Common use of PROGRAM SUMMARIES Clause in Contracts

PROGRAM SUMMARIES. BRIDGES MATERNAL CHILD HEALTH NETWORK A. MEDICALLY HIGH RISK INFANTS 1. Services – COUNTY shall provide Services under this MOU to families referred through Bridges Prenatal-to-Three Network and through Community referrals. COUNTY Public Health Nurses (PHNs) shall: a. Provide family support services to families with children, ages birth to three (3) years, who have medical and/or psychosocial risk factors, which may impede the child from access to health services, family self-sufficiency, and/or readiness for school, generally in-home and by telephone, which shall include: 1) Case management services, 2) Parent education, and 3) Counseling services. b. Utilize the Bridges Screening Tool completed and provided by Bridges Prenatal- to-Three Network. c. Use validated standardized assessment tools/instruments to provide: 1) In-home health and psychosocial evaluations to families with children served; 2) Developmental assessments to children served. d. Develop an individual care plan in collaboration with the client to prioritize needs and determine goals, including timelines with special emphasis on goals addressing the health needs of the client and child(ren), education/vocation, and family planning e. Conduct home safety assessments for each of the families receiving Services under this MOU. f. Provide for basic health education and parenting skills training as needed. g. Provide assistance in referring families to apply for Medi-Cal or Covered California or other health insurance coverage if needed. h. Identify resources to meet family needs which shall include, but not be limited to, parent education, access to health coverage, and referral to appropriate medical or mental health providers, nutritionists, and other professionals as necessary to provide families access to specialty services. i. Follow-up to ensure that families referred actually obtain health coverage and access medical and mental health services and other necessary services. j. Provide assistance to families receiving Services under this MOU with respect to access to medical care, Family Wellness Plans, substance use disorder treatment, mental health services, adult education, domestic violence, school readiness services, and job services. k. Maintain client charts, which shall include, but not be limited to, a copy of all home safety assessments, screening and assessment tools administered, service plans, and documentation of services provided. l. Develop home visitation and phone follow-up schedules in accordance with Bridges Prenatal-to-Three Network Guidelines, which facilitate intensive intervention and support, with decreasing intensity over time, for the first three (3) years adjusted, with an emphasis on the first two (2) years of a child’s life. The following intervention schedule is presented here as a guide as to how COUNTY may structure Services to meet the individual needs of high risk families.

PROGRAM SUMMARIES. BRIDGES MATERNAL CHILD HEALTH NETWORK A. MEDICALLY HIGH RISK INFANTS 1. Services – COUNTY shall provide Services under this MOU to families referred through Bridges Prenatal-to-Three Network and through Community referrals. COUNTY Public Health Nurses (PHNs) shall: a. Provide family support services to families with children, ages birth to three (3) years, who have medical and/or psychosocial risk factors, which may impede the child from access to health services, family self-sufficiency, and/or readiness for school, generally in-home and by telephone, which shall include: 1) Case management services, 2) Parent education, and 3) Counseling services. b. Utilize the Bridges Screening Tool completed and provided by Bridges Prenatal- Prenatal-to-Three Network. c. Use validated standardized assessment tools/instruments to provide: 1) In-home health and psychosocial evaluations to families with children served; 2) Developmental assessments to children served. d. Develop an individual care plan in collaboration with the client to prioritize needs and determine goals, including timelines with special emphasis on goals addressing the health needs of the client and child(ren), education/vocation, and family planning e. Conduct home safety assessments for each of the families receiving Services under this MOU. f. Provide for basic health education and parenting skills training as needed. g. Provide assistance in referring families to apply for Medi-Cal or Covered California or other health insurance coverage if needed. h. Identify resources to meet family needs which shall include, but not be limited to, parent education, access to health coverage, and referral to appropriate medical or mental health providers, nutritionists, and other professionals as necessary to provide families access to specialty services. i. Follow-up to ensure that families referred actually obtain health coverage and access medical and mental health services and other necessary services. j. Provide assistance to families receiving Services under this MOU with respect to access to medical care, Family Wellness Plans, substance use disorder treatment, mental health services, adult education, domestic violence, school readiness services, and job services. k. Maintain client charts, which shall include, but not be limited to, a copy of all home safety assessments, screening and assessment tools administered, service plans, and documentation of services provided. l. Develop home visitation and phone follow-up schedules in accordance with Bridges Prenatal-to-Three Network Guidelines, which facilitate intensive intervention and support, with decreasing intensity over time, for the first three (3) years adjusted, with an emphasis on the first two (2) years of a child’s life. The following intervention schedule is presented here as a guide as to how COUNTY may structure Services to meet the individual needs of high risk families.