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Fiscal Years 2010 and 2011 Tribal Home Visiting Grantees & Abstracts

Affordable Care Act: Tribal Maternal, Infant, and Early Childhood Home Visiting Grant Program

Published: September 11, 2012
Special Initiatives
Fact Sheet

Grants Are 5-Year Cooperative Agreements

Grant Recipient Project Period City State Type of Recipient Year 1 Award Years 2-5 Annual Award Project Title Abstract
Cohort 1- Awarded Fiscal Year 2010
Choctaw Nation of Oklahoma September 30, 2010 - September 29, 2015 Durant OK Tribe $252,000 $504,000 Choctaw Nation of Oklahoma Tribal Maternal, Infant, and Early Childhood Home Visiting Program – Project Chahta Inchukka The Chahta Inchukka Project, meaning Choctaw’s Home, will provide early childhood development services to Native American pregnant and parenting women of children aged from birth to kindergarten entry throughout five of the Choctaw Nation’s 10½ counties. The program will provide high-quality, evidence-based curriculum for home visiting services and evaluation activities to increase the knowledge base on what works in Tribal home visiting programs. Project goals will be to improve maternal and child health, prevent child injuries, abuse, neglect, or maltreatment; improve school readiness and child academic achievement; reduce crime and/or domestic violence; improve family economic self-sufficiency; and improve coordination of referrals for other community resources and supports. A collaborative and interdisciplinary approach including (1) intensive home visitation by home visit specialists and referrals to community and Tribal resources; and (2) a strong research-based curriculum, are key components of this program.
Fairbanks Native Association (FNA) September 30, 2010 - September 29, 2015 Fairbanks AK Urban Indian Organization $250,000 $500,000 Fairbanks Native Association Tribal Home Visiting FNA will launch the Tribal Home Visiting Project with a goal of implementing a model evidence-based home visiting program that can be replicated by other Tribal organizations around the country. In the first year of five, a team of FNA staff and qualified contractors will conduct grant activities to accomplish a needs assessment, planning, and capacity-building. Service implementation during year one will include staff training for the selected evidence-based model. To achieve the greatest community coordination, FNA will conduct a needs assessment of the tribal community in collaboration with other community agencies. To identify gaps in services, it will consider demographics, environment, and financial profile of current resources. To adopt the best evidence-based program to meet the needs of our community identified by the assessment, FNA will research other tribal home visiting or adaptable home visiting strategies, including our own Parents as Teachers and Early Head Start models. A baseline cultural assessment of our current programs will demonstrate the need for American Indian and Alaska Native (AIAN) values in home visiting. To achieve successful implementation, FNA will adjust our current organizational infrastructure and capacity, including extensive staff training. Fidelity testing will be a key strategy so that the model adds to the base of evidence that home visiting strategies are effective in reducing risk factors for AIAN’s.
Kodiak Area Native Association (KANA) September 30, 2010 - September 29, 2015 Kodiak AK Tribal Organization $236,000 $472,000 KANA Cama’I Program Cama’i is a Alutiiq greeting, meaning welcome. This program will develop healthy, happy, successful American Indian/Alaska Native (AIAN) children and families of the Koniag region by (1) assessing the needs of the population, planning, and building capacity to operate a comprehensive evidence-based home visiting program in future funding years; (2) developing a plan to build capacity to respond to identified needs; (3) identifying the quality and capacity of existing programs for early childhood home visiting in the Koniag region (conducting a scan); and (4) assessing community capacity for providing substance abuse treatment and counseling services to individuals and families in need of such treatment or services. The target population to be served by KANA’s Cama’I Program is the AIAN population of the Koniag region.
Lake County Tribal Health Consortium (LCTHC) September 30, 2010 - September 29, 2015 Lakeport CA Tribal Organization $196,000 $402,970 Welcoming the Spirit II: Strengthening Families Through Partnerships Lake County’s Tribal residents are coping with historical trauma, due to forced relocation in the 1960s, chronic poverty, and the intergenerational effects of fetal alcohol syndrome (FASD), and adverse childhood experiences. At least 20% of the children and their mothers served by LCTHC have FASD. Due to remoteness and small populations, our Tribe has never had a valid, reliable, comprehensive needs assessment to guide planning and service delivery. There are no evidence-based home visiting programs or Tribal Head Start. The Project will (1) conduct a comprehensive, collaborative needs assessment of all Tribal populations in Lake County; (2) use the process to build relationships; (3) build capacity to prepare to implement evidence-based home visiting models; (4) select the model(s) and obtain consensus; (5) establish an evaluation design, data collection system, and interactive database; (6) create formal data sharing and capacity building agreements; and (7) prepare an implementation plan for the selected models. Our overarching goal is to improve outcomes for Native families through the social-ecological framework.
Native American Community Health Center, Inc. (NATIVE HEALTH) September 30, 2010 - September 29, 2015 Phoenix AZ Urban Indian Organization $266,000 $532,000 NATIVE HEALTH Home Visiting Program NATIVE HEALTH (NH) proposes a program targeted to American Indian/Alaska Native (AIAN) children and families through a coordinated, high-quality, evidence-based home visiting strategy. The NH Home Visiting Program will promote improved outcomes in maternal and prenatal health, infant health, and child health and development; reduced child maltreatment; improved parenting practices related to child development outcomes; improved school readiness; improved family socio-economic status; improved coordination of referrals to community resources and supports; and reduced incidence of injuries, crime, and domestic violence. The NH Home Visiting Program will provide effective coordination and delivery of critical health, development, early learning, child abuse and neglect prevention, and family support services to AIAN children and families. The program will contribute to the development of systems for pregnant women, parents/caregivers, and young children to improve health, development, and social welfare outcomes. Staff will assist participants to positively impact their child’s health, development, and prospects for opportunity.
Native American Professional Parent Resources (NAPPR) September 30, 2010 - September 29, 2015 Albuquerque NM Urban Indian Organization $330,000 $660,000 NAPPR Evidence-Based Home Visiting NAPPR will use a “community-based participatory research process” to conduct a comprehensive needs assessment and planning process related to providing evidence-based home visiting in Native American/Tribal communities. A steering committee and focus groups from local communities will provide input into the process. This process will determine current home visiting services, capacity for evidence-based home visiting models and infrastructure development needs in both urban and Native American reservation communities in Bernalillo and Sandoval Counties, New Mexico. Goals include: selection of evidence-based model(s) of home visiting; increased capacity of Tribes and the off-reservation community; development of criteria to determine effectiveness of evidence-based home visiting; expansion of evidence-based home visiting models in Tribal communities; and increased collaboration.
Northern Arapaho Tribe September 30, 2010 - September 29, 2015 Fort Washakie WY Tribe $171,000 $342,000 Wind River Indian Reservation Maternal, Infant, and Early Childhood Home Visiting Program The Wind River Home Visiting Program (WRHVP) offers the opportunity to develop and implement a culturally-tailored and comprehensive home visiting program for pregnant women, mothers, fathers, and their infants and young children on the Wind River Indian Reservation. The program has been designed to coordinate with and expand the services provided through Tribal WIC, the CDC Infant Mortality Prevention Program, and other Tribal services programs to provide a comprehensive and complete set of services that will address the multiple factors that contribute to maternal and child health and well-being disparities that exist among American Indian women in this area. The expected outcomes for Phase I of the project include: engagement of the community in planning and supporting the development of the home visiting program; identification of effective structures and strategies for home visiting programs that can guide the design of the WRHVP; an assessment of community needs, capacity, and priorities for maternal, infant, and early childhood home visiting; and a detailed implementation plan for the WRHVP.
Port Gamble S’Klallam Tribe September 30, 2010 - September 29, 2015 Kingston WA Tribe $261,000 $422,350 Port Gamble S'Klallam Tribe Maternal, Infant and Early Childhood Together for Children Home Visitation Grant Program The Port Gamble S’Klallam Tribe will conduct a comprehensive needs assessment of pregnant women, expectant fathers, and families with young children who are at risk in the Tribal community. Based on this assessment, the Tribe will identify an evidence-based, culturally appropriate model for home visitation to integrate into its existing programs. The Tribe has experience with home visitation in its Family Preservation Services Program (FPSP), and providing limited nurse home visitation services to pregnant women through its health services. However, these services are still quite limited, and they are not built on the framework of an evidence-based model. The needs assessment will be conducted by the FPSP, under the auspices of the Chi-E-Chee Network, a coalition of key internal tribal partners including Health and Human Services, Advocates for Strong Kids, Early Childhood Education, Public Safety and Children, and Family Services, as well as external partners including the Kitsap County Board of Health. This collaborative network will assure that the needs assessment is comprehensive in scope, and that the home visitation model chosen responds to its findings.
Pueblo of San Felipe September 30, 2010 - September 29, 2015 San Felipe NM Tribe $100,000 $255,000 Pueblo of San Felipe Katishtya Maternal, Infant, and Early Childhood Home Visiting Program The goal of the Katishtya Home Visiting Program (KHVP) is to support the development of healthy, happy, successful American Indian/Alaska Native (AIAN) children and families living on the Pueblo of San Felipe reservation. This goal will be accomplished through the development of a coordinated, culturally appropriate, high-quality, evidence-based home visiting program that uses a community health worker (CHW) as a home visitor who is supported by professional staff from the tribally administered Public Health Nursing Program, Family and Social Services Department, and Circles of Care grant staff. The KHVP will also work with the Federal, State, Tribal, and private community partners to expand the evidence base around home visiting programs for AIAN populations. 
South Puget Intertribal Planning Agency September 30, 2010 - September 29, 2015 Shelton WA Consortium of Tribes $194,000 $400,000 Healthy Families Partnership for a Healthy Future Project The need to eliminate the health and educational disparities present in the lives of American Indian and Alaska Natives was the driving force behind the development of the SPIPA Healthy Families Partnership for a Healthy Future Project. This project will focus on utilizing a home visitation service delivery model to improve the health and educational outcomes of Tribal families and children. The Tribes are seeking to increase positive opportunities for coordinated child development, early learning, and community and family health service delivery. All participating Tribes believe that a home visitation service delivery model will provide Tribal families with the tools necessary to create community-determined systems to improve the health and educational outcomes and options for Tribal families. This project will create the opportunity for a fundamental paradigm shift for the service delivery system at SPIPA and its Tribal partners.  Many SPIPA service delivery systems have been compartmentalized with little or no comprehensive coordination of services. Additionally, many services currently focus on fixing problems after they have reached a crisis. The project will be proactive and seeks to address the disparities faced by Tribal families in a holistic and coordinated manner.
Southcentral Foundation, Inc (SCF) September 30, 2010 - September 29, 2015 Anchorage AK Tribal Organization $345,000 $690,000 ACA Tribal Home Visiting Project SCF’s Tribal Home Visiting Project will support the development of healthy and successful American Indian and Alaska Native children and families in Southcentral Alaska. SCF will (1) assess needs of at-risk families in its service area in collaboration with stakeholders; (2) develop a plan and build capacity to address those needs; (3) begin serving expectant parents, young children, and their families through a home visiting program that meets requirements for evidence of effectiveness; and (4) conduct evaluation activities, including collecting and reporting benchmark data to ensure the quality, efficacy, and effectiveness of the selected interventions. The result will be a coordinated, high-quality, evidence-based home visiting strategy that helps Native families reach their full potential. The project will also expand the evidence base around such programs for Tribal populations.
White Earth Band of Chippewa September 30, 2010 - September 29, 2015 White Earth MN Tribe $263,000 $526,000 White Earth Home Health Learning in the Family Environment (LIFE) Project The White Earth Home Health LIFE Project will expand upon and improve the existing nurse home visiting project currently being implemented on the White Earth Reservation using evidence-based models that are culturally appropriate. Project activities in Year 1 will include a comprehensive family and community needs assessment; the development of a data management system; design of project logo and print media; public forums and community outreach efforts; data gathering, research of evidence-based nurse home visiting models; and partner meetings. These activities will be conducted in order to develop an expansion plan for the Home Health LIFE Program. The expansion plan will address the problems of child abuse and neglect; poor prenatal and maternal health; poor health and development of children and families; domestic violence; and family conflict issues. It is expected that parenting practices, school readiness, and service coordination will improve and crime will decrease as a result of the project. The population group to be served will be identified through the community needs assessment results. A plan to improve child and family health, socioeconomic outcomes, and increase the well-being of White Earth Reservation families will be designed.
Yerington Paiute Tribe September 30, 2010 - September 29, 2015 Yerington NV Tribe $136,000 $272,000 Community Maternal Child Home Visitation Program The Yerington Paiute Tribe (YPT) will create a program to improve the health, social, and economic well-being of families with children under the age of five through the implementation of a home visitation program. The project will provide ongoing personal interaction between YPT staff and young families to: increase access to health care for pregnant women and their children by providing transportation and frequent home visits by a nurse/health educator; prevent and provide early intervention for substance abuse and the problems associated with substance abuse; improve families’ economic health through referral to appropriate job training programs and access to child care resources; and improve parenting skills through classes or workshops for families, personal support, and modeling of appropriate parenting behaviors by a nurse/educator. The first year of the project will include an extensive assessment of community needs by university faculty in collaboration with a team of professionals representing a wide range of Tribal services, including the nurse/ educator and project coordinator. A logic model will be developed as a tool to evaluate current conditions in the community, the families’ needs, and the appropriate evidence-based program to address those needs.


Grant Recipient Project Period City State Type of Recipient Year 1 Award Years 2-5 Annual Award Project Title Abstract
Cohort 2- Awarded Fiscal Year 2011
Confederated Salish and Kootenai Tribes September 30, 2011 - September 29, 2016 Pablo MT Tribe  212,000   CSKT Home Visiting Program The Confederated Salish and Kootenai Tribes (CSKT) propose to implement the CSKT Home Visiting Program that will serve at-risk families/children who are CSKT members/descendants or members of other Federally recognized Indian Tribes residing on the Flathead Indian Reservation.  The proposed project will strengthen and improve maternal and child health programs by assessing their capacity to meet the community’s needs, their funding streams and long-term sustainability, and by improving cross-system collaboration; improve service coordination for at-risk populations by increasing contact between agencies that serve the same populations and by offering them a venue for sharing information and data across systems; and identify and provide comprehensive home visiting services to families who reside in at-risk communities as part of an integrated maternal, infant, and early childhood service delivery system.  
Eastern Band of Cherokee Indians July 1, 2011 - June 30, 2016 Cherokee NC Tribe 205,000   Home Visitation Program for the Eastern Band of Cherokee Indians The purpose of this project is to initiate the planning process for an evidence-based home visiting program that will provide services to pregnant women and families pre-natal through two years of age among the Eastern Band of Cherokee Indians (EBCI) in North Carolina. To adequately impact the necessary population, the service area will encompass the entire jurisdictional boundaries of the EBCI. This includes more than 56,000 acres of mountainous land in the five westernmost counties of North Carolina. The largest contiguous parcel of EBCI trust land is the Qualla Boundary, which straddles the Jackson and Swain County border and includes the town of Cherokee. The outcomes of the project will include a needs assessment an a plan to meet those identified needs through a home visiting program. 
Native American Health Center, Inc. July 1, 2011 - June 30, 2016 Oakland CA Urban Indian Organization 227,000   Strong Families The Native American Health Center (NAHC) is a state-licensed, community-based, nonprofit urban tribal organization that serves needs of American Indian and Alaska Natives (AI/ANs) in a five-county region in Northern California, including Oakland and San Francisco. NAHC provides medical, pediatrics, perinatal, dental, substance abuse, mental health, nutrition, obesity prevention, WIC, and HIV/AIDS care. Strong Families is an early home visiting program designed to strengthen AI/AN families and young children by focusing on targeted medical, behavioral health, and social outcomes. Strong Families will ensure that families and young children are thriving, healthy and whole through evidence-based practices that address issues identified through a comprehensive needs assessment. Strong Families will integrate home visits within the comprehensive NAHC program. Community members will be involved in the development, implementation and evaluation of the program. The evaluation will include meaningful maternal and early childhood wellness indicators that include reductions in obesity, child maltreatment, and varying forms of trauma and violence among AI/AN people.
Riverside-San Bernardino County Indian Health, Inc. July 1, 2011 - June 30, 2016 Banning CA Tribal Organization 348,000   Riverside-San Bernardino County Indian Health Home Visiting Program Riverside-San Bernardino County Indian Health, Inc. (RSBICIHI) is a tribally controlled health care organization that will provide home visiting services to families on 10  tribal reservations in Riverside and San Bernardino Counties. RSBCIHI proposes to conduct needs assessment in our target area which is Riverside and San Bernardino counties. We intend hiring Consultants from the University of California Los Angeles to conduct a comprehensive needs assessment that will lead to developing plans to implement a home visiting program and the selection of the most appropriate evidence-based home visiting model(s) to address the identified needs. The goal of this research is to learn the best methods to help families raise their children to be strong, healthy, capable adults. Specifically, we will identify successful strategies for adopting, implementing, and sustaining home visiting programs to promote child well-being and prevent child maltreatment in an American Indian community. The target population for this project are Native American mothers and their children from ten tribal reservations in Riverside and San Bernardino counties. The projects will be designed to be culturally-sensitive to Native traditions and customs.
Taos Pueblo July 1, 2011 - June 30, 2016 Taos NM Tribe 340,000   Taos Pueblo First Steps Home Visiting Program At the Taos Pueblo, there are currently no services for infants under the age of 18 months and their parents. The award will allow the Taos Pueblo to provide home visiting services for up to 300 families in order to complete the continuum of services for children, aged birth to age five years and their families.
United Indians of All Tribes Foundation July 1, 2011 - June 30, 2016 Seattle WA Urban Indian Organization 182,000   Ina Maka Home Visiting Program The United Indians of All Tribes Foundation (UIATF) in Seattle, Washington, will assist families in improving the long term social and health outcomes for Native children by providing support and an intervention to their parents through a comprehensive home visiting program tailored for the Native community. Named in Chinook jargon as the “Leloo Family Program” after the caring, community driven social cohesion present in many Coast Salish stories, UIATF will utilize an evidence-based home visiting model to deliver a culturally-appropriate intervention that emphasizes the critical role of parents in the long-term success of their children both before birth and during the formative early childhood period of birth through five years. UIATF will include programming that integrates critical information regarding the health; physical, cognitive, and emotional development; economic supports, and other ancillary, and social service delivery into a home visiting curriculum tailored specifically for Native families in King County, Washington.