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This brief—based on interviews with eight Tribal MIECHV grantees1 —will (1) discuss the importance of cultural enrichments of evidence-based home visiting models; (2) highlight three different approaches Tribal MIECHV grantees have pursued to shape programs to best reflect their communities; and (3) offer guidance for programs that are searching for a way to best fit home visiting within the cultural context of their communities. The brief discusses ways that grantees have approached cultural enrichment in the first 5 years of the Tribal MIECHV program.

This report describes how Tribal Home Visiting Program grantees serve tribal communities that range from rural reservations, to urban areas, to remote Alaska villages. Grantees represent the rich diversity of AIAN populations, their unique cultural contexts, and varied geographic locations and service areas. This report reflects information about the Tribal Home Visiting Program as it has been implemented with FY 2010-2015 funds.

The stories in this collection illustrate the positive impact of home visiting programs provided to American Indian and Alaska Native families by tribal entities across the country. The stories were collected through interviews with families and staff from 14 Tribal MIECHV programs. Home visiting programs focus on helping people be the best parents they can be. Home visitors provide information on prenatal and child development. They offer guidance on parenting skills and strategies. They connect families with the resources they need for food, housing, health, and safety. Home visitors often serve as “first responders” in helping parents identify delays in development and other issues that need to be addressed.

Between 2012 and 2018, the Tribal Home Visiting Program provided 90,298 home visits and conducted an average of 346 visits per week. In 2018 the program served 3,751 parents and children and 63% of home visitors were AIAN.

This issue brief summarizes the experiences and wisdom of seven Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV, or Tribal Home Visiting) grantees serving urban Indians.1 It reviews the history of AIAN relocation to urban areas and provides examples of some of the challenges and innovations for meeting the needs of AIAN families in urban areas. These include: (1) helping families ease feelings of isolation by supporting connections to peers and elders; (2) empowering families by leveraging tribal diversity; (3) being flexible in responding to family mobility; and (4) supporting families to access safety-net supports.

This document provides guidance for submission of the implementation plan for both Tribal MIECHV Development and Implementation grantees and Tribal MIECHV Implementation and Expansion grantees. The document also includes Appendices containing supplementary information and resources, including key definitions. This document also includes Tribal MIECHV Form 1: Demographic and Service Utilization Data, which grantees will submit annually.

This report:

  1. Describes the Tribal Home Visiting Program, grantees, and family and community contexts that influence implementation of the program;
  2. Highlights the expanded reach and availability of home visiting services in tribal communities as a function of the Tribal Home Visiting Program;
  3. Tells the story of program implementation across funding years, highlighting successes and areas of improvement;
  4. Describes technical assistance and systems of support provided to grantees;
  5. Summarizes grantee performance measurement and grantee performance in legislatively mandated benchmark areas; and
  6. Suggests recommendations for improving program reach, supports, and requirements.

This report summarizes the experiences and insights of the first two cohorts of Tribal Home Visiting Program grantees. It provides (1) the methods by which information for the report was collected and synthesized; (2) a description of the 19 grantees; (3) detailed information on the Tribal home visiting approach; and (4) examples of how Tribal Home Visiting Programs have supported improvements in local early childhood systems. The last section of the report highlights key findings, lessons learned, and other insights that can help inform future efforts in Tribal home visiting.

This issue brief offers examples of promising strategies implemented by Tribal MIECHV grantees that keep home visiting focused on the curriculum while also empowering families to address their needs.

This document provides an overview of the Lake County Tribal Health Consortium and it's program.