Scalable Home Visitation for At-Risk Mothers and Children Ages 0-3
Every Child Succeeds (ECS) brings a change in outcomes for children born into resource-poor, high-risk settings. We do this by shifting a community's focus to the importance of the first three years of life for establishing the basic brain development and learning that are critical for success in all the following years. For the women who enter our program, resources are few, obstacles are plenty, support is shaky and models of proper parenting are scarce. The ECS home visitation program is able to change this, strengthening women and the community itself, showing families how to properly parent and foster learning, and ultimately giving children the strong start in life they deserve.
Sobre Você
Sobre Você
Nome
Judith
Sobrenome
VanGinkel, PhD
Perfil no Facebook
Sobre Sua Organização
Nome da Organização
Every Child Succeeds
Página da organização na internet
Telefone da organização
513-636-2830
Endereço da organização
3333 Burnet Ave. ML3005
País da organização
Estados Unidos , OH, Hamilton County
Países onde este projeto vem gerando impacto social
Estados Unidos
Sua organização é
OSCIP/ONG
Há quanto tempo sua organização está em operação?
Mais de 5 anos
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INOVAÇÃO
Nome Projeto/Inovação
Scalable Home Visitation for At-Risk Mothers and Children Ages 0-3
Qual a mudança que você quer trazer para o mundo?
Every Child Succeeds (ECS) brings a change in outcomes for children born into resource-poor, high-risk settings. We do this by shifting a community's focus to the importance of the first three years of life for establishing the basic brain development and learning that are critical for success in all the following years. For the women who enter our program, resources are few, obstacles are plenty, support is shaky and models of proper parenting are scarce. The ECS home visitation program is able to change this, strengthening women and the community itself, showing families how to properly parent and foster learning, and ultimately giving children the strong start in life they deserve.
Quais são as principais atividades do seu projeto?
Mothers join the ECS program voluntarily, ideally while they are still pregnant. Services are always free of charge. Each mother is paired with a dedicated home visitor, who meets with the mother and child in the home multiple times each month, starting during pregnancy and continuing through the child’s third birthday. Home visitors offer parenting support and guidance, track the baby’s development, provide health and nutrition education, assess the home for safety, help families access prenatal care and other community-based resources and even provide age-appropriate books for mothers to share with their children. The relationship between home visitor and mother is the true foundation of the program, and home visitors are trained using ECS materials and curriculum, something that could be done in any community, in any part of the world. In addition, in the local communities with the highest levels of poverty, crime, homelessness, etc., ECS has established community-based supports, to foster not just the home visitor-mother relationship, but mother-mother and mother-community organization relationships within a neighborhood as well, encouraging a community-wide commitment to the well-being of children and families.
O que é inovador sobre a seu projeto? De que forma ele é uma nova contribuição para esse campo de atuação?
ECS is innovative in its commitment to data-driven, evidence-based decision making and programming – the effect of influence from business sector leaders and the world-class children’s hospital in which we’re based. The program was founded on medical research showing the connection between experiences during the 0-3 years and foundational brain development. Extensive data collection and evaluation standards have directed our programming and improvements since. ECS is also innovative in its simplicity of design: we use community-based relationships to improve how families operate in their own homes – how they nurture, care for, protect and encourage their children. Home visitors can connect families to medical care and community services, but extensive technology or facilities are not necessary for the achievement of our extraordinary outcomes. To this point, as well, other home visitation programs use nurses and their own staff to implement services, while ECS’s centralized leadership has instead created training modules that make it possible for individuals already working with families in the community to follow our evidence-based program, in a decentralized service model. With this simple innovation, we can expand the reach of our services to any community with the human capital willing to be trained. Twelve years in, we can confidently take our program to other communities in the Midwest just as easily as we can to a village in Bhutan, because of our emphasis on training and programmatic excellence and a lack of extensive hiring needs.
Em que estágio está seu projeto?
Em execução por mais de 5 anos
Conte-nos sobre a comunidade em que atua. Por exemplo, as condições econômicas, as estruturas políticas, normas e valores, as tendências demográficas, história e experiência com as tentativas de mobilização.
ECS operates in seven counties in Southwest Ohio and Northern Kentucky and has served over 18,000 women, children and families through more than 380,000 home visits since 1999. At any given time, ECS is serving close to 2000 families, with a waiting list of approximately 75 mothers. Mothers are pregnant, or have just recently had a child, for the first time. The average age of mothers at enrollment is 20, with about one-third of mothers under the age of 19. Just over half are Caucasian, one-third are African-American and 9% are Hispanic. In addition, 94% are unmarried, 95% are low income, and 34% have received late, inadequate or no prenatal care. The challenges and risk factors continue: approximately 85% face additional social adversities that include isolation, mental illness and substance abuse, among others. Almost 70% of enrolled mothers have a history of violence, abuse and trauma. These experiences and risk factors taken together and without intervention paint a bleak picture for the children born into such conditions. ECS partners with social service agencies in areas where these mothers are located, however, and the social workers at these agencies use our tested intervention to work with mothers and children in their homes over the long term. The ECS program is already a national leader and reference point for other groups implementing home visitation or working with similar populations. The program could easily be translated to another culture or country, as well, by training selected women from within a community to work directly with their neighbors to improve early childhood outcomes and maternal and child health.
Compartilhe a história do(a) fundador(a) e o que o(a) inspirou a iniciar este projeto
Over 12 years ago, I served as Chair of a steering committee of public and private sector community leaders convened by United Way of Greater Cincinnati to improve the plight of children. Our extensive year-long planning process identified a serious gap in services and recommended an evidence-based strategy to fill it. The committee responded to clear scientific evidence showing that ages 0-3 are the most important years in a child’s development. During this time, children must have a secure and loving caregiver and be exposed to stimulating and nurturing environments to achieve optimal brain development, which leads to school readiness and long-term physical and behavioral health. When a child doesn’t have healthy and appropriate early experiences, the troubles that result – developmental deficits, a slow start in school, etc. – are difficult, if not impossible, to surmount later in life. In response, the committee developed a new prevention program we called Every Child Succeeds (ECS), which would target at-risk, first-time mothers during their pregnancies or just after birth and work with them until their children were age 3. While participating in the planning process, I felt as if the project serendipitously incorporated my core interests, values and skills in a way nothing else had before. The need for ECS’s leader was my one-time chance to implement a progressive community-wide program using brand new research and helping people for whom I was deeply concerned – disadvantaged mothers and children. I seized the opportunity and became ECS’s Founder and President.
IMPACTO SOCIAL
Temas relacionados à inscrição
Por favor, descreva como o projeto tem sido bem sucedido e como esse sucesso é medido.
The ECS program proves its success year after year through documented outcomes that show ECS children developing normally and living in safe, nurturing environments, despite the enormous risk factors and challenges they face. Specifically: 99% of mothers enrolled in ECS prenatally complete 4 prenatal visits and 90.4% of babies are born at healthy gestational weights and ages; ECS babies experience a 60% reduction in infant mortality rate, compared to a control population; 99% of ECS children have a medical home (compared to the national benchmark of 54%); 97% of homes of ECS families have appropriate learning material for stimulating development; and 94% or more of ECS children demonstrate normal problem solving skills, motor skills, language development (the precursor to literacy) and social/emotional development. We possess such comprehensive outcome data because extensive information is collected at every home visit, and these data are measured and evaluated over time. In addition, the creation of program enhancements – such as a maternal depression treatment program and an early childhood language and literacy program – is a sign that our evaluation and continuous quality improvement process is working, because we are coming up with new solutions for evolving needs in the community. For example, when we saw inordinate challenges to healthy children and families in the neighborhood of Avondale, we implemented a truly community-based ECS program to improve the level of person-to-person as well as community-level support for families there. We measure success through improved family outcomes, increasing enrollment and attendance at regular group meetings of mothers and fathers, even in this most challenged community.
Quantas pessoas foram impactadas por seu projeto?
> 10.000
Quantas pessoas poderão ser impactadas por seu projeto nos próximos três anos?
> 10.000
Em desafios anteriores, participantes bem sucedidos apresentaram um plano sólido detalhando como farão para crescer. Informe os principais marcos de crescimento do seu impacto previstos para os próximos seis meses .
Sustain positive outcomes and maintain existing sources of revenue. Identify new funding to extend the reach of ECS to more mothers and children in the region.
Atividade 1
Maintain network of tasks and activities currently in place, including mutual accountability between ECS central offices and lead partner agencies. Conduct regular review of priority data endpoints.
Atividade 2
Complete required follow-up grant materials. Maintain contact with donors and partners. Continue advocacy at the state/federal levels to maintain federal, Ohio Help Me Grow and Kentucky Hands funding.
Atividade 3
Implement new, community-based partnerships with the Lincoln Heights, Arlington Heights, Evendale and Correyville neighborhoods, enrolling new mothers and children, along with efforts in Avondale.
Informe os principais marcos de impacto previstos para os próximos 12 meses.
Identify a community outside of the US where the ECS program would be needed and welcome, and be poised to begin a thorough planning process.
Atividade 1
Identify a country/community with maternal/early childhood health need and the appropriate human resources to implement a community-based home visitation program.
Atividade 2
Establish a contact person or organization in the identified community. Assess what will be required to adapt current ECS materials for use in a different culture.
Atividade 3
Achieve consensus that implementation will occur, line up necessary organizations and begin to secure funding resources.
Como seu projeto se expandirá ao longo dos próximos três anos?
ECS has become a reference for high quality home visitation programs nationwide, and we plan to build on this success. In particular, we’ll continue to lead events like the National Summit on Quality in Home Visiting Programs, which we led in 2011 with the Pew Center on the States. We'll also adapt our extensive knowledge to cultures outside the U.S. Impoverished, inner city neighborhoods face challenges similar to those in developing nations, if not in exact description, certainly in desperation. Our solution can be implemented at a community, person-to-person level, without a need for technology or institutional resources. Every community in need has in common a prevalence of human potential, people wanting to make a difference, and that is the resource at the heart of the ECS program.
SUSTENTABILIDADE
Quais são as barreiras que podem dificultar o sucesso de seu projeto e como pretende superá-las?
The ECS program operates through an operating budget of more than $8 million. A major barrier to success would be a lack of funding. However, in 12 years of operations, we have been able to secure the resources necessary, through partnerships in the business, medical and social communities, by tapping into state and federal resources and by maintaining, by seeking and winning grant funds and by reporting to our constituents our impressive outcomes every year. We’ll continue these development activities and will increase our vigilance, especially in the arena of public funding, which is vulnerable to political changes and budget adjustments. In terms of expanding outside the U.S., a major barrier to be overcome is making contact and developing relationships in another country and culture. However, we have colleagues in the early childhood and home visitation field from all over the world, and will use these connections to find the right combination of great need and capable human resources.
Por favor, explique de que forma o estabelecimento de parcerias é importante para o sucesso de sua inovação
ECS was developed and founded in partnership and is supported today through its strong partnerships with the business community, social sector and Cincinnati Children's Hospital Medical Center (CCHMC). Board members serve and lead at ECS from Procter & Gamble, Western Southern, Ohio National, TimeWarner, PNC, Macy’s (Federated), Fifth Third Bank and others. These leaders make certain that ECS operates under a strict and efficient business model, resulting in a strong infrastructure, effective leadership and an impressive ROI for ECS families, investors and the greater community. In the social sector, the local United Way is a major supporter and partner of ECS, as are the 16 Lead Partner Agencies around Greater Cincinnati and Northern Kentucky that use ECS programming through their home visitors. Finally, CCHMC provides a home base for the administrative offices of ECS. Through CCHMC, we also are able to conduct and publish research with our wealth of data, the influence of a world-class medical institution raises the standards of health care for our ECS families, and pediatric residents at CCHMC often serve in our Medical Home initiative, making sure that all ECS children are attending well-child visits with a family physician.
Orçamento anual atual do projeto em US$:
> $1 million
Detalhe as suas escolhas acima
Every Child Succeeds is made possible through the generous support of many financial partners. Approximately 50 percent of funding comes from public sources through participation in the Ohio Help Me Grow and Kentucky HANDS programs. In Ohio, sources of public funding include General Revenue Funds and Part C Funds. These funds are provided by the Ohio Department of Health through the county Family and Children First Councils. In Kentucky, sources of public funds include Medicaid and Tobacco Settlement dollars, provided through the Northern Kentucky Independent Health District. Funding from private sources comprise 50 percent of Every Child Succeeds' budget. The United Way of Greater Cincinnati contribution of $2.5 million represents the largest component of these funds. Other sources include Butler County United Way and numerous individual and corporate donations. Charitable contributions make a tremendous impact in the lives of mothers and their infant children, who receive the program's services at no charge. Current funding allows the program to reach only about 28 percent of eligible families system wide (and 20 percent in Hamilton County). Additional funding would allow for more families to be reached and/or for the implementation of new enhancements.
De que forma você planeja fortalecer financeiramente seu projeto ao longo dos próximos três anos?
Over the next three years, ECS will continue to use and foster the support of the business, social and community partners we have already established. Our impressive outcomes and national presence helps to maintain these partnerships and we will continue to keep the trust of stakeholders by keeping our standards for performance, quality and outcomes high. We will also maintain our efforts at the state and national levels to encourage an emphasis on the importance of the 0-3 window. In terms of expanding outside the U.S., we will use the advice of Board leaders and partners with a national presence to establish new partnerships and locate new sources of funding for this particular initiative. Being able to create lasting change in the lives of mothers and children in new nations will not only be incredibly satisfying for our organization, but it should only strengthen our efforts to sustain and increase revenues. Furthermore, we are intentionally developing independent revenue streams through social enterprise. We are working with Procter & Gamble to package various aspects of the program - such as general parenting and child development education, our unique literacy program for children and home safety guidelines - for purchase by other service providers and families. We also have secured a grant to create a business plan to package and sell to a retail audience the successful maternal depression treatment program developed, tested and proven by ECS clinical researchers. Through these strategies, we hope to secure our fiscal viability and sustainability for years to come.
Desafios
Quais desafios/obstáculos na área da saúde e bem estar seu projeto busca solucionar?
Por favor, selecione até três opções, em ordem de importância (a mais importante deve ser indicada como 1 e a menos como 3)
Primário
Outros (especificar)
SEGUNDO
Outros (especificar)
TERCEIRO
Outros (especificar)
Por favor, descreva como a sua inovação aborda especificamente os obstáculos listados acima.
Primary Barrier: lack of knowledge of the importance of the 0-3 window for achieving the necessary brain, social and emotional development in children, and a lack of know-how in young, at-risk, first-time mothers, regarding proper parenting techniques that allow children to achieve healthy and appropriate development. Secondary: securing financial resources for disadvantaged women and children is a barrier to helping this population, and we have been able to surmount it through key partnerships and an emphasis on producing quantifiable results.
O que você está fazendo para ampliar o impacto de sua organização ou iniciativa?
Por favor, selecione até três estratégias abaixo, em ordem de importância (a mais importante deve ser indicada como 1 e a menos como 3).
primário
Alcance geográfico: No país de atuação
SEGUNDO
Influenciando outras organizações e instituições através da disseminação das melhores práticas
TERCEIRO
Alcance geográfico: Global
Por favor, descreva qual ou quais das atividades de seu crescimento estão em curso ou planejadas para o futuro imediato.
1: ECS practices are being implemented or planned in social service programs in Hawaii, Arkansas, Massachusetts and Connecticut, as well as in the home states of Ohio and Kentucky. We will continue to expand and even locally are currently widening our reach by increasing enrollment in targeted neighborhoods. 2: ECS is a national leader and model for other home visitation programs. With the Pew Center on the States, we led the National Summit on Quality in Home Visiting Programs in 2011, and will do so again in 2011. 3: We intend to reach other countries with great needs in maternal/child health. At the heart of ECS is the relationship between home visitor and mother, and this could be replicated in willing communities with our training and the local human resource of concerned citizens.
Você colabora ou faz parcerias com algum dos abaixo? (marque todas que se aplicam)
Governo, Fornecedores de tecnologia, ONGs / entidades sem fins lucrativos, Empresas, Academia / Universidades.
Se sim, como essas colaborações e parcerias vêm ajudando sua inovação a obter sucesso?
Collaboration has been critical to the success and longevity of ECS. Approximately half our annual revenue comes from governmental sources. In addition the ECS program has been adopted by the state of Ohio as the model for statewide Help Me Grow services, and we have worked with the state to provide training modules for home visitors as well. Technology providers helped us originally create our unique database, eECS, which is the key to producing our outcomes and tracking results. ECS works with many nonprofits; in particular, the local United Way is a founding partner of ECS. Leaders of local businesses serve on the ECS board. Scientists at CCHMC sit on our Board and use our data for published research studies, and having a hospital partner has raised health and program standards at ECS.
| Anexo | Tamanho |
|---|---|
| first_national_summit_held_on_quality_in_home_visiting_programs_page_1.jpg | 329.81 KB |
| nyt_article_on_ecs_june_12_2008.jpg | 148.31 KB |
| pediatrics_article_page_1.jpg | 348.1 KB |
| smart_business_ecs_article_2007_page_1.jpg | 120.49 KB |
| smart_business_ecs_article_2007_page_2.jpg | 168.1 KB |
| usa_today_story_purpose_prize_page_1.jpg | 297.92 KB |
| usa_today_story_purpose_prize_page_2.jpg | 310.25 KB |
| wall_street_journal_-_baby_steps_page_1.jpg | 297.58 KB |
| wall_street_journal_-_baby_steps_page_2.jpg | 314.99 KB |
| wall_street_journal_-_baby_steps_page_3.jpg | 262.53 KB |
| logo2.jpg | 3.09 KB |
| 86 semanas atrás Judith VanGinkel, PhD atualizou esta Competition Entry. | |
| 87 semanas atrás Judith VanGinkel, PhD atualizou esta Competition Entry. | |
| 87 semanas atrás Judith VanGinkel, PhD atualizou esta Competition Entry. | |
| 87 semanas atrás Judith VanGinkel, PhD enviou esta ideia. |
