Maternal, Infant, and Early Childhood Home Visiting (MIECHV) is a program authorized by the federal government in 2010, when it was put in place to provide $1.5 billion nationally over the initial five years for evidence-based home visitation strategies. The program was reauthorized in 2015 for an additional $800 million over four years.
Five of Children’s Trust home visiting partners in the Upstate had the opportunity in the fall of 2016 to meet with Dr. David Willis, the director of the Home Visiting and Early Childhood Systems for the U.S. Department of Health and Human Services. They discussed the impact of the MIECHV program in our state. Read the full story.
This initiative was designed to:
- Strengthen and improve programs and activities carried out under Title V
- Improve coordination of services for at-risk families
- Identify and provide comprehensive services to improve outcomes for at-risk families
MIECHV is administered by the U.S. Department of Health and Human Services, Health Resources and Services Administration’s (HHS/HRSA) Maternal and Child Health Bureau, in collaboration with the Administration for Children and Families (ACF).
Children’s Trust and Home Visiting in South Carolina
Children’s Trust leads South Carolina’s home visiting work to deliver on the following benchmarks.
- Improved maternal and newborn health;
- Prevention of child injuries, child abuse, neglect or maltreatment, and reduction of emergency department visits;
- Improvements in school readiness and achievement;
- Reduction in crime and/or domestic violence;
- Improvements in family economic self-sufficiency; and
- Improvements in the coordination and referrals for other community resources and supports.
In May 2011, Gov. Nikki Haley maintained the designation of Children’s Trust as the lead entity for the prevention of child maltreatment and the MIECHV program. The South Carolina Maternal, Infant, and Early Childhood Home Visiting Program (SC MIECHV) has helped to provide the infrastructure for the state’s continuing growth and development in the implementation of evidence-based home visiting programs. This grant allows for effective coordination and delivery of critical health, child development, early learning, prevention of child abuse and neglect, and family support services through home visiting programs.
With home visiting, Children’s Trust is committed to reaching its goals of valuing and building on the existing network while honoring local and state expertise with cultural sensitivity at all levels. Current state-funded services and infrastructure have not been supplanted, but rather supported by allowing for a greater community coordinating and benefit.
Through on-going home visiting work, Children’s Trust identifies and minimizes current system inefficiencies; standardizes screening and assessment; increases communication between home visitation and non-home visitation programs, childcare and healthcare providers; and provides for referral and transitioning for at-risk clients. The work improves the continuum’s capacity by promoting greater community leadership development and state collaboration, and it also leverages additional public and private funding to the greatest extent possible.
During the first years of program implementation, Children’s Trust has supported 17 service provision sites using a “hub-n-spoke” approach. This has connected more richly resourced areas to contiguous, lower resourced, high-risk communities. Supported models include Family Check-Up, Healthy Steps, Healthy Families America, Nurse Family Partnership, and Parents as Teachers. Service provision and workforce development infrastructure continues to be strengthened through technical assistance, monitoring, training, and collaboration and coordination between models and partnering agencies on state and local levels.
In August 2013, Children’s Trust secured an additional grant from HHS/HRSA to expand, over a three-year project period, the scope and scale of current home visiting and add new home visiting capacity in South Carolina. This additional funding, approximately $13.3 million, allowed the implementation of nine new sites and capacity growth of existing sites. The program now serves families in 38 of the state’s 46 counties.
Sites currently funded by MIECHV in South Carolina
- A Child’s Haven
- All Children’s Pediatrics
- Carolina Health Centers, Inc.
- Children’s Hospital Outpatient Center
- Eau Claire Cooperative Heath
- Greenville Health Systems
- Little River Medical Center
- Low Country Health Care System
- Medical University of South Carolina
- McLeod Home Health
- Spartanburg First Steps/Spartanburg Regional Medical Center
- St. James-Santee Family Health Center
- S.C. Department of Health and Environmental Control (DHEC), Low Country Region
- S.C. Office of Rural Health
- The Parenting Place
Highlights of initial years through formula funding and expansion funding
- Over 3,900 families served in home visiting programs
- Over 7,126 families and children served in home visiting programs
- Over 30,877 home visits made to families
- Financial support for approximately 120 staff positions on the state and local level, including home visitors, supervisors, support staff, and state lead staff
Children’s Trust contracts with the Rural Health Research Center within the School of Public Health at the University of South Carolina in order to ensure all supported programs are measured against legislative benchmarks, assist with quality improvement, and conduct rigorous evaluation of the program.
South Carolina MIECHV Year 4 Data Report – PDF