Promise 1000 Home Visiting Outcomes

Brief Profile of Families at Enrollment
(Before Home Visiting Began)

Home Visitors from across Missouri and in Kansas attend our annual professional development trainings!
153 attended our MBD Soft Compassion Training, 143 attended the Resiliency training, and 50 attended the Parenting Transition Training in 2023-2024

Maternal Health & Well-Being

501 caregivers were screened for depression this fiscal year
- Caregivers screening positive for depression were referred for depression treatment, discussed treatment options with their home visitor, were already receiving treatment, or were on a waitlist for services.
78% of mothers participating in Moving Beyond Depression (MBD)™ Services no longer met criteria for Major Depressive Disorder.
- Mothers also experienced a drop in parenting stress after treatment and an increase in social support (and healthy relationships)
90% of families had a health, well-being, educational or safety related goal developed alongside their Home Visitor
Caregivers discussed healthcare utilization with their home visitors
Caregivers discussed reproductive life planning options with their home visitors

Child Health & Well-Being

82% of mothers who enrolled prenatally in home visitation attempted, or pursued, breastfeeding their children post-enrollment.
Caregivers created, and had an on-going, S.M.A.R.T health care goal for their child
Promise 1000 home visitors encourage families to attend well child visits, and offer supportive coordination of care by attending well child visits with families
- Internal studies have shown that families had increased well child check (WCC) schedule adherence if they experienced a home visitor attending at least ONE well child check with them at some point.
- This was regardless of how many home visits they had or how many times a home visitor attended a WCC with them!
- Based on a qualitative study's results, the home visitor attending WCCs with the family also improved communication and understanding (including remembering questions, interpretation, and understanding the visit and goals better), facilitation of the visit, and emotional support for families.

Child Development & School-Readiness

1,477 child development and social-emotional development screens were completed (5% were identified as needing a referral to child developmental resources)
536 parent-child interaction observational screens were completed
Around 91% of families report that someone in the household is reading, telling stories or singing to their child daily.
In 91% of postnatal home visits, caregivers were asked if they had concerns regarding their child's development, behavior, or learning.
Upon completion of the Promise 1000 program (age 3 years) home visitors are able to refer families to early education services and preschool

Home Safety & Family Resilience

Home Visiting families were screened for home safety to promote safe living environments, safe sleep, and safe traveling this year.
Through the Safe Sleep Safe Babies project, 572 families were educated on safe infant sleep and received a safe sleep space and materials (1500+ to date)!
- 103 safe sleep professionals have been trained across 25 community partner organizations and multiple hospitals have now become Safe Sleep Certified through Cribs for Kids (https://cribsforkids.org/)
- After education, close to 100% of families felt it was unsafe to co-sleep with a parent, sibling/child, another person, or a pet and that the best place for a baby to sleep was in a crib, pack n play or bassinet free of other items. 96% of families identified that the safest sleeping position for a baby to sleep is on its back.
Promise 1000 home visitors screen for protective factors to strengthen families and encourage positive parenting practices.
Families received on time screenings to help prevent family violence.
Home Visitors talk to families and help them prepare their homes for their little ones and they provide supplies to help set the home environment up safely.
- 96% of participating children did not have an injury-related visit to the Emergency Dept. (ED) and 0% of injury-related visits to the ED results in a fatality.
Around 92% of caregivers had continuous health insurance coverage for at least 6 consecutive months.
116 families were served and 1,142 bags (6,885 pounds) of fresh produce from the Children's Mercy Garden were delivered via Home Visitors through our Fruit & Veggie Connect program.
- The program reduces budget trade offs (paying for something else with food money) and increases food security.
- Families report buying and trying more and different types of produce than before!