy Start Initiative Recognize, Reward, Involve • Express Appreciation: annual meeting example • Join large and small organizations together • Create time for integration: connect the dots • Bring Value – the mayor, other national experts

20. Children’s Futures / Healthy Start Initiative Cultural Appropriateness, Trust and Values • Bias, stereotyping, discrimination • Role with health care, child care, social services • Work with the community on building trust

21. Children’s Futures / Healthy Start Initiative A Political Campaign: Partnerships Hold the Key • Tell your own story • Ambitious vision + reasonable expectations • Build network of communicators and champions • Otis Johnson: “It’s about power and money.”