HomeMy WebLinkAboutS Health - Planning Grant and Equipment and Program Improvement Grants from the Orange County Partnership for Young Children through the state's "Smart Start" program 3
Orange County Partnership for Young Children
Second Round Smart Start Grants
APPLICATION COVER PAGE
Grant Applying For: Planning Grant .
(1. Facilities Improvement; 2. Equipment &Program Improvements;-3. Planning Grant; 4. Services Grant.)
Name/Agency: Orange County Health Department
Address: P . 0 . Box 8181
City, State, Zip: Hillsborough , NC 27278
Contact Person: Eileen Kugler Telephone: 967-9251 ext . 2401
Signature of Applicant:_ V6&Z Title: �—
For Child Care Providers Only.- _ Type of DavCare: Check all that aaply
( ) "A" Licensed Large Home ( ) "A" Licensed Center
( ) "AA" Licensed Large Home ( ) "AA" LicensedCenter
( ) NAEYC Accredited Center
( ) Registered Day Care Home ( )NAFDC Accredited Home
( ) Unregulated Preschool Program ( ) Unregulated Home
For all other agencies or individuals: Check One
( x) Public Government Institution ( ) Private for profit agency
( ) 501 (c)(3) Non profit with tax exempt status ( ) Private individual ,
( ) Applied for non profit status ( ) Other
( ) Sponsored by a 501 (c)(3) Organization
Do you currently provide programs and/or services for-children under
age five or their families in Orange County? (X ) Yes ( ) No
Do you currently serve a large percentage of low-income or special
needs children? ( X ) Yes ( ) No
Check which Partnership Vision Goal(s) Your Project Addresses:
O Improve Child Care Services.
( � Increase access to health services for young children and their families.
( � Develop and enhance family support and education services.
( � Improve and enhance mental health and early intervention for young children and
their families.
O Provide economic support programs for low income families.
( � Insure that all young children are safe from violence.
( � Improve the delivery of human services for young children and their families.
OEducate and enlighten the community about the value of early services for
4
UNIVERSAL HOME VISITING OF FAMILIES WITH NEWBORNS
IN ORANGE COUNTY
Problem Statement : The service delivery system in Orange County is
unable to identify all families and children in need of health and
human services , and even when identified, families are not always
y
willing or able to access needed services . The current network of
home visiting services is fragmented and lacks the capacity to
identify and serve all families in need of such service' s ,
Problem Resolution: A universal home visiting program has the
potential to identify, at the earliest possible time, families with
newborns who need health and human services and to provide these
services and/or refer families to appropriate-resources including"
g.
among others , the Child Service Coordination Program. At-risk families often face barriers to accessing needed services . These
barriers can be financial , structural , or personal . Home visiting
can be an effective strategy in overcoming these barriers through
g
the provision of services in the home . In 1992 , 1153 new Orange
g
County residents were born. Of these 573 ( 47% ) were born in the
county and 635 ( 53% ) were born out of the county.
The United States General Accounting office ( GAO) report, Home
Visitin A Promising Earl Intervention Strategy for At-Risk
Families ( 1990 ) , defines home visiting as "a strategy that
delivers health, social support, or educational services directly
to individuals in their homes . " A Pound of Prevention : The Case
or Universal Maternity Care In the U. S . , ( 1992 ) , edited rrbyKotch
and associates , points out that home visiting services are
particularly useful in accessing groups that are difficult to reach
y
through center-based or other more usual service deliver methods .
Home visiting services differ from strict case management
services in that social and health, as well as , educational
services are delivered in the home . Post-partum/newborn
assessments , psycho-social counseling, and parenting education and
modeling are examples of services that can be delivered in the
home . It is also possible, however, for the home visitor to
provide case management services .
Collaborators : In developing the idea and determining the need for
this planning grant, discussion has occurred with Karen Metzger,
RN, of UNC Hospitals , Robin McCoy of Chapel Hill/Carrboro City
Schools , Bill Frenzel of the Orange County Schools , Anne Maiden of
the Hearth Foundation, as well as , the nursing and social work
staff at the Health Department . The concept was also briefly
discussed with the Child Service Coordination Collaborative Team.
Contributed resources will likely be office space , equipment and
consultation to the individual hired to carry out the planning
grant .
1
5
Increased collaboration : In order to assess the need for and
feasibility of a home visiting program for Orange County to
supplement the Child Service Coordination Program, the planner will
need to interface with individuals from many different agencies ,
organizations , day care providers , private providers and hospitals ,
as well as , consumers . In the event that a program is developed
and implemented, collaboration with all of these constituencies
will be essential to the success of the program and has the
potential of substantially improving the network of health and
human services available to orange County families .
Outcomes : Both references cited above speak to the benefits of
home visiting programs . one of the strengths of` these programs is
that a wide range of outcomes can be improved through a single
intervention strategy . Recent evaluations of home visiting
programs have demonstrated improvements in a broad variety of
outcomes including reductions in low birth weight and prematurity
rates , better use of prenatal care, improved health-related
behaviors during pregnancy, improved weight gain by-- low birth
weight babies-, 'decreased accidents and decreased child abuse . In
addition, home visiting has been associated with improved cognitive
development for at-risk infants and better school performance .
Longitudinal studies have demonstrated that benefits of home
visiting programs can persist over time for longer lasting
improvements that can overall affect quality of life for
participants .
Plan; A planner will be hired on a contract basis to implement the
planning grant . Possible options of people to fill this
role include graduate student interns , faculty and independent
contractors .
Issues to be addressed during the planning period.
-Is a generic home visiting program needed in orange County?
-Is this a good way to access every orange County family and
connect them with services they need?
-If so, should the program be universal in nature so that every
Orange County family is contacted and an assessment done, or
should the service be targeted in some way?
-Are there sufficient services in orange County to which families
can be referred? If not , what is needed?
--Should visits begin prenatally or after birth? -How will the
program interface with the CSC program and other services
available to families and children?
-What is the best way to interface with the three primary hospitals
where Orange County children are born, UNC-H, Durham Regional and
Duke?
--What level of home visitor should be used in the program,
professional or paraprofessional or combination?
-other issues to be determined in the process .
The planner would also be expected to work with the
collaborators to develop a program proposal should this be deemed
appropriate as a result of the planning process .
6
Universal Home Visiting Planning Grant
Proposed Budget
Period : April 1 , 1994 - June 30 , 1994
r R
PERSONNEL
1 contracted planner, full time,
for 3 months ( $2 , 200/m x 3m) $6 , 600
FICA payments --C$6 , 600 x 7 . 65% ) 545
Subtotal $7 , 185
OPERATING EXPENSES
Materials & supplies ( including copying) $ 600
Communication (postage and phone ) 500
Travel ( 25 mi/d x 5 d/w x 13 w x . 38/mi ) 455
Subtotal $ 1 , 555
FIXED CHARGES*
a
EQUIPMENT*
Subtotal $8f660
OVERHEAD CHARGES ( $8 , 660 x 10% )
866
Total $9 , 526
*These items will be contributed by one or more of the
collaborating agencies .
7
Orange County Partnership for Young Children
Second Round Smart Start Grants
APPLICATION COVER PAGE
Grant Applying For: Equipment and Progr M TmprnveMentS
(1. Facilities Improvement; 2. Equipment &Program Improvements; 3. Planning Grant; 4. Services Grant.)
Name/Agency: orange County Health Department
Address: P. o. Box 8181
City, State, Zip: Hillsborough, NC 27278
Contact Person: Rebekah J. Hermaffi Telephone: 26Z-9251 pYt, 229
Signature of Applicant: Title:
For Child Care Providers Only: Type- of DavCare: Check all that apply
( ) "A" Licensed Large Home ( ) "A° Licensed Center
( ) "AA" Licensed Large Home ( ) "AA" LicensedCenter
( ) NAEYC Accredited Center
( ) Registered Day Care Home ( )NAFDC Accredited Home
( ) Unregulated Preschool Program ( ) Unregulated Home
For all other agencies or individuals: Check One
( x) Public Government Institution ( ) Private for profit agency
( ) 501 (c)(3) Non profit with tax exempt status ( ) Private individual
( ) Applied for non profit status ( ) Other
( ) Sponsored by a 501 (c)(3) Organization
Do you currently provide programs and/or services for children under -
age five or their families in Orange County? ( x) Yes ( ) No
Do you currently serve a large percentage of low-income or special
needs children? (x ) Yes ( ) No
Check which Partnership Vision Goal(s) Your Project Addresses:
OImprove Child Care Services.
(x} Increase access to health services for young children and their families.
(x) Develop and enhance family support and education services.
(X) Improve and enhance mental health and early intervention for young children and
their families.
OProvide economic support programs for low income families.
OInsure that all young children are safe from violence.
OImprove the delivery of human services for young children and their families.
OEducate and enlighten the community about the value of early services for
1
The Child Service Coordination (CSC ) Program focuses on the
organization of services and resources to respond to the needs of
children and their families . The goal of CSC is to collaborate
and cooperate with families of children birth to 5 years old to
assure early identification of and access to preventive ,
specialized and support services . A subset of the CSC Program
includes children qualifying for PL 99-457 ( IDEA - Individuals
with Disabilities Education Act ) services . North Carolina has
been a forerunner in -the United States in implementing this law
with its emphasis on prevention and early detection of and -
intervention in disabilities . To promote the well-being of
children, orange County Health Department ' s Public Health Nurses
(PHN) and Social Workers ( SW) provided CSC services to 234
children in fiscal year 91-92 , 272 in 92--93 and 258 in the first
halt of 93-94 . This was done through the provision of 650 home
visits in 91--92 , 806 in 92-93 and 588 in the first 6 months of 93--
940
Due to the increase in staff to serve these - children, it is
necessary to purchase additional basic developmental and hearing
screening kits and scales to be available to staff for home
visits . These items will augment supplies currently available to-
staff . on occasion, OCHD PHNISW and PACT (OPC - Mental Health)
staff share cases that require frequent weights . This
necessatates sharing of equipment between PACT and CCHD. An
additional scale would facilitate timely, coordinated, and
unduplicated care .
Additional materials are needed to enhance parenting
education during routine CSC visits . Presently the Kiwanis Club
of Hillsborough supports CSC by providing gift packs with
developmental information, a toy and a book to new clients . The
Health Department provides information that is written for 3-month
increments of development ( i . e . ,, "Birth to Three Months" ) while
many families would benefit more from month-by-month growth and
development literature ( i . e . , "Parent Express" newsletter) that
has previously been prohibitive to purchase in volume due to cost .
Other areas of educational needs such as information on
prematurity and nutrition will continue to be provided by CCHD
resources .
Routine developmental screenings have shown that common areas
of concern or delay are fine motor and speech/language . Several
parents are unable to read to their children due to mental
retardation or lack of education; availability of simple , colorful
books and talking toys and books would increase parent/child
interaction with books as a focus . A lending library of
developmental toys/materials would provide the supplies necessary
for staff to demonstrate to parents specific , age--appropriate
stimulation, thereby preventing delays .
#1 BH ScHrKits
w
9
BUDGET EXPENSES
Health and Developmental Screenings :
2 Denver Developmental Screening est II Manuals
1 Denver Developmental Screening 34 . 00
elopmental Screening Test II Kit
2 Complete Hear Kits 33 ' DQ
X64 . 50 } _ 129 . 00
1 Pediatric Scale ( infants ) _
1 Carry Case for Scales 210 ' D D
ht Bathroom Scale 94 ' 04
2 Lightweight le (preschoolers } ( 10 . 00 ) 20 . 40
Subtotal 516e00
Parent Education:
60 Parent Express {prenatal to 12 months
-60 Parent 168 . 00
arent Express ( 13-36 months ) 168
Subtotal 335 . 00
Toy-Lending Library:
2 Sets Connect-A--Star ( 19 . 95 )
40 . 00
2 Lacing Frame ( 13 . 95 )
28 . 00
4 Sets Giant Lacing Beads ( 9 . 95 )
44 . 00
2 Sets Magnetic Blocks ( 20 , 00 )
40 . 04
8 Knobbed Distinction Puzzles ( 8 . 95 )
72 . 00
20 Books ( including cardboard & multicultural ) 104 . 04
( 4 . 95 average price)
2 Button/Tie/Zip Activities ( 12 . 95 )
26 . 00
2 See-N-Say Toys { 8 . 97 }
18 . 00
4 Talking Books ( 14 . 95 )
4 Story a/Travel Bins ( 5 . 00 ) 50 ' 00
9 20 . 00
12 Storage Mesh Bags ( 2 . 50 )
30 . Do
Subtotal 475 * 00
TOTAL 11326 . 04
# 1 BH ScHrKits
1�
COOPERATIVE EXTENSION UNIVERSITY OF CALIFORI-041A
A MONTH-BY-MONTH NEWSLETTER FOR YOU AND YOUR BABY
WAYS T4 MAKE
IT.-EASIER FOR -
' - TEENAGE PARENTS
Ii you are a teenage parent,
chances are you're living at home
with your family. Sometimes prob-
lems come up because you're a
y mother to your child,and still a child
to your own parents.Being a mother
and adaughter—at the same time,
in the same household—can be
hard for both you and your parents.
Does your mother sometimes act
•, :#Ww-; like the baby is hers,not yours?Does
she keep telling you she knows
what's best?
� Do you resent still being treated like
a child? And yet do you wish at
times that your mother would take
over so you could be like your
friends?
j And what about dating? Do your
Dear Parents ,, parents get all tense at the idea of
you going out. Remember that it
This is the age of curiosity mom' be hard for them to tell you
• their worries. For example, they
Imagine that you are 8 months old. You try to talk but no one may be afraid that you'll get preg-
seems to understand your language. You try to walk but you're
nant again.
not quite sure how to do it yet. You reach out to touch things that Here are some ideas that may help
are shiny, soft, hard, smooth, or sticky but everyone tells you You get along better with your par-
ents:
"NO-NO—DON'T TOUCH." How would you feel? A little frus-
trated, you can bet! Well, that's how your baby feels at this age. He • Try to talk out your feelings
is very curious and wants to find out about all the fascinating calmly and patiently.
things that surround him. • Try to listen to your parents'
reasons and fears and under-
stand why they feel the way
OPEN UP THE WORLD TO HIM, LOVINGLYAND SAFELY they do.
GUIDE HIM WHILE' HE EXAMINES, EXPLORES, AND • Try to show by the way you act
SATISFIES HIS CURIOSITY. that you are a responsible per-
son,
1�
NVHAT S IT LIKE TC BE
►x �A,�
How ! Grow
crawl backwards and forwards on my stomach.. -
• 1 pull myself up by holding onto furniture, but 1 have difficulty
getting back down.
• 1 standup "if 1,lean against so -
g something.
• 1 sit without any support for several minutes. _
a • w'1 reach for things and hold them
�• - � with my thumb and first and
-- second fingers.
1 hold onto a toy, like a rattle, for several minutes.
y. + 1 pick up small thins like pieces _
n g P of string.
How t Talk
l 1 et
you know if l am happy,sad,or scared b the sounds that l
make.
V
--.;.�� ��. � • *Owe'�' • ! still babble a lot and shout to '
get attention.
l say two syllable sounds like shoo-chop da-
�� �' �f�• da and ma ma.
- E • recognize some words.
,. � � • l watch an '
*max-- • . �
d try to imitate your mouth movements.
s
How I Respond
71�
r
• 1 like to pat and kiss m reflection i
Y n the mirror.
Opp ,=. • l turn and listen when l hear familiar sounds like the
..-�-� -- --� telephone or my name.
l -r#_- -�-- -- -�� � I love to imitate people l know.
— I
7
.,.,r f� � ` �•t..r p•.a
T f i
r ,
12
8 MIONTHS 4DLD
w
r
r �
Hoer I Understand 4e
• am very curious and want to explore everything.
• I know how to solve simple problems, such as making a toy
bell ring.
• 1 understand the meaning of "in" and `gout:"
• I remember events that just happened. r. �, -
F
t
Hors I Feel
- - �_ ��-- ��T _�''pct• �_� �, -.
• I am frightened by new experiences and new people.
• when o v e even if it's for a short time.
I'm m upset you leave m
• I feel so relieved when you return. �.
• t�S'x
• I'm upset when people make a lot of fuss over me.
• 1 g et frustrated or lose my temper when I can't find something. , .R;
� R
w
i
y� w
x -
Tracy&)Han4(3) +Y
•t
i
33
]Ej
,I Ire e d
AT THIS AGE, MOST BABIES ENJOY
FORKmMASHED FOODS INADDITION
TO PU- REED FOODS*
x`' ■ Do not feed honey to your baby
during .
g her first year. may
carry botulism spores that can
� ~'° • .: ,- " .._ '� harm her.
• 94-. : =. ■ Do not use "leftovers" to make
.w��u �-•• :�:. �'�� �.°• • " baby foods. Leftover foods are
; " A likely to have higher levels of
• . - -;.':.' ��: = �' bacterial contamination than
freshly prepared foods
• �"w t y ,w-
Y
■ Do not feed your baby raw eggs or
S.
raw milk. These raw foods may be
• ' -' ." - �` ' `� x rx sources of infections that can be
dangerous for her.
-
r
M
•
1gpl.�
A,
..wc•. •.. . � i-W-0,
�.i.w.:'..do•b • - }. r' wf♦ �.
Tracy Borland(3)
T y iF•
BE CAREFUL . . . x r} k [[•k S
Now that your baby is 8 months old • Do not add salt, sugar, or season- -t4 .
and may have some teeth, you can ings to baby foods. Foods that A
fork-mash vegetables and fruits, in taste bland to an adult are a new
addition to straining or pureeing taste experience to an infant. . -}
them. Mash a favorite vegetable Some sodium is necessary for
thoroughly with a fork or you can good health, but there is enough `�'� s F n�
Q-
use a potato masher for mashie Y " R
g natural sodium in foods. Added �
foods like ripe bananas and cooked salt will provide too much sodium
apples, winters uash, white or for a small baby and can even be
� Y
sweet potatoes, or carrots. Make harmful. ■ Do not feed your baby chunky
sure the food contains no lumps, foods such as corn, nuts, pop-
pieces of skin, strings, or seeds. The ..�A .. corn, and seeds, or coarse tex-
consistency will be a little thicker � � tured foods, such as cookies that
than pureed food. q =°� x. crumble easily. Such foods are
difficult for your baby to eat, and
Meats are good for your baby, too, - - -r
4 they may make her choke.
but do not give her fried meats,
Trim all fat from the meat and mash Gj-'°�"` x� ■ Do not be afraid to serve foods
it thoroughly with a fork. A cold. Most babies will accept cold
food. if you want to warm your
Cooked foods may be strained baby's food, do it 'ust before serv-
thro ugh a fine mesh sieve or _ y 1
strainer. A sieve is also useful for " � �'j ing.
steam-cooking small amounts of . r ■ Remember, with a little patience,
food for your baby. Be sure that all you can help your baby appreci-
i
food particles are removed when x _ .. „� ate a wide variety of tastes and
you wash the strainer. ., r_ w textures in new foods.
14
(3annes alc) les Pla)(
iggy* A communication game
Liwe i • i
i ✓
- wR • �-• _Y, a
PURPOSE of GAME
G" vti ' ° "F • Teaches your baby to learn about his body.
^.. .x� .'+ fie' M.. • y
Helps your baby to become interested in playing
games with others.
HOW TO PLAY
• Your baby can be sitting and facing you, lying on
S . ~ his back, or sitting on your lap.
.. ".,off'''• �
Hold your baby's big toe between your thumb and
index finger and say, "This little i went to
::•': F . . . 9 piggy
r. market."
i Hold the second toe and say, "This little piggy
-=~
stayed home "
Hold the next toe and say, "This little piggy had
.. = roast beef.'►
:
� ` • Hold the next toe and say, "This little piggy had
;w -� s�•Y•;�, w�.:t•x 'sc`> ����,x,., non4.lf
r.. v n'�._y•... .'y"'k.ypRi q•j� .ii.a• .:.sak'.x«.•-
�' "` Hold the little toe and say, "And this little piggy
cried wee, wee, wee, all the way home.
Id
,t •\\•T •.. �.�'.I .vMvMiF'A.Vr'i+1. -. '
Tracy Borland
ER
ALL BABIES ARE DIFFERENT
AND GROW AT THEIR OWN
PACE. SO DON'T WORRY IF
YOUR BABY ISN'T DOING
EXACTLY THE SAME THINGS
AS OTHER BABIES AT THE
SAME ACE.
1
15
1A ir C) Tirl,
EEP 0 AB SAFE
A YP OOF OU OUSE
■
■
_ I
■
To get an idea of ghat the world looks like to your
baby, get down on the floor and look aroundl Don't
. things look big and exciting? Wouldn't you be
"tempted to explore? No wonder your baby tries to
satisfy her curiosity and touches everything) Now
that she is getting better at moving around, it's a
good time to babyproof your home.
* Make sure there are no sharp edges on furni- * Place safety gates at the top or bottom of stairs.
ture or loose cords dangling from lamps. y
* Open only those windows that are out of your
* Keep pot handles turned so they don't hang baby's reach. I# you us
over the stave front or i Y Y must open low windows,
sides. open them only a little to make sure your baby
* Insert plastic safety caps in all unused electric can't fail out.
outlets.
* Lock all medicines in a medicine cabinet out
* Keep drawers and cabinet doors shut. of reach.
* Unplug appliances when not in use. • Remove all cleaning aids (detergents, am-
* Remove all plastic bags, especially nes from mania,etc.) from under the sink and move to a
g p y -
high shelf or locked cabinet.
dry cleaning stores. Throw them away or put g
them out of your baby's reach. • Keep cosmetic and beauty items out of your
* Don`t leave unintlated or burst toy balloons baby's reach.
around. Your baby will try to swallow them.
* Ensure that drapery or venetian blind cords
■ Check the house for small objects like buttons, are kept out of your baby's reach.
coins, needles, rubber bands, bottle tops, and
razor blades. Put them in a safe place.
In case of emergency,you and your family should know the phone numbers of the -
nearest hospital, and the fire and police departments. Make a list of phone
numbers and keep it in a handy place.
Safety information on babypruofing your home is available from the U.S. Con-
sumer Product Safety Commission, Washington, D.C. 20207. You can also call their
toll free Hotline for consumer Product Safety Information: 1-800-638-2772. (In
certain counties, you may not need to dial the 1 before the 800. check your local
operator.)
16
Q(JESTIONS
SETTING
]FAMILY RULES
1
'Parents used to think that the only way children developed
into responsible adults was through strict discipline, and
the rule "Children -should be seen but not heard." Today,
many parents try to set family--rules that are not so strict.
' Even though your baby is only 8 months old, it's not too early
to start setting your family rules. For example, when you say
"Don't touch the stove it's hot," you are teaching a basic
rule of safety. _
Now is a good time to decide.
• What your family rules will be
Tracy 8arland ; Who will-make the rules.
"My baba has suddenly become _ . Hover our baby will learn them.
scared and shy of strangers. She y y
sometimes cries evert when my To teach your baby what is allowed in your family, be honest
mother comes to visit, Why does about your feelings and say what you mean. For example, if
she act this way, and what can I he does something you don't like, tell him not to do it any
do to help her overcome this more and explain why. You will get your message across by
fear?"" being firm in your voice, in your manner, and in your ac-
First of all don't worry. A fear of tions.
strangers at this age is normal. As your baby develops, he will learn what the limits are in
Babies are beginning to develop a your home, and it will be easier on all of you!
sense of self and others, an impor-
tant step in growing up. They are
afraid because they know the dif-
ference between close family mem-
bers and strangers. So they often be-
come upset when someone they COMING NEXT
don't know hovers around them.
Some babies howl or whimper with ■ Discipline—What Is It?
genuine fear. Others cling to their 9 A Special Time for Baby and You
mothers and refuse to let go. some
babies, just like adults, develop an
instant dislike for a person.
However she reacts, comfort your
baby if she is fearful of strangers.
Hold her close to let her know that If you have any questions or comments,
you love her and she is safe. If you are please contact your local dome Advisor,
embarrassed, explain to friends or listed in the phone hook under University
relatives not to take it personally of California, Cooperative Extension.
that your baby needs time to get
used to people.Ask them not to rush
up to her or try to pick her up.As your
baby gets older she will feel more
secure and more comfortable with
other people.
i
} 17
COOPERATIVE EXTENSION F
UNIVERSITY OF CALIFORNIA
This information is provided by Cooperative Extension, an educational agency of the University of California and the United States
Department of Agnculture. Support for Cooperative Extension is supplied by federal, state, and county governments. Cooperative
Extension provides the people of California with the latest scientific information in agriculture and family consumer sciences. It also
sponsors the 4-H Youth program.Cooperative Extension representatives,serving all counties in California,are known as farm,home,
or youth advisors.Their offices usually are located in the county seat.They will be happy to provide you with information in their fields
of work.
ACKNOWLEDGEMENTS SOURCES
PARENT EXPRESS is a publication of the Human The First Three Years of Lt e, b Burton L. White,
Relations Program, University of
g California ornia Avon Books, New York, 1978.
Cooperative Extension, Berkeley. -
The First Twelve Months of Life: Your Baby's
PROJECT DIRECTOR--Arlene Reiff, M.S.W. Growth Month by Month, Frank Kaplan (Ed), The
EDITOR Elise Kazanjian Princeton Center for Infancy and Early Childhood,
CONSULTANT Dorothea Cudaback, Bantam Books Inc., New York, 1978.
D.S.W. Learning Games or Infants and Toddlers, by J.
NUTRITIONAL Helene Swenerton, Ph.D.. Ronald Lally and Ira J. Gordon, N ew Readers Press,
CONSULTANT U.C. Extension Syracuse, New York, 1977.
Nutritionist
EDITORIAL ADVISOR Joyce McReynolds The Parenting Advisor, The Princeton Center for
ARTIST Alfred Smith Infancy. Anchor Press/Doubleday. Garden City,
r 7
a
PHOTOGRAPHERS - Tracy Borland, Arlene New York, 19 8
.
Reiff My Baby's First Food (Leaflet 21174) and Making
CONTRIBUTORS Michal Maunsell Baba Food (Leaflet 21162). by Helene Swenerton,
Birkman, Paula Flamm, Division of Agricultural Sciences, University of
and Sandra Trimble, California, 1980.
Human Relations Staff.
Parenting in a Multicultural Society, Mario D.
Fontini and Rene Cardenas (Eds), Longman Inc.,
New York, 1980.
Practical Parenting by Vicki Lansky, Meadowbrook
Press, Wayzata, Minnesota, 1980.
Teens Parenting, by Jeanne Warren Lindsay.
Morning Glory Press. Buena Park, California,
1981.
The Unrvershy of Caliiomta.in oonv ianee with Titles VI and Vil of the CMI Rights Act of 1%4.Title IX of the Education Amendrronts of 1972.sections 503 and UX ol the
Rehabilitation Act of 1973,and the Age Di:crifrination Act of 1975,does not discriminate on the basis of race.religion.aoior,national origin,sex,mental or physical handicap,
or age in any of its prograrrs or acxiw ,w,or with respe>ot to any of its errtpfomont pokim,prat bn.or procedures. Nor does the Unroertity of California discrirrinate
on the bass of ancestry,sexual orientation,nurital status,ottrenship,medical cvndrim(as defined in section 12M of the Calilornia Govemrrterd code)or because
irdrviduais are special disabled veterans or vknnam era veterans alas delinsd by the Vk nam Era Veterans Readjustment Act of 1974 and SWion 1290 of the California
G4vemment Cade). tnquKa regarding this policy mar be addressed to the Affirmative Action Direaw.UnNerslty of caiuomia.Agriculture and Natural Resouro".3W
Lakeside DO".6th Floor.Oakland.CA 9a612-3560.(415)987.4097.
10m-rap-1191-WCIALS
18
Orange County Partnership for Young Children
Second Round Smart Start Grants
APPLICATION COVER PAGE
Grant Applying For: Equipment and Program Improvement Grants
(1. Facilities improvement; 2. Equipment &Program Improvements; 3. Planning Grant; 4. Services Grant:)
Name/Agency: Orange County Health Department
Address: P . 0 . Box 8181
City, State, Zip: Hillsborough a Nr 27278
Contact Person: Sue. Lever RN Telephone: -
Signature of Applicant:_ � --- Title:
For Child Care Providers Only• lyne of DavCare: Check all that apply
( ) "A" Licensed Large Home ( ) "A" Licensed Center
( ) "AA" Licensed Large Home ( ) "AA" LicensedCenter
( ) NAEYC Accredited Center
( ) Registered Day Care Home ( )NAFDC Accredited Home
( ) Unregulated Preschool Program ( ) Unregulated Home
For all other agencies or individuals: Check One
( x ) Public Government Institution ( ) Private for profit agency
( ) 501 (c)(3) Non profit with tax exempt status ( ) Private individual
( ) Applied for non profit status ( ) Other
( ) Sponsored by a 501 (c)(3) Organization
Do you currently provide programs and/or services for children under
age five or their families in Orange County? ( x ) Yes ( ) No
Do you currently serve a large percentage of low-income or special
needs children? (X ) Yes No
Check which Partnership Vision Goal(s) Your Project Addresses:
(X) Improve Child Care Services.
(x) Increase access to health services for young children and their families.
(X) Develop and enhance family support and education services.
(X) Improve and enhance mental health and early intervention for young children and
their families.
OProvide economic support programs for low income families.
(x) Insure that all young children are safe from violence.
(x) Improve the delivery of human services for young children and their families.
OEducate and enlighten the community about the value of early services for
19
As a public health nurse working in a middle school and a high school 1 in
the county I coordinate the prenatal, postnatal and arentin
P g (0-age ge 4) education
of the expectant teens and the teen parents. This includes connectin g them with
medical care, emotional support systems, community resources and educational
and career opportunities. I am the facilitator for a monthly small rou for
g P
expectant teen mothers and fathers which meets to hear prenatal and infant
development educational offerings. Together with the school system y health
educator, I co--facilitate the Young Parents Support Group which also meets
monthly for topics on infant and child care, specific parenting subjects and
reproductive health. Weekly visits to the nurse' s office are not uncommon.
As mandated by the Standards and Practices of the National School Nurse
Association I develop an individual health plan for each expectant teen,,--young
_ ,--.y g
parent and infant or child. After an initial assessment (yearly_ or at -birth) ,
I choose the appropriate nursing diagnoses, interventions and expected outcomes
and then proceed to implement them with evaluation at timely intervals.
As the expectant teens deliver, I am the case manager for each: requesting
homebound instruction and generally acting as liaison between hospital, school
and family. In this role I also home visit each new family unit.
Close collaboration is maintained with the Health Department, Adolescent
Parenting Program, School Health Educator, Area Hospital School teachers,
Division of Social Services , Adolescents-in--Need Project, Adolescent Education
Scholarship Fund and orange Congregation in Mission Day Care Center.
Up to the present writing, I have done all of this without the help of a
computer or printer. It takes a large amount of time to organize, type and
develop.
A computer and printer would allow me to improve the quality of my services
to teen parents and their children in the following ways.
1 . Allow more quality time in one--on-one counseling in parenting Skills as
well as small group activity,
2. Develop a database for each pregnant teen, young parent and infant/child,
documenting demographic information, appointments, day care plans, education
needed and received and including the individual health plan for each.
Referrals to community resources, and participation in the various groups
plus academic schedule and expectations all in one place.
3 . Consolidate five notebooks of infant care and child development information
into manageable categories with ability to print out appropriate educational
material.
20
4. Ability to keep community resource list current for use by young parents.
5. Ability to update list of universities and community colleges and print out
information for young parents group. To include day care and scholarship
options and possible visiting times.
6. Ability to keep current list of speakers for both expectant parents and
y
- young parent small group presentation including child care experts , nutr '
tionist mental health P rof es,.sionals, legal advisors, DSS, reproductive health
care providers, academic counselors, safety/first aid/ CPR instructors.
7 . Categorize nursing diagnoses with interventions and expected outcomes into
prenatal, postnatal and pediatric for easy reference.
8. Create five year goals for curriculum in parenting.
9. Maintain a bibliography for infant/child care to be accessed efficiently
and quickly.
Measurable outcomes of the use of more quality time with teen parents and
their families would be: V
1 . Each teen parent will graduate from high school or complete the GED program.
2. There will be a decrease in the number of second pregnancies during high school.
3. The teen parents will demonstrate knowledge in parenting and infant care
through observation in clinic, at day care and in home visits,
21
i
r
Proposed Budget
Lap Top Computer
IBM Think Pad 720 3 006
Printer •
rater �- Ink Jet 520 350
Total $3 , 350
y