Document Type

Research Brief

Publication Date

2020

Abstract

Healthy Families New York (HFNY) is a voluntary, evidence-based Healthy Families America (HFA) home visiting program supporting families with high needs across New York State. HFNY’s goals are to foster parent-child bonding and relationships; promote optimal child and family health, development, and safety; enhance family self-sufficiency; and prevent child abuse and neglect (see: www. healthyfamiliesnewyork.org).

Under typical HFNY processes, known as a two-step process, a Family Resource Specialist meets with families in their homes to conduct an in-depth discussion of their service needs and eligibility for intensive home visiting services. The information obtained during this discussion is then used to refer families to services in the community that meet their needs and goals, and to score the Parent Survey to determine HFNY eligibility. Families who score 25 or higher on the Parent Survey are offered intensive HFNY in-home services. Those who accept are referred to a Family Support Specialist for enrollment and service delivery. However, some HFA programs across the country have moved to a streamlined assessment and enrollment process, known as a one-step process, where the same worker conducts the assessment and provides intensive home visiting services to eligible families. This process allows for continuity for families but also requires staff to master multiple skillsets. In January 2018, HFNY embarked on a three-year pilot of one-step enrollment process in three program sites. In this Brief, we present key findings from the first year of implementing a one-step process.

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