Revisiting Home Visiting Summary of a Workshop (1999) / Chapter Skim
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Challenges Faced by Home Visiting Programs
Challenges Faced by Home Visiting Programs
Pages 7-10
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From page 7... ...
For example, ongoing reanalyses conducted by Margaret Burchinal, of the University of North Carolina at Chapel Hill, Jeanne Brooks-Gunn, of Columbia University's Teachers College, and Michael Lopez, of the Administration on Children, Youth, and Families, of data from the Comprehensive Child Development Program revealed that families at two sites that successfully provided more home visits per participating family showed significant effects on child cognitive outcomes compared with control group families; families at sites that offered less home visiting were significantly below the control group in child outcomes. As noted in the SPrin~/Summer 1999 issue of The Future of Children.
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From page 8... ...
They must have "the personal skills to establish rapport with families, the organizational skills to deliver the home visiting curriculum while still responding to family crises that may arise, the problemsolving skills to be able to address issues that families present in the moment when they are presented, and the cognitive skills to do the paperwork that is required" (Gomby et al., ~ 999~. Workshop participants identified challenges associated with finding appropriate staff, retaining staff, offering the necessary training and supervision, and matching staff to families with differing needs and predilections, some of which are culturally based and others that are not.
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From page 9... ...
The first pertained to ensuring that the home visitors are well versed and accepting ofthe desired objectives and the philosophy ofthe particular home visiting program that they are responsible for implementing. The second had to do with the relatively poor ability of some home visitors to recognize conditions such as maternal depression, substance abuse, and domestic violence that interfere with program implementation.
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From page 10... ...
" Domestic Violence, Maternal Depression, and Substance Abuse Three conditions that can significantly impede the capacity of a home visiting program to benefit families were identified and discussed at the workshop: domestic violence, maternal depression, and substance abuse. Home visiting programs generally set goals that are preventive in nature: to prevent child abuse and neglect, to improve the nutrition and health practices of the mother, to reduce the number of babies born with low birthweight, and to promote school readiness and prevent school failure.
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