Inventory of Evidence-Based Practices (EBPs) for Healthy Start Programs

Evidence-based practices include actions, activities, strategies, or approaches that improve the health of women, before, during, and after pregnancy in order to improve birth outcomes and give infants up to age two years a healthy start. Also included in the collection are informational materials and tools that make it easier to implement evidence-based practices. To search by title, use the main search box located at the top of this page.

Most Recently Added EBPs:

Number of results: 192


Futures Without Violence

The American College of Obstetricians and Gynecologists developed this comprehensive and practical guide to dealing with intimate partner violence and reproductive and sexual coercion in any setting involving reproductive healthcare. It provides strategies for addressing IPV and reproductive and sexual coercion (including useful tips and sample scripts), safety cards to use as a brief intervention to ask and educate patients about IPV and reproductive and sexual coercion, guidance on developing relationships with local domestic violence advocates and community programs, and a quality assessment/quality improvement tool to help programs and practices develop a sustained and coordinated response to IPV and reproductive and sexual coercion.

Topics:

Intimate Partner Violence

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

AAP Fetal Alcohol Spectrum Disorders Toolkit

The American Academy of Pediatrics FASD Toolkit was developed in coordination with the CDC to raise awareness, promote surveillance and screening, and ensure that all children who possibly have FASDs receive appropriate and timely interventions. Focused primarily on providers, it features basic information on FASD, diagnostic tools for use in children suspected of being affected, evidence-based interventions, and guidelines for case management/care coordination. The site also contains FAQ and a list of resources for families and school professionals who care for children with FASD.

Topics:

Alcohol/Drug Services Case Management/Care Coordination Parenting Education

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

ACOG Fetal Alcohol Spectrum Disorders (FASD) Prevention Program

The Fetal Alcohol Spectrum Disorders (FASD) Prevention Program is a collaboration between ACOG and the CDC designed to empower healthcare providers to speak with their patients about abstaining from alcohol use during pregnancy. The program includes evidence-based ACOG Committee Opinions regarding ethics, alcohol use in pregnancy, and motivational interviewing techniques, as well as videos and free downloadable materials for both providers and patients.

Topics:

Alcohol/Drug Services

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Moving Beyond Depression

Moving Beyond Depression (MBD) is a comprehensive, evidence-based and integrated approach to identifying and treating depression in mothers participating in home visitation programs. When new mothers are depressed, home visitation programs face challenges in helping them. MBD equips home visiting programs with a complete package that helps them identify, treat, and provide ongoing support to mothers experiencing depression. MBD is adapted for the “real world” and designed to be engaging and relevant to young, low-income, new mothers. The program works to establish strong working relationships between home visitors and therapists, who collaborate closely through treatment. By treating moms in their own homes, it overcomes many barriers to treatment, such as lack of access to mental health care, transportation and childcare, among others.

Topics:

Case Management/Care Coordination Depression Home Visiting

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

WINGS (Women Initiating New Goals of Safety)

Failure to address IPV among women who use alcohol or other drugs has been found to increase the likelihood of continued drug use, relapse, attrition from drug treatment and a host of other negative physical and mental health consequences. WINGS is a single-session intervention that aims to address a critical gap in IPV services for women by identifying women in the community at risk of IPV, enabling them to develop social support and safety planning skills to reduce their risks for IPV and linking them to IPV-related services and substance use treatment. The intervention may be delivered in-person or via a computerized self-paced version.

Topics:

Alcohol/Drug Services Intimate Partner Violence

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

A Public Health Response to Opioid Use in Pregnancy

This policy statement from the AAP advocates a public health response to the opioid epidemic and substance use during pregnancy, and recommends: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices;improved access to prenatal care, including opioid replacement therapy; gender-specific substance use treatment programs;and improved funding for social services and child welfare systems.

Topics:

Alcohol/Drug Services Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Thinking Healthy: A manual for psychosocial management of perinatal depression

This manual is designed for training community health workers on how to support expecting and new mothers with depression, using evidence-based cognitive behavioral techniques. Community Health Workers can assist depressed mothers to change their unhealthy patterns of thinking and behavior, leading to an improvement in their mood and functioning, and prevention of later problems in their infants. The manual provides a step-by-step guide for CHWs implementing the Thinking Healthy intervention in 15 sessions with mothers (from pregnancy through baby’s first 10 months), and includes a structured process for each session, activities, worksheets and charts, and communication tips. This manual is a generic version for global use of a manual originally developed in Pakistan and later used in many other countries.

Topics:

Depression Parenting Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Pediatric Health and Safety Guide

This child safety web site was developed by the ACLS Training Center, noted for its experience in emergency situations. It contains numerous tools designed to help parents ensure their children’s safety, including a Safety Checklist for New Parents, guidelines on creating a safe home environment, and tips on when it is safe for babies to move on to the next milestone in sleeping, feeding etc. Additional sections are devoted to prevention of choking, drowning, poisoning, and travel-related injuries, and outdoor and neighborhood safety. All are user-friendly, easily accessible and readable.

Topics:

Parenting Education

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Guidelines for Identification and Management of Lead Exposure in Pregnant and Lactating Women

This is a comprehensive source of information on the risks of exposure to lead during pregnancy and lactation. It contains detailed information on sources of lead exposure in adults, and known risks of lead on the mother, developing fetus, and infant. Sample screening tools for assessing possible exposure, and information on management of women found to have elevated lead levels are also included.

Topics:

Breastfeeding Prenatal Care and Education Risk Assessment

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Childhood Lead Poisoning

This CDC website provides concise information on risks for lead poisoning in children and evidence-based recommendations for decreasing those risks. It features both tips for parents and guidelines for providers to prevent childhood lead poisoning, along with info graphics and educational recommendations for children affected by lead.

Topics:

Parenting Education Risk Assessment

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Social Support Survey Instrument

This brief, self-administered Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions. It is thought to also be appropriate for use with other populations. The instrument was designed to be comprehensive in terms of recent thinking about the various dimensions of social support – emotional/informational, tangible, affectionate, and positive social interaction. It is easy to administer and the items are short, simple, and easy to understand.

Topics:

Life Course Model Risk Assessment

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Everyday Discrimination Tool

There is convincing research evidence that people experiencing greater discrimination in day-to-day life tend to have poorer physical and mental health outcomes than their counterparts. The Everyday Discrimination Scale (EDS) is a validated screen widely used to measure perceived discrimination. An original version of the EDS consists of nine items on a 6-point Likert-type response format, and a short version has been modified to five items.

Topics:

Life Course Model Risk Assessment

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

NIDA Quick Screen

The NIDA Quick Screen is a validated instrument designed to assist providers in screening adults for substance use. The screen simply inquires whether a participant has used drugs (mood-altering, illegal, or prescription for nonmedical reasons), alcohol, or tobacco products within the past year and how often these substances have been used. The NIDA website also provides guidelines for brief intervention and/or treatment referral for patients who may have or be at risk of developing a substance use disorder.

Topics:

Alcohol/Drug Services Risk Assessment Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

SmokefreeMOM

SmokefreeMOM is a mobile text messaging service designed for pregnant women across the United States to help them quit smoking. The program provides 24/7 encouragement, advice, and tips to help pregnant women and mothers quit smoking and stay quit. The messages in the program have been designed around not only a women’s quit date but also their child’s birthdate. The frequency of messages will vary depending on smoking status. Users can receive additional quit support by texting one of the SmokefreeMOM keywords.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Promoting First Relationships (PFR)

Promoting First Relationships (PFR) is an evidence-based curriculum for service providers who work with families of young children (0-3). Using video case studies, role playing, and reflective dialogue, it provides knowledge, tools, and consultation strategies for promoting secure and healthy relationships between caregivers and young children. The curriculum is delivered in a 2-day workshop and mentored distance learning. Use of the program has proven effective in helping caregivers gain confidence and knowledge, increasing parental sensitivity, and improving child outcomes.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Benchmarks:

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Family Spirit

Family Spirit is an evidence-based early childhood home-visiting program designed for and by American Indian communities. Family Spirit combines the use of paraprofessionals from the community as home visitors and a culturally focused, strengths-based curriculum as a core strategy to support young families. From pregnancy through the child’s 3rd birthday, parents gain knowledge and skills to promote healthy development and positive lifestyles for themselves and their children. Family Spirit addresses intergenerational behavioral health problems, optimizes local cultural assets, and overcomes deficits in the professional health care workforce in low resource communities. Evidence from three randomized controlled trials has documented important results including: increased parenting knowledge and involvement; decreased maternal depression; increased home safety; decreased emotional and behavioral problems of mothers; and decreased emotional and behavioral problems of children. The Family Spirit curriculum modules cover: Prenatal Care, Infant Care, Your Growing Child, Toddler Care, My Family and Me, and Healthy Living.

Topics:

Alcohol/Drug Services Breastfeeding Depression Home Visiting Parenting Education Partner Involvement Prenatal Care and Education Reproductive Life Planning/Family Planning Socio-emotional Development for Children

Approaches:

Improve Women's Health Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Prenatal Involvement Initiating Breastfeeding Perinatal Depression Follow Up Perinatal Depression Screening Reproductive Life Plan Safe Sleep Smoking Abstinence Sustaining Breastfeeding

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Effectiveness of Family Planning Methods

This poster provides pictures and effectiveness ratings for contraceptive methods, organized from least effective to most effective. This poster can be used to show women and men the range of contraception choices available to them, and which methods work best at preventing pregnancy. The poster is also available in Spanish.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Reproductive Life Plan

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Mental Health First Aid

Mental Health First Aid is an 8-hour course that gives people the skills to help someone who is developing a mental health problem or experiencing a mental health crisis. The evidence behind the program demonstrates that it does build mental health literacy, helping the public identify, understand, and respond to signs of mental illness. Mental Health First Aiders learn a 5-step action plan that guides them through the process of reaching out and offering appropriate support. The “adult course” is available in both English and Spanish, and covers anxiety, depression, psychosis, and addictions in adults. The “youth course” is for adults who interact regularly with young people ages 12-18.

Topics:

Alcohol/Drug Services Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Moms’ Mental Health Matters

This new initiative is designed to educate consumers and health care providers about perinatal mood disorders, emphasizing the newly-appreciated fact that they include both depression and anxiety and can occur both during and after pregnancy. In addition to education, the site provides action plans, referrals, and advice for partners, family, and friends of affected women. Related materials including posters, tear sheets, and postcards, all in both English and Spanish, can be downloaded or ordered for free.

Topics:

Depression Prenatal Care and Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Positive Parenting Tips

This component of the Child Development section of the CDC website provides information for parents on developmental milestones and positive parenting tips by age group, covering children 0-17 years of age. Age-specific injury prevention and safety advice as well as guidelines for promoting healthy bodies are also given. Parents or service providers for parents can download Positive Parenting Tip Sheets for use as take-home handouts.

Topics:

Parenting Education Partner Involvement Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Surgeon General’s Call to Action to Support Breastfeeding

For nearly all infants, breastfeeding is the best source of nutrition and immunologic protection, and it provides remarkable health benefits to mothers as well. Many mothers in the United States want to breastfeed, and most try. Yet within only three months after giving birth, more than two thirds of breastfeeding mothers have already begun using formula. By six months postpartum,more than half of mothers have given up on breastfeeding. This Call to Action describes specific steps people can take to participate in a society-wide approach to support mothers and babies who are breastfeeding. It provides recommendations for women and families, communities, health care providers, employers, public health agencies, and researchers.

Topics:

Breastfeeding Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Immunization Schedules for Infants and Children

The recommended immunization schedule is designed to protect infants and children early in life, when they are most vulnerable and before they are exposed to potentially life-threatening diseases. This web page contains immunization schedules that parents can view or print showing the age or age range when each vaccine or series of shots is recommended. Available in English and Spanish.

Topics:

Immunization

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Injury Prevention Program (TIPP): A Guide to Safety Counseling in Office Practice

Counseling parents and children about the prevention of common childhood injuries is an important contribution toward preventing the major cause of childhood morbidity and mortality. TIPP is designed to provide a systematic method for pediatricians to counsel parents and children about adopting behaviors to prevent injuries—behaviors that are effective and capable of being accomplished by most families.This Guide includes a table showing the major safety issues and injury hazards for each age group for children 0-10 years old, and provides counseling guidelines for educating parents about injury prevention tailored to the age of their child.

 

Topics:

Parenting Education

Approaches:

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices

This guide provides a process and resources to help staff in any primary care practice to plan and implement alcohol screening and brief intervention (SBI) to reduce alcohol use, an evidence-based approach recommended for all adults, including pregnant women. The guide also presents information on risky alcohol use and how it can be addressed through alcohol SBI.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

TIP 58: Addressing Fetal Alcohol Spectrum Disorders (FASD)

This treatment improvement protocol (TIP) reviews alcohol screening tools and interventions for use with pregnant women and women of childbearing age to prevent fetal alcohol spectrum disorders (FASD). It also outlines methods for identifying individuals with FASD and modifying treatment accordingly. This TIP is divided into three parts: 1) Background and Clinical Strategies for FASD Prevention and Intervention; 2) Administrator’s Guide to Implementing FASD Prevention and Intervention; and 3) Literature Review.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

FASD Prevention Project Toolkit

This toolkit was developed to help health care professionals spread a consistent message to all women of child-bearing age: no amount of alcohol is safe during pregnancy. The toolkit includes: a FASD Fact Sheet; a Conversation Guide offering tips for how to discuss alcohol and pregnancy with women; a Resource Guide; a list of alcohol use screening tools; a pocket guide for nurse midwives; and FASD posters, postcards, reminder stickers, and lapel pins for providers.

Topics:

Alcohol/Drug Services Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Women, Healthy Futures

Healthy Women, Healthy Futures was designed to improve the health of non-pregnant, at-risk women living in poverty in order to increase protective factors and reduce risk factors for future pregnancies. The one-year program provides individual and weekly group health education, care coordination, assistance in establishing a medical home, and coverage for the majority of medical costs. Since its inception, the program has successfully demonstrated improved health literacy, better diet and exercise habits, reduced depression, decreased smoking, and an 87% retention rate in its target population. This has resulted in demonstrable improvements in maternal and infant birth outcomes, significant cost benefits, and increased community alliances for required services.

Topics:

Case Management/Care Coordination Chronic Disease Depression Health Literacy Healthy Weight Life Course Model Nutrition Oral Health Patient-centered Medical Home Reproductive Life Planning/Family Planning Risk Assessment Tobacco Cessation

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Reproductive Life Plan Smoking Abstinence Usual Source of Care

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Father-Friendly Check-Up

This tool helps organizations to assess the degree to which their operations encourage father involvement in the services and programs they offer. The check-up consists of four assessment categories: 1) Leadership Development including the attitudes, beliefs, and values held by the organization’s employees—the culture of the organization—and their impact on the delivery of services and program; 2) Organizational Development, including policies and procedures, processes, and physical environment; 3) Program Development, including the services and programs an organization offers, how it engages staff in offering them, and how it promotes and markets them; and 4) Community Engagement, including the ability of an organization to engage its community in the delivery of services and programs.

Topics:

Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

9 Steps to Breastfeeding Friendly Clinics

This toolkit contains 9 evidence-based practices that have been shown to increase breastfeeding initiation and continuation, specifically tailored to Community Health Centers. Examples of the Breastfeeding Friendly steps include guidelines for delivering high quality culturally-competent breastfeeding promotion, and guidance on creating and sustaining a community-based support system for nursing mothers. The goal is to assist all staff members in implementing policies that protect, promote, and support breastfeeding.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Mothers and Babies Course

The Mothers and Babies course is a cognitive behavioral intervention designed to teach mood regulation skills to English- and Spanish-speaking low-income women at high risk for perinatal depression. The curriculum is presented in 6-8 week modules covering thoughts, activities, and social contacts. Manuals for both moderators and participants can be downloaded for free. Three randomized controlled trials have shown promising evidence for efficacy in reducing depressive symptoms and, to a more preliminary extent, preventing major depressive episodes.

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Making It Work Toolkit

The Making It Work Toolkit is an online resource for breastfeeding mothers returning to work or school. It provides support and assistance to breastfeeding mothers as well as tools and information for businesses and families. There are five individual toolkits: For Moms, For Family Members, For Employers, The Law, and Other Materials (sample letters and policies). The online toolkit can be printed, viewed on the website, shared with others, and downloaded onto a mobile device for easy access.

Topics:

Breastfeeding Partner Involvement

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

STDs During Pregnancy – CDC Fact Sheet

STDs can complicate pregnancy and may have serious consequences for both a woman and her developing baby. A critical component of appropriate prenatal care is ensuring that pregnant patients are tested for STDs. This fact sheet for healthcare providers includes CDC’s specific testing and treatment recommendations for STDs during pregnancy.

Topics:

STDs including HIV

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

A Comprehensive Approach for Community-Based Programs to Address Intimate Partner Violence and Perinatal Depression

This toolkit is intended to serve as a resource to assist organizations with addressing intimate partner violence and perinatal depression simultaneously by providing assessment tools, links to national resources, and highlighting promising practices and evaluation tools to assess efforts. The toolkit was developed based on an understanding of the multiple factors that increase the risk of perinatal depression and intimate partner violence and the complexity of the interaction of these factors. Section 1 highlights relevant research and statistics on IPV/PD. Section 2 contains tools to assess readiness for organizational change, current assets, and potential challenges. Sections 3-7 address the core strategies and tools that will be helpful in addressing IPV/PD in the community. Section 8 contains the post-assessment and should be used after the organization has implemented efforts around IPV/PD.

Topics:

Depression Intimate Partner Violence

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Postpartum Care

This website provides basic knowledge and links to more detailed information on common issues that women face postpartum. Physical changes to expect, warning signs of serious problems, and guidance on breastfeeding, weight loss, exercise, and sexual activity are all available. Some of the resources can be accessed in multiple languages.

Topics:

Breastfeeding Depression Healthy Weight Nutrition Reproductive Life Planning/Family Planning Risk Assessment

Approaches:

Improve Women's Health

Benchmarks:

Postpartum Visit

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

MothertoBaby

MothertoBaby is the leading authority providing up-to-date, evidence-based information to mothers, healthcare professionals, and the general public regarding the effects of medications and other exposures on pregnancy and breastfeeding. The website contains fact sheets in English and Spanish covering the risks of over 50 pharmaceuticals (listed alphabetically), herbal products, and other common lifestyle and occupational exposures. Excellent sections on tobacco, alcohol, and mood-altering drugs are included, as well as information on the safety of vaccines during pregnancy and breastfeeding. Experts are also available to answer individual questions confidentially by telephone, email, or text.

Topics:

Alcohol/Drug Services Breastfeeding Immunization Prenatal Care and Education Risk Assessment Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Components of the Well-Woman Visit

Annual well-woman visits provide an excellent opportunity for health maintenance and preventive care, including preconception and interconception counseling. Under the Affordable Care Act of 2010, Medicaid and most private insurance plans cover these visits without copay. The American College of Obstetricians and Gynecologists released these guidelines on recommended components of the annual visit based on previous evidence-based guidelines, current expert opinion, and the recommendations of a multidisciplinary task force. Recommendations on screening, laboratory tests, evaluation and counseling, and immunizations are organized into the age ranges 13-18, 19-45, 46-64, and >64.

Topics:

Alcohol/Drug Services Chronic Disease Depression Healthy Weight Immunization Intimate Partner Violence Nutrition Reproductive Life Planning/Family Planning Risk Assessment STDs including HIV Tobacco Cessation

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

4Ps Plus©

4Ps Plus© is the first validated instrument that has been developed to screen for alcohol, tobacco, and illicit drug use; depression; and domestic violence, specifically in pregnant women. In addition, brief intervention strategies, grounded in motivational interviewing techniques, are integrated into the screening process. “I am concerned…” is an interactive, multisensory psychoeducational approach that takes about five minutes and is administered to all women who are found through the screening process to be using alcohol, tobacco, or illicit drugs.

Topics:

Alcohol/Drug Services Depression Intimate Partner Violence Prenatal Care and Education Risk Assessment Tobacco Cessation

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence Perinatal Depression Screening Smoking Abstinence

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

National Resource Center for Healthy Marriage and Families

The National Resource Center for Healthy Marriage and Families (Resource Center) helps agencies develop the capacity to promote healthy relationship skills in a way that meets both their needs and those of the families they serve. As a service of the Office of Family Assistance, Administration for Children and Families, HHS, the Resource Center supports the integration of healthy marriage and relationship education into safety-net service delivery systems as part of a comprehensive strategy to strengthen families and promote family self-sufficiency.

Topics:

Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Strong Families/Healthy Relationships Resources

This section of the National Responsible Fatherhood Clearinghouse provides resources on healthy relationships for programs that serve families. Healthy marriages and healthy relationships can serve an important role in promoting responsible fatherhood initiatives. Whether the fathers and families in your programs are currently married or not, integrating healthy relationship skills into your programs can better support fathers’ relationships with their partners and improve their co-parenting situations, leading to healthier models and environments for their children.

Topics:

Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

New Benefits for Breastfeeding Moms: Facts and Tools to Understand Your Coverage under the Health Care Law

This toolkit is designed for women, advocates, community-based organizations, and health care providers to provide information on the coverage of breastfeeding support, supplies, and counseling in the health care law (Affordable Care Act) and offer tools to women who encounter problems with this coverage. The toolkit also includes detailed instructions on how to call insurance companies, how to file an appeal if the plan denies coverage, and provides draft appeal letters tailored to commonly encountered scenarios.

Topics:

Breastfeeding Insurance Coverage

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Survey of Wellbeing of Young Children (SWYC)

The SWYC is a free comprehensive screening tool that assesses child development, behavior, and family risk. One double-sided form containing multiple choice questions written at a 6th grade level takes only about ten minutes to complete. Age-specific forms have been developed for each age in the pediatric periodicity schedule from 2-60 months. Surveys are available in 5 languages, and all questions are designed to be sensitive to cultural differences. In studies performed thus far, the accuracy of this tool appears to be comparable to longer screening instruments.

Topics:

Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Perinatal Depression Screening

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

From Coverage to Care

From Coverage to Care is an initiative to help people with new health care coverage understand their benefits and connect to primary care and preventive services that are right for them. These informational resources for newly insured consumers include print materials and videos in multiple languages, as well as social media widgets and infographics. All resources are easy to read and understand and help to improve people’s “health insurance literacy,” assisting them to use their new coverage to get the health services they need.

Topics:

Insurance Coverage

Approaches:

Improve Women's Health

Benchmarks:

Health Insurance

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Preconception and Interconception Care

This website contains an easy reference chart outlining the essentials of preconception/interconception care, a patient questionnaire exploring these elements, and references supporting both resources.

Topics:

Chronic Disease Immunization Reproductive Life Planning/Family Planning Risk Assessment STDs including HIV

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Baby Basics

Baby Basics is a set of materials (book, planner, posters) and programs designed specifically to provide lower-income and lower-literacy populations with crucial prenatal health information and support. The materials are designed to be beautiful and easy to read, serving as a catalyst for learning and family literacy. Both materials and programs strive to engage and educate underserved parents to become effective users of the healthcare system and advocate for themselves and their families.

Topics:

Prenatal Care and Education

Approaches:

Improve Women's Health Promote Quality Strengthen Family Resilience

Benchmarks:

Birth Spacing Father/Partner Prenatal Involvement Initiating Breastfeeding Postpartum Visit Safe Sleep Sustaining Breastfeeding Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Common Sense Parenting

Common Sense Parenting® (CSP) is a 6-session series for parents that provides logical strategies and easy-to-learn techniques to address issues of communication, discipline, decision making, relationships, self control, and school success. These classes incorporate research-proven child-care methods that are derived from the Boys Town Treatment Family Homes program and adapted for use in the home by parents. The program was originally designed for parents of
children ages 6 to 16, but an adaptation for parents of toddlers and preschoolers also is available. More information about the training is available on the Boys Town website.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Wise Guys

WISE GUYS: THE NEXT LEVEL is a flexible 5 to 12 week program that specifically targets men age 18 and older. Special topics that are addressed include stress and anger management; cohabitation and marriage; alcohol and other drugs; and an expanded fatherhood curriculum that provides information and resources for fathers from RAD (the Responsible and Active Dads program). The great information from the original Wise Guys program is also included in such a way as to suit its older audience.

Topics:

Alcohol/Drug Services Parenting Education Partner Involvement Reproductive Life Planning/Family Planning STDs including HIV

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Nurturing Fathers Program

The Nurturing Fathers Program is an evidence-based, 13-week group-based program designed to teach parenting and nurturing skills to men. The Nurturing Fathers Program is an adaptation of the Nurturing Program philosophy and lessons are designed and implemented specifically for dads.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

National Center for Medical-Legal Partnership

Medical‐legal partnership (MLP) is an approach to health that integrates the work of healthcare, public health, and civil legal aid to more effectively identify, treat, and prevent health‐harming legal needs for patients, clinics, and populations. MLP addresses legal needs in the areas of income supports and insurance; housing and utilities; employment and education; legal status; and personal and family stability. MLP:

  • Trains healthcare, public health, and legal teams to work collaboratively and identify needs upstream;
  • Treats individual patients’ health‐harming social and legal needs with legal care ranging from triage and consultations to legal representation;
  • Transforms clinic practice and institutional policies to better respond to patients’ health‐harming social and legal needs; and
  • Prevents health‐harming legal needs broadly by detecting patterns and improving policies and regulations that have an impact on population health. 

Topics:

Case Management/Care Coordination Insurance Coverage Other Risk Assessment

Approaches:

Achieve Collective Impact Improve Women's Health

Benchmarks:

CAN Implementation Health Insurance

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Final Recommendation Statement Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening

The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services. This recommendation statement provides information on several screening instruments that can be used to screen women for IPV. Those with the highest levels of sensitivity and specificity are Hurt, Insult, Threaten, Scream (HITS); Ongoing Abuse Screen/Ongoing Violence Assessment Tool (OAS/OVAT); Slapped, Threatened, and Thrown (STaT); Humiliation, Afraid, Rape, Kick (HARK); Modified Childhood Trauma Questionnaire–Short Form (CTQ-SF); and Woman Abuse Screen Tool (WAST).

 

Topics:

Intimate Partner Violence

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

HITS

HITS (Hurt, Insult, Threaten, Scream) is a short (four items) instrument for intimate partner violence screening in health care settings. HITS is used in settings around the world in multiple languages.

Topics:

Intimate Partner Violence

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Health Insurance Marketplace

This is the official government website where participants can find out if they qualify for health insurance, what their options are, and what assistance may be available to them (including Medicaid and CHIP). They can then proceed to apply for insurance at this site

Topics:

Insurance Coverage

Approaches:

Improve Women's Health

Benchmarks:

Health Insurance

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Interconception Care Project of California

The Interconception Care Project of California is a collection of recommendations to improve and promote the interconception health of women by maximizing care during the postpartum visit. The website contains links to free evidence-based clinical management algorithms for the 21 most common pregnancy and delivery complications in California. Patient education materials offering explanations of the conditions, treatment options, and self-care strategies to reduce risks in future pregnancies are also free and available in English and Spanish.

Topics:

Other Reproductive Life Planning/Family Planning Risk Assessment

Approaches:

Promote Quality

Benchmarks:

Birth Spacing

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Reach Out and Read

Reach Out and Read is an evidence-based non-profit organization of medical providers who promote early literacy and school readiness in pediatric exam rooms nationwide by integrating children’s books and advice to parents about the importance of reading aloud into well-child visits. Reach Out and Read builds on the unique relationship between parents and medical providers to develop critical early reading skills in children, beginning in infancy.

Topics:

Other Parenting Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Reading to Child Daily

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Recommendations for Preventive Pediatric Health Care

This chart shows recommended pediatric preventive health care services to be delivered at well-child visits for children ages 0-21, including history, measurements, screenings, assessments, procedures, physical exam, oral health,  and anticipatory guidance. These guidelines represent a consensus by the American Academy of Pediatrics (AAP) and Bright Futures. The recommendations in this statement do not indicate an exclusive course of treatment or standard of medical care. Variations, taking into account individual circumstances, may be appropriate.

Topics:

Other

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Mom as Gateway

Mom as Gateway is a workshop designed to address what is known as Maternal Gatekeeping – when a mother’s beliefs about a father, as well as her behaviors, hinder a father’s involvement with his children. Moms attend three 1-hour workshops that emphasize the importance of paternal involvement and aim to facilitate co-parenting by breaking down barriers between mothers and fathers.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

InsideOut Dad

InsideOut Dad is an evidence-based fatherhood program designed specifically for incarcerated fathers. It aims to help these men improve their parenting skills and develop stronger relationships with their children while in prison and after release. The program consists of twelve 2-hour core sessions delivered weekly to groups of up to 12 fathers.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Boot Camp for New Dads

Boot Camp is a father-to-father community-based workshop that aims to inspire and equip men to become confidently engaged with their infants, support their mates, and personally navigate their transformation into dads. The nonprofit has been named a best practice by many organizations and, having graduated over 325,000 men, is by far the nation’s largest program for new fathers.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

4Ps

The 4Ps (Parents, Partners, Past and Pregnancy) was developed for use with pregnant women and women of child bearing age. The tool has 4 questions intended to facilitate discussion regarding substance use.

Topics:

Alcohol/Drug Services

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Resilience Video Series

These three brief (2-3 minute) videos explore resilience, a positive adaptive response to serious adversity in a young child’s life, and how it is built. A better understanding of how resilience develops can help develop policies and programs to help more children reach their full potential.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Zero to Three: The Magic of Everyday Moments Video Series

The Magic of Everyday Moments video series is designed to help parents and professionals understand how they can best help very young children thrive. The first in the series explores brain development, early literacy skills, the power of play, and temperament. The second examines development in each of the first three years of life.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

UNCOPE – Used, Neglected, Cut Down, Objected Preoccupied, Emotional Discomfort

The UNCOPE consists of six questions and may be used free of charge for oral administration in any medical, psychosocial, or clinical interview to provide a simple and quick means of identifying risk for abuse and dependence for alcohol and other drugs.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

DAST – Drug Abuse Screening

The DAST is a 20-item instrument for clinical and nonclinical screening to detect drug abuse or dependence disorders. It is most useful in settings in which seeking treatment for drug use problems is not the patient’s stated goal.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

TWEAK – Tolerance, Worry, Eye-Opener, Amnesia, Cut-Down

The TWEAK (Tolerance, Worry, Eye-Opener, Amnesia, Cut-Down) is a five-item scale originally developed to screen for risk drinking during pregnancy. The items are not gender specific, however, and the scale can be used with either women or men.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

ASSIST – Alcohol, Smoking, and Substance Involvement Screening Test

The ASSIST (Alcohol, Smoking, and Substance Involvement Screening Test) is an 8-item questionnaire designed to be administered by a health worker to a client using paper and pencil, and takes about 5-10 minutes to administer. The ASSIST provides information about the substances people have ever used in their lifetime; those used in the past three months; problems related to substance use; risk of current or future harm; dependence; and injecting drug use. The ASSIST was designed to be culturally neutral and usable across a variety of cultures.

Topics:

Alcohol/Drug Services Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

ImmunizationforWomen.org

This website, with tabs for both providers and patients, provides current recommendations on immunizations for women. It includes information on vaccines for specific conditions, timing regimens, safety, and guidelines for use in pregnancy.

Topics:

Immunization

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Depression in Mothers: More Than the Blues (A Toolkit for Family Service Providers)

This toolkit equips community-based providers with information and strategies for use in working with mothers who may be depressed. Includes background information and facts about depression; screening tools for more serious depression; and referrals, resources, and handouts for mothers who are depressed.

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Folic Acid and Multivitamins

This web page provides information on the importance of folic acid for women of reproductive age. Links describe why folic acid is important and give advice on dosage, the difficulty of obtaining this amount consistently in the diet, and folic acid and/or multivitamin supplementation.

Topics:

Nutrition

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Community-Based Doula Programs

The Community-Based Doula Program connects underserved pregnant women to other women in their communities who are specially trained as doulas to provide support during the critical times of pregnancy, birth, and postpartum/early parenting. The program is based on the power of peer-to-peer support. Because doulas are of and from the same community as their clients, they are able to understand language and cultural needs and create long-term links to support networks. Women in the program have been shown to have higher breastfeeding rates, lower C-section rates, and more positive mother-infant interaction. HealthConnect One can assist in developing these programs.

Topics:

Breastfeeding Parenting Education Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

The Tampa Bay Doula Program

This Doula Program, targeted to low income pregnant women, provides free perinatal services, including community-based childbirth education classes, labor and delivery support, postpartum care, and instruction focusing on mom/baby attachment, extension of breastfeeding duration, and interconception care. Participants in the program have been shown to have a decreased infant mortality rate, reduced need for medical interventions during labor and delivery, and longer duration of breastfeeding their infants.

Topics:

Breastfeeding Other Prenatal Care and Education Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Birth Spacing Initiating Breastfeeding Reproductive Life Plan Sustaining Breastfeeding

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Family Foundations for a Strong Start

The Family Foundations program has been shown in NIH-funded research to help couples create strong, nurturing family bonds and raise well-adjusted children. Developed by clinical psychologist, family therapist, and prevention scientist Mark Feinberg, Ph.D. DVDs and workbooks help parents learn how to work together as an effective team to promote children’s sleep, self-regulation, attention, social competence, and well-being. Topic areas addressed in the program include: preparing for parenthood; working as a team; managing conflict; division of labor; planning fun and affection; and teaching and discipline. Includes 6 DVDs, with nearly 6 hours of content broken into 11 chapters, and a detailed workbook for each parent.

Topics:

Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Growing Great Kids: Prenatal to 36 Months Curriculum

Home visiting curriculum provides practitioners with research-informed “Home Visit Conversation Guides” for engaging parents, cultivating secure attachments, and bolstering child development, while building parenting, family strengthening, and other skills with parents who have experienced childhood adversity and other traumatic events. Growing Great Kids (GGK) builds Home Visitor competencies for: nurturing parental resiliency; advancing individual and family functioning; reducing a child’s exposure to toxic stress; nurturing parents’ problem-solving skills; strengthening the families’ support networks; and enabling parents to construct protective buffers around their children. Culturally-competent and father-inclusive. Includes guided modules with step-by-step, interactive questions to actively engage parents with the information and skills being presented. Curriculum Package includes a 12-month Professional Development Program, in addition to complimentary web based learning opportunities.

Topics:

Home Visiting Parenting Education Partner Involvement

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Habits for Happy Smiles Handout Series (Spanish)

A series of easy-to-read informational materials in Spanish for parents on taking care of young children’s oral health. Includes handouts on: brushing your child’s teeth, choosing healthy drinks for your child, getting fluoride for your child, helping your baby with teething pain, preventing mouth injuries, and visiting the dental clinic.

Topics:

Oral Health

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Habits for Happy Smiles Handout Series (English)

A series of easy-to-read informational materials for parents on taking care of young children’s oral health. Includes handouts on: brushing your child’s teeth, choosing healthy drinks for your child, getting fluoride for your child, helping your baby with teething pain, preventing mouth injuries, and visiting the dental clinic.

Topics:

Oral Health

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Oral Health Care During Pregnancy: A National Consensus Statement

This national consensus statement was developed to help health professionals, program administrators, policymakers, advocates, and other stakeholders respond to the need for improvements in the provision of oral health services to women during pregnancy. This statement is the product of the Oral Health Care During Pregnancy Consensus Development Expert Workgroup Meeting convened by HRSA’s MCHB in collaboration with ACOG and the American Dental Association.

Topics:

Oral Health

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Parents’ Evaluation of Developmental Status: Developmental Milestones (PEDS:DM)

Parents’ Evaluation of Developmental Status: Developmental Milestones (PEDS:DM) is a validated screening and surveillance tool that elicits parents’ report on a child’s skills and behavior. Six to eight questions per visit are used to assess fine motor, gross motor, expressive language, receptive language, self-help, and socio-emotional skills. The survey is designed for children at any age from 0 to 8 and takes about 5 minutes to complete and one minute to score.

Topics:

Parenting Education Risk Assessment Socio-emotional Development for Children

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Parents’ Evaluation of Developmental Status (PEDS)

Parents’ Evaluation of Developmental Status (PEDS) is a ten-question validated surveillance and screening tool designed to elicit parents’ concerns about their child’s development, behavior, and mental health. It takes about 5 minutes for parents to complete and 1-2 minutes to score. The screen can be used to indicate whether reassurance, advice, watchful waiting, further screening, or referral are called for in a child between ages 0 and 8.

Topics:

Parenting Education Risk Assessment Socio-emotional Development for Children

Approaches:

Promote Quality

Benchmarks:

Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The CDC Guide to Breastfeeding Interventions

Guide to breastfeeding interventions that have been reviewed by the Cochrane Collaboration and published through the Cochrane Library, a comprehensive collection of up-to-date information on the effects of health care interventions.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies

This document provides guidance for public health professionals and others on how to select strategies to support breastfeeding mothers and increase breastfeeding rates. It offers the most relevant information on each type of strategy. Includes information that may be important to keep in mind during the planning, implementation, or evaluation phases of a strategy. Identifies specific activities for each strategy that public health professionals can take to implement strategies in specific settings, including communities, schools, child care facilities, work sites, and medical care facilities. Includes examples of programs that use the strategy as a way to support and increase breastfeeding.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Partners for a Healthy Baby

Nationally recognized, research-based, practice-informed curriculum used by many home visiting models to meet their program goals including improving birth outcomes, reducing rates of child abuse, strengthening families, enhancing child health and developmental outcomes, and promoting family stability and economic self-sufficiency. The curriculum addresses issues of child health and development within the context of the multifaceted needs of expectant and parenting families. Five-volume book series for different stages in pregnancy/parenthood, accompanied by a set of handouts for the home visitor to use when planning visits. Handouts for families can be purchased in English or Spanish and help the home visitor introduce subjects that may otherwise be difficult to talk about.

Topics:

Home Visiting Parenting Education

Approaches:

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Initiating Breastfeeding Reading to Child Daily Safe Sleep Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Doctor Dad

DoctorDad® Workshops are for new and expectant dads, and helps increase fathers’ health literacy by providing men with the knowledge and skills they need to successfully care for their young children right from the start.  DoctorDad® Workshops cover a wide range of important child health and safety skills. Mix and match topics in four separate workshops.

Topics:

Partner Involvement

Approaches:

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

24/7 Dad

24/7 Dad® is a comprehensive fatherhood program available with innovative tools, strategies, and exercises for fathers of all races, religions, cultures, and backgrounds. Developed by fathering and parenting experts, it focuses on the characteristics men need to be good fathers 24 hours a day, 7 days a week.  24/7 Dad® focuses on key fathering characteristics like masculinity, discipline, and work-family balance – and helps men evaluate their parenting skills. The 24/7 Dad® curriculum was developed using a theoretical framework which is a combination of several theories (a multi-theory framework) that includes Social Learning Theory, Theory of Planned Behavior, Attachment Theory, Transtheoretical Model (also known as Stages of Change)

Topics:

Partner Involvement

Approaches:

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Partners in Pregnancy

The Partners in Pregnancy program aims to improve pregnancy outcomes for high-risk pregnancies through home visits by nurses and outreach workers, in combination with a medical home and regular nurse consultations. Studies suggest that the program has reduced neonatal intensive care unit use and overall costs, due to more patients receiving comprehensive prenatal care and adopting healthier behaviors.

Topics:

Case Management/Care Coordination

Approaches:

Improve Women's Health

Benchmarks:

Usual Source of Care

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

A Healthy Baby Begins with You – Media Campaign

“A Healthy Baby Begins with You” is a national campaign to raise awareness about infant mortality, especially within the African-American community. This campaign, which offers an online media kit, supports local health departments in their efforts to address health inequities among populations disproportionately affected by poor birth outcomes.

Topics:

Other

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Period of PURPLE Crying Program

The Period of PURPLE Crying program consists of a video and booklet that help new parents understand and safely cope with infant crying, the most common trigger for shaken baby syndrome. The materials describe normal infant crying, explain the easy-to-remember acronym PURPLE (with each letter standing for various features of infant crying), suggest strategies for comforting a baby, acknowledge caregiver frustration when a baby cannot be soothed, explain the dangers of shaking the infant, and outline a positive approach for handling an inconsolable infant. Labor and delivery or discharge nurses distribute these materials to new parents prior to hospital discharge. Pediatricians, public health workers, adoption agencies, and other organizations may also distribute these materials or reinforce their messages, which may be complemented by a public education campaign. There is also a website for parents.

Topics:

Parenting Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Triple-P Positive Parenting Program

The Triple P–Positive Parenting Program is a multilevel system or suite of parenting and family support strategies for families with children from birth to age 12, with extensions to families with teenagers ages 13 to 16. Developed for use with families from many cultural groups, Triple P is designed to prevent social, emotional, behavioral, and developmental problems in children by enhancing their parents’ knowledge, skills, and confidence. The program, which also can be used for early intervention and treatment, is founded on social learning theory and draws on cognitive, developmental, and public health theories. Triple P has five intervention levels of increasing intensity to meet each family’s specific needs.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Touchpoints

The Touchpoints approach offers healthcare providers and early education professionals a framework to build better partnerships with families around mutual strengths-based caregiving and parent engagement, all of which benefit child outcomes. Rooted in child social, emotional and behavioral development, Touchpoints seeks to improve parent-provider relationships, improve provider relationships with each other, enhance parent-infant relationships, moderate parental stress, normalize parent’s perceptions of their child’s behavior, increase well-child care adherence, improve infant developmental outcomes, improve maternal mental health indicators, and encourage longer breastfeeding. A variety of professional tools, training activities and learning communities are offered for providers.

Topics:

Breastfeeding Other Parenting Education Socio-emotional Development for Children

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Systematic Training for Effective Parenting (STEP)

STEP provides skills training for parents dealing with frequently encountered challenges with their children that often result from autocratic parenting styles. STEP is presented in a group format, with optimal group size of 6 – 14 parents. The program is typically taught in 8 or 9 weekly, 1.5-hour study groups facilitated by a counselor, social worker, or individual who has participated in a STEP workshop. Parents engage in role-plays, exercises, discussions of hypothetical parenting situations, and the sharing of personal experiences.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Strengthening Families

Strengthening Families is a research-informed approach to increase family strengths, enhance child development and reduce the likelihood of child abuse and neglect. It is a systems development approach based on engaging families, programs and communities in building five protective factors: parental resilience, social connections, knowledge of parenting and child development, concrete support in times of need, social and emotional competence of children. Supported by helpful material that can be adopted and adapted for any program or service sector, including a program self-assessment to improve practice, an online data system, an online training curriculum, and the Strengthening Families national network.

Topics:

Other Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence Reading to Child Daily

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

STAR Parenting

STAR Parenting provides parents with tools and information they need to raise their children to be adults they admire. STAR Parenting provides parents (and anyone who works with children) with a problem-solving process, 5 general strategies, and 15 practical tools. STAR Parenting offers in-person and online training, and a STAR parenting community forum.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Nurturing Parent Programs

The Nurturing Parenting Programs are a family-centered trauma-informed initiative designed to build nurturing parenting skills as an alternative to abusive and neglecting parenting and child-rearing practices. The long term goals are to prevent recidivism in families receiving social services, lower the rate of teenage pregnancies, reduce the rate of juvenile delinquency and alcohol abuse, and stop the intergenerational cycle of child abuse by teaching positive parenting behaviors.

Lessons can be delivered in home setting, group setting, or combination. Nurturing Parents offer targeted programs for prenatal families, parents of babies and toddlers, parents of older children, Spanish speaking parents, parents of children with health challenges, teen parents, military parents, parents in substance abuse treatment and recovery, and more.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Intimate Partner Violence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Legacy for Children

Legacy for Children is primarily a group-based intervention approach, featuring regular group meetings of mothers, that include mother-only time and mother–child time. The meetings provide mothers with an opportunity to develop and explore goals for their children with other mothers in similar circumstances. Intervention specialists assist mothers in identifying and practicing ways to help their children realize those goals. The group sessions encourage exploration and trying out a variety of ideas and practices that have been associated with positive outcomes, allowing mothers to decide what is right for themselves and their children. Legacy also includes one-on-one sessions with mothers.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Reading to Child Daily

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

The Incredible Years

The Incredible Years (IY) Series is a set of interlocking and comprehensive training programs for parents, teachers and children. There are four basic parenting programs that target key developmental stages: IY Baby Program (0-8 months); IY Toddler Basic Program (1-3 years); IY Preschool Basic (3-6 years); IY School Age Basic (6-12 years) plus three adjunct parent programs focusing on cross-cutting issues. IY program goals include: Improved parent-child interactions, improved parental functioning, increased parental social support and problem solving, prevention and treatment of early onset conduct behaviors and emotional problems in children, and promotion of child social competence, emotional regulation, academic readiness and problem solving. For children over age 3, there are two child programs and one Incredible Teacher Classroom Management Program for teachers of children ages 3-8 .

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Reading to Child Daily

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Effective Black Parenting Program

CICC’s Effective Black Parenting Program (EBPP) is the country’s first culturally-adapted parenting skill-building program for parents of African American children. EBPP consists of 14 3-hour training sessions and a graduation ceremony. The program contains culturally-specific parenting strategies, general parenting strategies, basic parenting skills taught in a culturally-sensitive manner, using African American language expressions and African proverbs, and special program topics such as single parenting and preventing drug abuse. Targets families with children 0-18.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

SafeCare Augmented

SafeCare aims to prevent and address factors associated with child abuse and neglect. Eligible clients include families with a history of child maltreatment or families at risk for child maltreatment. SafeCare provides 18 to 22 weeks of training to parents with children from birth to age 5. During weekly or biweekly home visits, trained home visitors conduct baseline and follow-up assessments, observations, and trainings with parents. Trainings focus on three modules: 1) infant and child health, 2) home safety, and 3) parent-child interactions. SafeCare Augmented adds motivational interviewing and additional training of home visitors on identification and response to imminent child maltreatment and risk factors, such as substance abuse and depression. SafeCare Augmented was adapted for high-risk, rural communities. Only SafeCare Augmented is considered an evidence-based practice by HomVEE.

Topics:

Home Visiting Intimate Partner Violence Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Play and Learn Strategies (PALS)

The PALS curriculum was developed to facilitate parents’ mastery of specific skills for interacting with their infants and toddlers that lead to better child outcomes, particularly in children from high-risk families. PALS was designed as a preventive intervention program to strengthen the parent-child bond and stimulate early language, cognitive, and social development. The PALS Infant curriculum consists of 10 sessions and is appropriate for parents of infants from about age five months to one year. The PALS Toddler curriculum consists of 12 sessions and is appropriate for parents of toddlers from about age 18 months to 3 years.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Parents as Teachers (PAT)

PAT aims to increase parent knowledge of early childhood development and improve parenting practices, provide early detection of developmental delays and health issues, prevent child abuse and neglect, and increase children’s school readiness and school success. The PAT model consists of one-on-one home visits, group connections/meetings, health and developmental screenings for children, and a resource network for parents. Program lasts for at least two years, beginning as early as pregnancy and ending at the child’s 3rd birthday or at kindergarten entry.

Topics:

Home Visiting Parenting Education Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Reading to Child Daily Well Child Visits

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Oklahoma’s Community-Based Family Resource and Support (CBFRS) Program

CBFRS program, which targeted first-time mothers living in rural counties in Oklahoma, was developed to improve maternal and child health and child development. Weekly or biweekly home visits beginning before 28 weeks gestation continued to the child’s first birthday. The frequency of the home visits varied based upon the program phase. Home visits followed a standardized curriculum that covered maternal and child health, child growth and development, and parenting skills.

Topics:

Home Visiting Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Nurse Family Partnership

The Nurse Family Partnership program provides home visits by registered nurses to first-time mothers, beginning during pregnancy and continuing through the child’s second birthday. The program aims to: improve pregnancy outcomes by promoting health-related behaviors; improve child health, development, and safety by promoting competent caregiving; and enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment. Secondary goals include providing links with needed health and social services, and promoting supportive social relationships.

Topics:

Home Visiting Parenting Education Reproductive Life Planning/Family Planning Socio-emotional Development for Children

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Healthy Steps

Initiative emphasizing a close relationship between health care professionals and parents in addressing the physical, emotional, and intellectual growth and development of children from birth to age 3. Includes home visits, well-child visits with a clinician and Healthy Steps Specialist, child development and family health check-ups, a child development telephone information line, referrals for children and parents, age-appropriate books for children, and written materials for parents.

Topics:

Home Visiting Parenting Education Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Sustaining Breastfeeding Well Child Visits

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Healthy Families America

Designed for parents facing challenges including single parenthood, low income, and history of domestic violence, substance abuse, or mental health issues. Families are enrolled prenatally or at birth, and services are provided until the child’s 3rd or 5th birthday. Includes 1 home visit a week for the first 6 months, and less frequent visits after the child is 6 months of age.

Topics:

Case Management/Care Coordination Home Visiting Parenting Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Perinatal Depression Screening

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Every Child Succeeds

Provides home visits focused on child development to first-time at-risk mothers, from pregnancy until the child’s third birthday. Goals are to decrease abuse and neglect, reduce unintentional injuries, strengthen the parent-child relationship, improve utilization of diagnostic services, encourage good health practices, link families with primary care, promote an optimal environment for learning and emotional growth, encourage development and self-care of mothers, and begin the school readiness process. ECS uses both the Healthy Families America and Nurse-Family Partnership models. Evaluation showed a 60% reduction in infant mortality compared to control group, and more children on track for language development.

Topics:

Case Management/Care Coordination Home Visiting Parenting Education

Approaches:

Improve Women's Health Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Intimate Partner Violence Reading to Child Daily Usual Source of Care Well Child Visits Well Woman Visits

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Carey Temperament Scales (CTS)

A collection of five questionnaires for parents to rate their children on 9 temperament categories identified in the New York Longitudinal Study– activity level, regularity, adaptability, initial approach-withdrawal, intensity, mood, persistence, sensory threshold and distractibility. Each questionnaire covers a specific age range that corresponds to a developmental period. Together, they permit assessment of the NYLS temperament categories from 1 month of age up to 13 years.

Topics:

Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Brief Infant-Toddler Social Emotional Assessment (BITSEA)

BITSEA is a screening tool for children ages 12-36 months, used to determine the possibility of socio-emotional problems or delays. Focuses on competencies as well as deficits, and relies on input from the parent and child care provider.

Topics:

Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Early Intervention Program (EIP) for Adolescent Mothers

Designed for adolescents (14-19) from underserved minority groups who are pregnant with their first child and planning to keep the infant. Objective is to improve maternal health behaviors during and after pregnancy, improve birth outcomes, build maternal caretaking skills , improve the quality of mother-child interaction, prevent rapid repeat pregnancy, increase educational achievement, and build social competence. Program consists of 2 prenatal and 15 postpartum home visits until the child’s first birthday.

Topics:

Case Management/Care Coordination Home Visiting Parenting Education Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Early Head Start- Home Visiting

Early Head Start is a comprehensive, two-generation federal initiative aimed at enhancing the development of infants and toddlers while strengthening families. Targets low-income pregnant women and families with children birth to age 3 years. 1 home visit per week per family for 90 minutes each, and 2 group socialization activities per month for each family. Early Head Start programs are operating in all 50 states, DC, and Puerto Rico.

Topics:

Home Visiting Parenting Education Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Reading to Child Daily Well Child Visits

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Child FIRST

Child FIRST aims to decrease the incidence of abuse and neglect, developmental and learning problems, and emotional and behavioral disturbance among high-risk children and families. Provides home visiting services to pregnant women and families with children up to 6 years old. Includes a comprehensive assessment of child and family needs, parent-child mental health intervention, observation and consultation in early care and education, development of a child and family plan of care, and care coordination and case management.

Topics:

Home Visiting Intimate Partner Violence Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Patient Centered Primary Care Collaborative List of Patient Centered Medical Homes

The Patient-Centered Primary Care Collaborative is the leading national coalition dedicated to advancing the patient-centered medical home. This searchable list contains a list of available programs providing medical homes. The programs are listed by state and with publically-reported outcomes on cost savings, increased preventive services utilization, fewer ED/hospital visits, improved access, and patient and provider satisfaction.

Topics:

Patient-centered Medical Home

Approaches:

Improve Women's Health

Benchmarks:

Usual Source of Care

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Temperament and Atypical Behavior Scale (TABS)

The TABS Screener is a 15 item checklist completed by parents to identify children who should receive more thorough assessment for developmental items related to temperament and self-regulation. If a child’s score indicates a potential problem, the more extensive TABS assessment tool can be used. For use with children ages 11 to 71 months, TABS can be used for screening, research, determining eligibility for services, planning programs, and monitoring child progress and program effectiveness.

Topics:

Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Learn the Signs, Act Early

: Learn the Signs, Act Early aims to improve early identification of children with autism and other developmental disabilities so children and families can get needed services and support. The program has three components: a health education campaign, the Act Early initiative, and research and evaluation. The campaign promotes awareness of healthy developmental milestones during childhood, and the importance of tracking each child’s development and acting early if there are concerns. The Act Early Initiative works with state, territorial and national partners to improve early childhood screening and referral systems. The program website includes many free materials for providers, health centers and parents, videos and other multimedia tools and training programs for providers.

Topics:

Parenting Education Socio-emotional Development for Children

Approaches:

Strengthen Family Resilience

Benchmarks:

Reading to Child Daily

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Greenspan Social-Emotional Growth Chart

The Greenspan Social-Emotional Growth Chart measures social-emotional milestones in young children ages 0 to 42 months. It is a questionnaire completed by the child’s parent or other caregiver to understand how the child uses all capacities to meet needs, deal with feelings, think, and communicate. Used to determine whether further assessment or referral is warranted and can assist in monitoring growth and planning intervention.

Topics:

Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Ages and Stages Questionnaires: Socio-Emotional (ASQ:SE)

ASQ:SE is a screening tool that identifies infants and young children whose social and emotional development requires further evaluation to determine if referral for intervention services is necessary. ASQ:SE was developed to help home visiting, early intervention, Early Head Start, Head Start, child welfare agencies, and other early childhood programs accurately screen infants and young children determine who would benefit from an in-depth evaluation in the area of social-emotional development. Parents fill out easy to score questionnaires specific to their child’s age. Used for children 3-66 months.

Topics:

Socio-emotional Development for Children

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Native Babies Project Workbook Packet

A product of the Healthy Native Babies Project, this workbook packet explores ways to promote safe sleep messages and prevent Sudden Infant Death Syndrome (SIDS) among American Indian/Alaska Native infants. The contents of this workbook include handouts, a toolkit disk, and a toolkit user guide. Local health departments may use the toolkit to design culturally-appropriate posters, flyers, postcards, brochures, and other materials.

Topics:

Safe Sleep

Approaches:

Promote Quality

Benchmarks:

Safe Sleep

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Healthy Child Care America Back to Sleep Campaign

Aims to promote the health and safety of infants in childcare settings by providing education and outreach to child care providers regarding safe sleep recommendations. Offers a free, 1 hour online course designed to educate everyone who cares for babies on creating a safe sleep environment to reduce the risk of SIDS and other sleep related deaths. Includes promotional materials and brochures, and a presentation that can be used by health care professionals or anyone presenting on SIDS in childcare settings.

Topics:

Safe Sleep

Approaches:

Promote Quality

Benchmarks:

Safe Sleep

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Safe to Sleep® Public Education Campaign

The Safe to Sleep® campaign, formerly known as the Back to Sleep Campaign, offers a variety of materials to help share safe infant sleep messages with different audiences. Many of these items are available for download and order.

Topics:

Safe Sleep

Approaches:

Promote Quality

Benchmarks:

Safe Sleep

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Cribs for Kids

National organization which provides safe sleep education and products including a portable crib distributed to families through partner organizations. Provides a hospital initiative toolkit and the Safe Sleep Ambassador Education Outreach Program. Hospital Initiative Toolkit includes information and tools for hospitals to implement a hospital-based infant sleep safety program.

Topics:

Safe Sleep

Approaches:

Promote Quality

Benchmarks:

Safe Sleep

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

NICHQ’s Tools for Implementing Baby-Friendly 10 Steps

Free tools for healthcare sites to use in implementing several of the Baby-Friendly 10 steps. Includes a model Infant Feeding Policy for Baby-Friendly Designation in the USA, brochures, flip charts, and posters, resources on the importance of skin-to-skin care, the benefits of hand expression, the benefits of rooming in to mothers, and tools that support mothers to get track of their baby’s feeding times.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Implementing the Joint Commission Perinatal Care Core Measure on Exclusive Breast Feeding

This toolkit provides information on implementing the Perinatal Core Measure of exclusive breast milk feeding in a healthcare setting. The toolkit provides guidance on data collection and adherence to best practices.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Colorado Can Do 5! Initiative

Colorado-based initiative that provides informational sessions to state hospitals and medical centers on 5 Baby-Friendly steps associated with breastfeeding duration. 51 of 55 hospitals in Colorado have received training. Included in the CDC’s list of evidence based strategies to support breastfeeding.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Best Fed Beginnings

Nationwide quality improvement initiative to help hospitals improve maternity care and increase the number of “Baby-friendly” designated hospitals in the US. Administered by NICHQ with the CDC and Baby-Friendly USA. Recruited 89 hospitals to participate in a 22 month learning collaborative. Hospitals use quality improvement methods to learn how to make system level changes to maternity care practices in order to be designated “baby friendly.”

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Baby-Friendly Hospital Initiative

The Baby-Friendly Hospital Initiative outlines 10 steps that support the initiation of breastfeeding. The 10 Steps consist of evidence-based practices that have been proven to increase breastfeeding initiation and duration. Hospitals that have become Baby-Friendly have breastfeeding rates well above the national average. Endorsed and promoted by all major maternal and child health authorities, including CDC.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Loving Support Makes Breastfeeding Work

USDA’s national breastfeeding promotion and support campaign for the WIC program. Uses a social marketing approach to promote breastfeeding to WIC participants and families by emphasizing that the support of family and friends, the health care system, and the community are all essential for the success of breastfeeding mothers.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Loving Support Through Peer Counseling: A Journey Together

Developed by USDA to use the WIC Loving Support promotional campaign in a peer counseling setting. Peer counselors receive training on how to support prenatal and breastfeeding mothers in WIC programs at home over the telephone. Peer counselors may provide clinic-based counseling, make post-partum visits, lead prenatal breastfeeding classes and postpartum support groups, and/or provide one-on-one support in the hospital setting.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Loving Support To Glow and Grow in WIC

Staff training materials to train WIC staff in the skills required to promote and support breastfeeding in the WIC setting. Addresses adult learning strategies and core breastfeeding competencies for staff. Evidence based and informed by focus groups and interviews. Includes a CD of training materials, and video trainings available on DVD.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Infant Feeding Toolkit

Toolkit was piloted with providers involved with the Boston Healthy Start Initiative. The Infant Feeding Toolkit is a participatory, client-centered, approach to breastfeeding and will guide providers to use reflective listening, empathy, and encouragement with clients. The toolkit enables providers to exchange accurate and consistent infant feeding information, foster mutually reinforcing relationships, and empower clients to self-manage infant feeding goals. Focuses on delivery of breastfeeding supports during pregnancy and up to two weeks postpartum.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

HUG Your Baby (Help, Understanding, Guidance for Young Families)

Uses child development principles to boost parent confidence, facilitate parent-child bonding, and promote breastfeeding duration. HUG has been implemented in many countries and can been integrated into nursing programs, hospitals, home visitation programs, prenatal clinics, etc. Materials include DVDs, e-newsletters, blogs, music video songs, social media, posters, and online courses. Also includes The Roadmap to Breastfeeding Success, an additional lactation online course that integrates best practices in lactation support with child development theory.

Topics:

Breastfeeding Parenting Education

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Fathers Supporting Breastfeeding

The Fathers Supporting Breastfeeding program was created by the USDA and uses a video, poster, and brochures to reach African American fathers, so that they may positively influence their partners’ decision to breastfeed. The campaign is part of national efforts to increase breastfeeding initiation and duration rates among African American women. Project materials can also be used with men in other racial and ethnic groups.

Topics:

Breastfeeding

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Breastfeeding Support Evidence-Based Clinical Practice Guideline

Outlines evidence-based assessment and intervention parameters designed to assist health care providers who care for breastfeeding mothers and their infants, women who are considering breastfeeding or those who are planning to breastfeed. Objectives: provide information necessary to promote breastfeeding, assess and evaluate factors that influence breastfeeding rates, and provide care and education during the preconception, prenatal, and postpartum periods aimed at facilitating a successful breastfeeding experience for mothers.

Topics:

Breastfeeding

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides Federal grants to States for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk.

Topics:

Nutrition

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding Well Child Visits Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

AGOG Recommendation for Postpartum Management of Gestational Diabetes

ACOG (The American College of Obstetricians and Gynecologists) Practice Bulletin #137 on Gestational Diabetes contains a flow chart for postpartum management of women with gestational diabetes. This is the official ACOG recommendation.

Topics:

Chronic Disease

Approaches:

Improve Women's Health

Benchmarks:

Postpartum Visit

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Postpartum Depression Screening Scale (PDSS)

The PDSS is a 35-item self-report instrument that can be administered in 5-10 minutes. Identifies women who are at high risk for postpartum depression so that they can be referred for definitive diagnosis and treatment. Written at a third grade reading level.

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Edinburgh Postnatal Depression Scale (EPDS)

The Edinburgh Postnatal Depression Scale was developed to screen postpartum women for depression in an outpatient setting. It is a 10 question screen that takes about 3-5 minutes to complete, and is easy to score. The EPDS asks the patient how she has been feeling over the last seven days. It has been validated for use during both pregnancy and the post-partum period. It has been translated into 23 languages.

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Depression During and After Pregnancy: A Resource for Women, Their Families, and Friends

Informational booklet for new mothers suffering from postpartum depression, published online in English and Spanish by the HRSA Maternal and Child Health Bureau.

For the Spanish version please click Here.

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Neonatal Abstinence Syndrome: How States Can Help Advance the Knowledge Base for Primary Prevention and Best Practices of Care

Published by the Association of State and Territorial Health Officials (ASTHO), this document contains the most recent (2014) guidelines for the screening, referral, and treatment of Neonatal Abstinence Syndrome.

Topics:

Alcohol/Drug Services Other Risk Assessment

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Coming of the Blessing

Addresses the high rate of infant deaths and premature births among American Indians and Alaska Native babies. A group of women representing 10 different tribes developed health education resources that embrace the cultural and spiritual beliefs related to pregnancy and childbirth shared by many native people. 88 percent of the moms who received prenatal education through this program attended all their prenatal appointments. The preterm birth rate of more than 14 percent dropped to 7 percent among women who participated in the “The Coming of the Blessing” and gained a “promising practice” seal from the Indian Health Services.

Topics:

Prenatal Care and Education Risk Assessment

Approaches:

Benchmarks:

Reducing Early Elective Deliveries Smoking Abstinence Well Woman Visits

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Birthing Project USA

African-American maternal and child health program that encourages better birth outcomes by providing support to women during pregnancy and for one year after birth. Aims to assist local communities in improving health status by addressing the systemic causes, including lack of education, lack of social justice, and economic disparities compounded by institutional political and personal barriers. Birthing Projects actively engage community residents in identifying their needs; implementing and evaluating services; and working collaboratively with other agencies, organizations and individuals. Also provides guidance and support to fathers. The Birthing Project concept has grown into a nationally recognized model which has been replicated in more than 90 communities.

Topics:

Life Course Model Partner Involvement Risk Assessment

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Medicare and Medicaid Electronic Health Records Incentive Programs

The Medicare and Medicaid Electronic Health Care Record (EHR) Incentive Programs provide incentive payments to eligible professionals, eligible hospitals, and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Contains information on the incentive programs, an eligibility assessment took, and information on getting started to implement EHRs.

Topics:

Other

Approaches:

Increase Accountability

Benchmarks:

Quality Improvement/Evaluation

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Ohio Perinatal Quality Collaborative (OPQC)

The OPQC uses quality improvement methods to reduce preterm births and improve outcomes of preterm newborns. OPQC has worked with 20 maternity hospitals in Ohio, which represents 47 percent of all births in the state, through a collaborative focused on several obstetric improvement projects. Efforts included documenting the method of pregnancy dating, documenting reasons for scheduled delivery before 39 weeks, educating patients about risks of delivery before 39 weeks, implementing a scheduled delivery form, establishing direct communication with pediatricians, promoting early ultrasound, and conducting ongoing monitoring of clinical data using the Ohio birth certificate.

Topics:

Case Management/Care Coordination Prenatal Care and Education Risk Assessment

Approaches:

Promote Quality

Benchmarks:

Reducing Early Elective Deliveries Well Child Visits

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

CDC’s Recommendations for Vaccines for Pregnant Women

The CDC offers vaccination recommendations for preconception/interconception, prenatal, and postpartum women. An Immunization and Pregnancy Vaccine Flyer, recommended immunizations schedule, and vaccine quiz are all available online. The influenza vaccine is recommended for all women, including pregnant women.

Topics:

Immunization

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

AAFP Updated Guidelines for Prenatal Care

Recommendations for providers of prenatal care.  Includes current evidence-based guidelines and easy-to-reference charts and tables on recommended prenatal screenings, vaccinations, dietary guidelines, counseling topics, sexually transmitted infections, and complications of pregnancy.

Topics:

Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Why the Last Weeks of Pregnancy Count

A variety of bilingual materials explain why it is important not to schedule an induction or Cesarean section for non-medical reasons before 39 weeks gestation. Fetal growth and development in the last few weeks of pregnancy is highlighted.

Topics:

Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Reducing Early Elective Deliveries

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Babies are Worth the Wait

Objective was to decrease the preterm birth rate in Kentucky by addressing preventable preterm births. Selected activities included the formation of Local Advisory Committees to inform the work; ongoing comparison of current practice to new science and best practice; identifying and addressing gaps in the system of care; education of providers, patients, and public about new information around prematurity and risks of early births; implementation of evidence-based practices; strengthening systems of care; and measuring progress. The HBWW model has been expanded to many sites in Texas.

Topics:

Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Reducing Early Elective Deliveries

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

PASOs

“PASOs (or “steps” in Spanish) aims to improve health of Latino families in South Carolina by educating Latino parents and caregivers on issues related to healthy pregnancies and prenatal care, as well as appropriate child development and resources for child health, and by advocating for better, more accessible services for Latinos. PASOs provides a free, comprehensive 14-hour prenatal empowerment course, community health outreach and individual interventions to Latino families, and consultative services for maternal and child health providers and policymakers throughout South Carolina.

Topics:

Parenting Education Prenatal Care and Education

Approaches:

Improve Women's Health Promote Quality Strengthen Family Resilience

Benchmarks:

Initiating Breastfeeding Reading to Child Daily Reproductive Life Plan Sustaining Breastfeeding Well Child Visits Well Woman Visits

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Text4Baby

Text4baby is a free mobile information service designed to promote maternal and child health through text messaging. Lasts through pregnancy until baby’s first birthday. The messages address topics such as prenatal care, labor signs and symptoms, urgent alerts, breastfeeding, nutrition, exercise, oral health, immunizations, birth defect prevention, developmental milestones, safe sleep, family violence, injury prevention, mental health, substance abuse, car seat safety, and more.

Topics:

Alcohol/Drug Services Breastfeeding Depression Intimate Partner Violence Nutrition Parenting Education Safe Sleep

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Initiating Breastfeeding Intimate Partner Violence Perinatal Depression Follow Up Safe Sleep Sustaining Breastfeeding

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Centering Pregnancy

CenteringPregnancy is a multifaceted model of group care that integrates the three major components of care: health assessment, education, and support, into a unified program within a group setting. Eight to twelve women with similar gestational ages meet together, learning care skills, participating in a facilitated discussion, and developing a support network with other group members. Each Pregnancy group meets for a total of 10 sessions throughout pregnancy and early postpartum. The practitioner, within the group space, completes standard physical health assessments.

CenteringPregnancy starts around the beginning of the second trimester and goes through delivery.

Topics:

Other Risk Assessment

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Well Child Visits Well Woman Visits

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Beginnings Guide

The Beginnings Guide is an easy to understand pregnancy and childcare guide developed to improve health literacy. Used in 6+ home visitation programs serving low-income, ethnically diverse pregnant women and new parents, the guide was found to lead to significant improvements in functional health literacy scores across three ethnic groups and all reading levels and age groups. The approach/curriculum includes regular assessments of health literacy and should be integrated into established home visit programs. The guides are available to order online.

Topics:

Health Literacy Parenting Education

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Initiating Breastfeeding Intimate Partner Violence Smoking Abstinence

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Health Cares About IPV

This toolkit for providers offered by Futures without Violence® includes assessment tools for screening women for IPV in a clinical setting, and information on supported referral and counseling. Accompanying materials available for purchase include promotional materials for healthcare settings, and the publication Addressing Intimate Partner Violence, Reproductive and Sexual Coercion: A Guide for Obstetric, Gynecologic and Reproductive Health Care Settings.

Topics:

Intimate Partner Violence

Approaches:

Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Prenatal Plus Program

Prenatal Plus is a program that provides care coordination, nutrition and mental health counseling to Medicaid-eligible pregnant women in Colorado who are at a high risk for delivering low birth weight infants. The program uses the client-centered counseling approach with all participants to address a variety of issues that have been shown to have a negative impact on birth outcomes. The key health areas targeted by this program are healthy weight, smoking cessation and depression. The program has been demonstrated to decrease the rate of low-birth weight infants and resolve the risks putting women at risk of delivering low-birth weight infants.

Topics:

Case Management/Care Coordination Depression Healthy Weight Tobacco Cessation

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Prenatal Involvement Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Living Smart, Living Fit

Intervention program that provides comprehensive care to low-income pregnant and postpartum women with high BMI and depressive symptoms. Links patients to clinical care coordinators trained in motivational interviewing who promotes participation in a portfolio of mental and physical wellness activities.

Topics:

Depression Healthy Weight

Approaches:

Improve Women's Health Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Well Woman Visits

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

The Parent Child Assistance Program (PCAP)

Evidence-based home visitation case-management model for mothers who abuse alcohol and/or drugs during their pregnancies. PCAP’s goals are to assist substance-abusing pregnant women and mothers in obtaining treatment for substance abuse and staying in recovery, to ensure that children are in safe and stable home environments and are connected to health care, to connect mothers to community resources, and to prevent future births of alcohol and drug-affected infants. Piloted in Washington State, PCAP has been replicated in 7 states, and across Canada and New Zealand.

Topics:

Alcohol/Drug Services Case Management/Care Coordination Home Visiting

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Well Child Visits Well Woman Visits

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

T-ACE

T-ACE is a measurement tool with four questions that are significant identifiers of risk drinking (i.e., alcohol intake sufficient to potentially damage the embryo/fetus). The T-ACE is completed at intake. The T-ACE score has a range of 0-5. The value of each answer to the four questions is totaled to determine the final T-ACE score. Included on the Healthy Start National Evaluation Program Survey.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

IHR’s 5P’s

This 5 P’S Screening Tool is based on Dr. Hope Ewing’s 4 P’s (Parents, Partner, Past and Pregnancy), and was designed specifically for pregnant women. The tool is quick, easy, and non-threatening. In order to capture risk among women at risk for use or not ready to report their own use, the tool asks about substance use among other people important in the patient’s life, including her parents and partner. Included on the Healthy Start National Evaluation Program Survey.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health Promote Quality Strengthen Family Resilience

Benchmarks:

Perinatal Depression Screening Smoking Abstinence Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

CAGE-AID

Commonly used, 5-question tool that screens for drug and alcohol use/abuse. The CAGE-AID Assessment is a quick questionnaire to help determine if further assessment is needed. If a person answers yes to two or more questions, a complete assessment is advised. Included on the Healthy Start National Evaluation Program Survey.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

AUDIT (Alcohol Use Disorders Identification Test)

10-item questionnaire that screens for hazardous or harmful alcohol consumption. Developed by the World Health Organization (WHO), it correctly classifies 95% of people into either alcoholics or non-alcoholics. The AUDIT has been used with a variety of populations and cultural groups. It should be administered by a health professional or paraprofessional. Included on the Healthy Start National Evaluation Program Survey.

Topics:

Alcohol/Drug Services

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

You Quit Two Quit

You Quit Two Quit aims to ensure that there is a comprehensive system in place to screen and treat tobacco use in women, pregnant women, and postpartum mothers. You Quit Two Quit focuses on low-income women, new mothers, and recidivism prevention. Project activities include increasing the number of providers who screen, advise, and refer patients to the North Carolina Quitline, distributing patient and provider education materials statewide, developing best-practice, sustainable, community based smoking cessation projects for women, pregnant women, and new moms, and creating continuity of care by focusing on the preconception, prenatal and perinatal periods, and including an emphasis on preventing postpartum relapse and eliminating second-hand smoke exposure.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

The Smoking Cessation Reduction in Pregnancy Treatment (SCRIPT) Program

The SCRIPT program is designed to be a component of a patient education program for prenatal care providers. The program includes A Pregnant Woman’s Guide to Quit Smoking, a 40 page guide outlining a self-evaluation process to help women quit smoking over a 7 day period; a 15 minute motivational DVD; comprehensive counseling to help pregnant smokers quit or reduce their smoking; and follow up programming to help mothers establish a non-smoking home after birth.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Smoking Cessation in Pregnancy and Beyond: A Virtual Clinic

An updated online training, based on the “Virtual Practicum” model, designed to help health care practitioners assist female patients in quitting smoking, in particular women who are pregnant or in their child-bearing years. The training is intended for physicians, physician assistants, nurse-midwives, registered nurses, licensed practical/vocational nurses, nurse practitioners, certified health educators, other health educators, pharmacists, health professional students, and other professionals who may interact with women of reproductive age.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Prenatal and Postpartum Behavioral Counseling

An in-person and telephone-based counseling program for pregnant African-American women with the goal of reducing behavior-related risk factors during pregnancy and in the postpartum period. In addition to receiving standard prenatal care, pregnant women attend an average of four behavioral counseling sessions during pregnancy and one session after giving birth. The intervention significantly reduced health risks from baseline to 10 weeks postpartum. Early results from a study evaluating the program’s impact on birth weight and infant mortality are encouraging.

Topics:

Depression Intimate Partner Violence Tobacco Cessation

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Smoking Abstinence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Clinical Effort Against Secondhand Smoke Exposure (CEASE) Program

In an effort to reduce children’s exposure to tobacco smoke, the Clinical Effort Against Secondhand Smoke Exposure program uses pediatric offices to provide smoking cessation assistance to parents who smoke, as well as to help families establish rules for a completely smoke-free home and car. Trained pediatricians and office staff consistently and systematically use a streamlined, three-step version of the traditional five-step (i.e., ask, advise, assess, assist, arrange) approach to smoking cessation and smoke-free home and car rule support. The program has led to an increase in the provision of cessation assistance and higher quit rates.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Baby & Me – Tobacco Free

Incentive based program to increase smoking cessation among women during and after pregnancy. Demonstrated quit rate of 60% at 6 months post-partum. Developed in New York, now implemented in 8 states. Mothers commit to quitting smoking while pregnant, and stay nonsmoking after the birth. Mothers must attend at least 4 smoking cessation counseling sessions, and agree to submit to breath tests. If mothers remain smoke free, they receive monthly vouchers for free diapers up until their baby’s first birthday.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Pathways Model

The Pathways Model employs community health workers who connect at-risk women to evidence-based care using individualized pathways designed to produce healthy outcomes. The model promotes timely, efficient care coordination through incentives. It prevents service duplication by using a Community Hub, a regional point of patient registration, and quality assurance to support a network of agencies involved in providing care to the target population. The first implementation of the model in Richland, Ohio, resulted in increased services to at-risk women and a decline in the rate of low-birth-weight babies.

Topics:

Case Management/Care Coordination

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Well Child Visits Well Woman Visits

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

MCH Life Course Toolbox

This toolbox is an online resource for Maternal and Child Health researchers, academics, practitioners, policy advocates, and others in the field to share information, innovative strategies, and tools to integrate the Life Course Perspective into MCH work at the local, state, and national levels. Includes resources and tools to learn about the Life Course Perspective and strategies to incorporate the Life Course model into practice and policy.

Topics:

Life Course Model

Approaches:

Improve Women's Health

Benchmarks:

Usual Source of Care

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

CDC’s Information for Men on Preconception Health and Health Care

Men’s portion of the CDC’s information on preconception health and health care. Includes information on making a reproductive life plan for men, preventing and treating sexually transmitted diseases, tobacco and drug cessation, infertility, maintaining a healthy weight, learning about family history, getting help for violence, getting mentally healthy, and supporting one’s partner.

Topics:

Alcohol/Drug Services Chronic Disease Depression Healthy Weight Intimate Partner Violence Partner Involvement Reproductive Life Planning/Family Planning STDs including HIV Tobacco Cessation

Approaches:

Improve Women's Health Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Patient Health Questionnaire-9 (PHQ-9)

Nine item questionnaire for patients to measure depressive symptoms over the past two weeks. Questions are linked to the DSM-IV depression criteria, and therefore scores can be used to track changes in depression as a response to treatment. Included on the Healthy Start National Evaluation Program Survey

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Center for Epidemiologic Studies Depression Scale CES-D

One of the most common screening tests for depression. Asks how the person felt and behaved over the last week. 10 or 20 question self-reporting instrument, measures symptoms defined by the American Psychiatric Association’ Diagnostic and Statistical Manual (DSM-IV) for a major depressive episode.

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

BDI-FastScreen

The BDI-FastScreen is a 7-item self-reporting instrument used to quickly screen for depression in adolescents and adults. The screen can identify depression while excluding symptoms that might be related to medical problems, and was specifically designed for evaluating depression in patients whose behavioral and somatic symptoms attributable to biological, medical, alcohol and/or substance abuse problems may confound diagnosis.

Topics:

Depression

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Strong Healthy Women

Health behavior intervention that aims to improve women’s preconception and interconception health. Developed for low-income rural communities in Central Pennsylvania. Enrolls non-pregnant women capable of becoming pregnant in the future. Provides education about health-related factors associated with poor pregnancy outcomes; facilitates increased physical activity and improved nutrition; and encourages self-efficacy for personal healthcare. Enrollees attend six 2 hour group sessions over 12 weeks. Intervention was found to have improved attitudes and behaviors related to nutrition, folic acid supplementation, physical activity, and stress management, increased internal control of birth outcomes, lowered weight and BMI, and lowered pregnancy weight gain.

Topics:

Healthy Weight Nutrition

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan Well Woman Visits

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

CHOICES: A Program for Women About Choosing Healthy Behaviors

Brief intervention for non-pregnant women of childbearing age that are at risk for Alcohol Exposed Pregnancy. The intervention consists of four motivational interviewing sessions with a counselor/interventionist and one contraception counseling visit with a health care provider over a 12- to 14-week period. Program participants receive In-depth assessment of alcohol use and contraceptive use patterns; counseling about the consequences of alcohol use during pregnancy; advice and counseling, referral to community treatment services for alcohol-dependent drinkers; reproductive health education, and contraceptive services. Can be adapted, and has been implemented in about 30 sites.

Topics:

Alcohol/Drug Services Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Women Enjoying Life Longer Project (WELL)

Women’s health integration project piloted at the Title X family planning clinics in Baltimore County. The primary objective was to improve the general health of young women and, if they later became pregnant, to help them enter pregnancy in a healthier state. WELL provides a model for the integration of health services to promote wellness among Maryland women. WELL Project participants live at or below the federal poverty level and are uninsured. Presented as an innovative clinical women’s health model at the American Public Health Association, CDC, AMCHP, and CityMatCH.

Topics:

Depression Healthy Weight Intimate Partner Violence Tobacco Cessation

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Smoking Abstinence

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Smokefree MOM, women.smokefree.gov

Women.smokefree.gov includes resources for women at any stage hoping to quit smoking tobacco, and has an entire section devoted to pregnant women and mothers. Smokefree MOM is a free texting service that provides tips, advice, and support for pregnant mothers in the process of quitting smoking.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

5A’s – Five Major Steps to Intervention

An easy-to-implement, evidence-based clinical counseling approach. The 5 A’s: Ask, Advise, Assess, Assist, and Arrange are 5 steps providers can use to identify appropriate interventions based on a patient’s willingness to quit.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

1-800 Quit Now

Calling 1-800-QUIT-NOW will connect you directly to your state quitline. All states have quitlines in place with trained coaches who provide information and help with tobacco cessation. Specific services and hours of operation vary from state to state.

Topics:

Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Every Woman North Carolina: North Carolina Preconception Health Campaign

Statewide initiative aimed at improving birth outcomes in North Carolina. The campaign aims to reduce infant mortality, birth defects, premature birth, and chronic health conditions in women while increasing intended pregnancies. Initiatives include: the Community Ambassador Program, which trains community health educators; the Office Champion Program, to encourage health care providers to recommend vitamins and folic acid to all women of childbearing age; targeted outreach to Latino populations; and media and materials touting the benefits of folic acid and preconception health. Accompanying website includes tools for reproductive life planning.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Women, Healthy Futures

Healthy Women, Healthy Futures aims to improve the physical, emotional, social, dental, and vision health of low-income, at-risk mothers before they become pregnant again, as a strategy to reduce rates of LBW and infant mortality. Participants attend weekly workshops , develop health and reproductive life plans, and consult with HWHF trained staff at home visits. Evaluation data to this point show health improvements due to improved knowledge and resultant behavior change; lifestyle improvements, such as increased exercise and better nutrition; and healthy, full-term pregnancies among participants.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Method Match

Method match is an interactive web site designed to assist women in choosing a method of contraception that meets their unique lifestyle and contraceptive needs. The tool allows women to sort, filter, and compare contraceptive methods to arrive at a decision that is right for them.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Birth Control Methods: Frequently Asked Questions

An easy-to-read, FAQ style booklet covering all currently available methods of contraception. Includes a chart comparing the various methods on failure rate, risks, and side effects. Available online and free paper copies can be ordered.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Show your Love Campaign

The Show Your Love campaign’s main objective is to increase the proportion of women who plan when to become pregnant, and who engage in preconception health behaviors before becoming pregnant. The campaign targets women 18-44, and includes TV and radio PSAs, educational videos, posters, a campaign website, consumer checklists and social media tools.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

One Key Question Initiative (OKQ)

The One Key Question Initiative encourages all primary care providers to ask women the question “Would you like to become pregnant in the next year?” as a routine part of primary care. Asking this simple question ensures that more pregnancies are wanted, planned, and healthy. OKQ has been endorsed by American Public Health Association, American Academy of Family Physicians, and National Association of Nurse Practitioners in Women’s Health.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Before, Between, and Beyond Pregnancy : The National Preconception Curriculum and Resources Guide for Clinicians

A “one stop” resource for clinicians and others who want to learn more about preconception health, its history, the evidence supporting it and strategies for incorporating relevant content into daily clinical practice. Contains a Preconception Care Clinical Toolkit designed to help providers meet their patient’s needs in response to the question “Are you hoping to become pregnant in the next year?” Also includes CME opportunities, key articles, clinical guidance, and practice resources.

Topics:

Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Birth Spacing Reproductive Life Plan

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Denver Interconception Health Promotion Initiative

A home-based case management program for women who previously had a low birth weight baby, a fetal demise or a baby with congenital anomalies, and who planned on having more children. The goal was to improve future pregnancy outcomes. Patients were recruited at the time of delivery of a qualifying infant, and received a comprehensive evaluation, and intensive, relationship-based home visitation services, focused on a variety of domains, including maternal role, follow-up of medical and reproductive health issues, contraception, and life course. Compared to women who declined the program, women who participated were more likely to follow through on postpartum care and birth control use, had a longer interconception period and their subsequent babies were heavier, less likely to be low birth weight and less likely to require a NICU stay.

Topics:

Case Management/Care Coordination

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Birth Spacing Postpartum Visit Well Woman Visits

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Internatal Care Program (ICP)

The ICP provides clinical care, care coordination, and health education to underserved or uninsured women with prior poor birth outcomes. Objectives include improving the health of women prior to pregnancy, increasing the number of women who deliver at term, improving birth intervals, increasing access to quality preconception, interconception, prenatal, and postnatal health care, and providing continuity of care and care coordination from the postnatal period through subsequent pregnancies.

Topics:

Case Management/Care Coordination

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Birth Spacing Postpartum Visit Reducing Early Elective Deliveries Reproductive Life Plan Well Woman Visits

Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.

Getting the Coverage You Deserve: What to Do If You Are Charged a Co-Payment, Deductible, or Co-Insurance for a Preventive Service

This toolkit provides information on women’s preventive health services covered under the Affordable Care Act, and tools women can use if they encounter problems with this coverage. Includes templates for appeal letters to insurance companies in case of being wrongfully charged co-pays or deductibles for preventive services, birth control, breastfeeding counseling, BRCA testing, colonoscopy, or well-woman visits.

Topics:

Insurance Coverage

Approaches:

Improve Women's Health

Benchmarks:

Health Insurance

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.