Home Visitation and Case Management
CHIP home visiting teams of registered nurses and case workers visit each enrolled family in their home 1-4 times monthly, depending on the family’s assessed level of need. They work together to develop an Individual Family Service Plan (IFSP) in which they set short and long term goals toward the family’s self sufficiency. They identify goals and objectives that can realistically be accomplished in the short term—like completing a health insurance enrollment form or registering for a GED program. Achievements are celebrated and encouragement is provided to continue to pursue long term goals like gaining self-sufficiency through consistent and reliable transportation, continuing education and employment.
Parents as Teachers (PAT) is a nationally recognized curriculum developed to show parents how to be their child’s very first teacher. Parents who are involved with their child’s early education send their children to school better prepared and ready to learn. CHIP case managers teach parents to use age appropriate developmental activities and techniques. They monitor children for appropriate growth and development, and teach hands-on activities parents can easily implement. Parents are provided with easy-to-understand reference materials and are connected to helpful community resources—empowering them to become the experts on their child’s development.
Registered nurses that are part of the client’s home visiting team assess children for health concerns and provide guidance to parents about how to work with the child’s new medical home. They discuss important questions to ask the doctor and they ensure that the doctor’s instructions and treatment plans are being carried out. Specialists are available to accompany the case worker or RN on the home visit if serious health concerns or complications arise.
Screens and Assessments
CHIP screens all delivering mother at Chesapeake Regional Medical Center – over 3,000 per year. If review of the chart suggests that the family situation may be one of risk for poor health outcomes and lack of self-sufficiency, a thorough assessment is conducted by the Newborn Family Outreach Specialist/RN. CHIP will begin screening all delivering mothers at Bon Secours Maryview Medical Center in Portsmouth in 2011.
Hispanic Outreach Program (HOP)
Social stresses experienced by Hispanics along a continuum from emigration and migration, to arrival and adjustment to a new culture, and to the socio-cultural and economic conditions they face in the US are linked to a risk of lack of self-sufficiency. Hispanic clients are paired with a bilingual Case Manager and are invited to attend CHIP’s Parent Education Group and Hispanic Support Group. These address topics such as dealing with stress, personal empowerment, child development and financial planning—factors that may lead to lack of self-sufficiency or self-esteem.
First Steps is a universal, primary prevention program developed by Prevent Child Abuse Georgia that uses trained volunteers to offer emotional support, parenting education, and referrals to community services to expectant parents and parents of newborns. This program acts as a bridge from the hospital to home to greatly reduce a new parent’s stress level. Providing emotional support and information about parenting and child development and connecting parents to community resources helps reduce stress levels for family with newborns.
Sleeptight is a campaign developed in 2008 to encourage safe sleeping and reduce the risk of SIDS and infant mortality in the Hampton Roads region. The sleeptight campaign provides an opportunity for any low-income parent in the region to attend a safe-sleeping educational program and to receive a Graco Pack n’ Play crib at no cost. Read more about this campaign to save children’s lives here.
CHIP offers home visitation, education and referral services to pregnant women who meet the CHIP criteria and are in need of prenatal care. Transportation services to prenatal appointments are available and monthly support groups are offered to give mom-to-be the extra prenatal advice she needs to have a healthy birth.