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NIMH - National Institute of Mental Health

Aside from the recently approved muscarinic agonist xanomeline, all treatments for schizophrenia (SCZ) have been assumed to function by blocking dopamine-2 receptors (D2Rs) based on their in vitro binding profiles. Interest in the dopamine-3 receptor (D3R) was encouraged by findings, in preclinical models, that D3R antagonists reverse cognitive impairment and enhance locomotor activity of habituated rats, suggesting potential for improving negative symptoms. However, while numerous preclinical studies have demonstrated that the D3R is relevant to both the neurobiology and treatment of SCZ, in vivo studies initially and surprisingly reported that, after several weeks of administration, antipsychotic medications may not bind to the D3R but may paradoxically increase levels of the D3R. These findings were discrepant with our own findings in non- human primates and individuals with SCZ demonstrating that acute doses of antipsychotic medications bind to the D3R and D2R in ratios predicted by their in vitro binding profiles. In a later study conducted by our group, 10 days of chronic dosing of brexpiprazole (BREX) also led to increased levels of the D3R at 1mg and negligible binding at 4mg. Finally, in a study of the D3R-preferring antipsychotic medication cariprazine (CAR), there was robust binding to the D3R and D2R after both acute and subchronic dosing. These seemingly discrepant findings may be related to methodological differences, difference in the binding profiles of D2R- vs. D3R-preferring antipsychotic medications, or to homeostatic responses to chronic antipsychotic treatment (i.e., upregulation). The goals of this proposal are to elucidate the contribution of D3R binding to antipsychotic action, both acutely (SA1) and subchronically (SA2), in the same patients. We will also investigate the relationship between occupancy, upregulation, and therapeutic response (SA3, EA). To accomplish these goals, we will recruit 40 antipsychotic-free patients with SCZ. After screening and baseline procedures (e.g., MRI, PANSS, MATRICS, CAINS), subjects will be randomized to multiple doses of CAR or BREX and receive a total of three PET scans with [11C]-(+)-PHNO: one at baseline (baseline scan) followed by a second scan after one dose of their antipsychotic medication to measure acute occupancy (acute scan), and a third scan after 2 weeks of stable treatment. Our aims are to: 1) measure the acute binding of CAR/BREX to the D3R; 2) measure D3R availability for evidence of upregulation following subchronic administration of CAR/BREX in the same set of patients; and 3) explore relationships between acute and subchronic binding of CAR/BREX to, and upregulation of, the D3R vs. D2R and changes in positive and negative symptoms, cognitive deficits, and extrapyramidal side effects. By elucidating the contribution of D3R binding and upregulation to antipsychotic action the field may be able to develop more selective antipsychotic agents that improve upon current medications by demonstrating less side effects or greater efficacy against a range of symptoms.

NIMH - National Institute of Mental Health

PROJECT SUMMARY Suicide is the third leading cause of death for youth aged 10 to 28, with Latine adolescents and young adults experiencing disproportionately high rates of suicidal thoughts and behaviors (STBs). Despite this, Latine youth are significantly underrepresented in suicide research. This R21 project aims to identify key risk and protective factors influencing the developmental trajectories of STBs in an existing sample of 674 Mexican-origin youth, followed longitudinally from age 10 to 28. The proposed research leverages data from the California Families Project (CFP), a 19-year longitudinal study that provides a robust, multi-informant, and multi-method dataset. This study is innovative in its focus on the interaction between clinical symptoms and sociocultural factors, and their combined influence on the trajectories of STBs across critical developmental stages. It is one of the first studies to comprehensively explore STB trajectories in Mexican-origin youth, a high-risk yet understudied group. Guided by the Family Stress Model (FSM), a culturally informed framework, this study will address significant gaps in the literature by examining STB trajectories, clinical predictors, and culturally relevant protective factors. Aim 1 will chart the longitudinal trajectories of STBs from preadolescence through young adulthood. Aim 2 will investigate how key clinical symptoms (depression, anxiety, substance use) predict the initial levels and rate of change in STBs. Aim 3 will identify sociocultural factors (ethnic pride, familismo) that compensate for or moderate the impact of clinical symptoms on STB trajectories. This research is significant because it has the potential to inform the development of culturally responsive and developmentally informed suicide interventions for Latine youth. By understanding the sociocultural context and specific risk pathways in Latine families, the findings could advance scientific knowledge and lead to targeted, effective strategies to reduce suicide rates among high-risk youth populations. The study’s innovative approach and the use of a rich longitudinal dataset underscore its feasibility and relevance to the NIMH mission of improving mental health outcomes and reducing suicide disparities for Latine youth.

NIMH - National Institute of Mental Health

PROJECT SUMMARY Schizophrenia is a neuropsychiatric disorder which lacks clinically actionable biomarkers to guide diagnosis, treatment, and prognostication. There are, however, well-replicated neurobiological findings in schizophrenia – namely, decreased hippocampal volume, widespread cortical thinning, and ventricular enlargement. Decades of work from our lab and others have established the hippocampus as central to the pathophysiology of schizo- phrenia, with structural and functional deficits associated with illness severity and cognitive dysfunction. Despite this, the clinical utility of hippocampal imaging remains limited, largely due to unresolved questions about the origin, trajectory, and heterogeneity of hippocampal pathology. Recent advances in machine learning have enabled innovative approaches to address these core questions and disentangle the known individual- level heterogeneity in schizophrenia, revealing potential disease subtypes with distinct progression patterns. This work both identifies several possible epicenters of disease (including the hippocampus) and suggests a network-based progression model via which pathology spreads along the brain’s white matter tracts (i.e., the connectome). Notably, our work suggests an important structural and functional differentiation between the anterior and posterior hippocampus, implicating the former as crucial during the early stages of psychosis. Given this context, I hypothesize that schizophrenia is not a unitary disease, but comprises multiple subtypes with distinct spatiotemporal patterns of gray matter degeneration, including a subtype in which pathology originates in the anterior hippocampus and propagates through its structural connectome. To test this hypo- thesis, we will integrate advanced machine learning with longitudinal modeling using MR imaging, uniquely leveraging our lab’s rich data and technical expertise. In Aim 1, I will characterize group-level patterns of gray matter volume (GMV) change over the first decade of psychotic illness, stratified by clinical trajectory, using longitudinal structural modeling. In Aim 2, I will apply a cutting-edge machine learning algorithm – Subtype and Stage Inference (SuStaIn) – to a large, cross-sectional discovery sample to identify latent disease subtypes based on inferred patterns of GMV progression. In Aim 3, I will evaluate the external validity of these subtypes using our in-house longitudinal cohort of psychosis patients (see Aim 1). This will be the first study to utilize SuStaIn to specifically probe the differential roles of the anterior and posterior hippocampus in the patho- physiology of psychosis and will directly test the hypothesis that disease emerges and propagates along structural brain networks. By integrating machine learning with longitudinal neuroimaging, these experiments will identify and validate biologically grounded subtypes of schizophrenia, probing key features of hippocampal pathology and offering insight into hippocampal dynamics across illness stages. This innovative approach addresses a longstanding barrier in schizophrenia research – its vast clinical and neurobiological heterogeneity – and has potential to transform diagnosis, monitoring, and treatment following a first episode of psychosis.

NIMH - National Institute of Mental Health

Project Summary Human pluripotent stem cells (hPSCs) have emerged as a powerful tool for generating 3D organoids, enabling the study of human development and disease. These organoids can closely mimic in-vivo cellular context, making them valuable for investigating biological mechanisms. However, the extent to which gene regulation and other cellular and molecular mechanisms are preserved between in-vivo and in-vitro systems, especially in specific cell types, remains uncertain. Recent advancements in single-cell technologies offer opportunities to answer this question, there is a need for effective computational tools for comparing organoids and brain data. Our recent machine learning tool, Brain and Organoid Manifold Alignment (BOMA) successfully integrated eight published single-cell RNAseq (scRNAseq) datasets to uncover shared (or specific) developmental trajectories between human organoids and brains. However, BOMA is limited to scRNAseq. Simultaneous profiling of gene expression and chromatin accessibility of the same cell (single-nucleus multiomics or snMultiomics) allows linking putative regulatory elements to genes thus providing deeper insights of cell-type gene regulatory mechanisms in the developing brain compared to scRNA-seq alone. In fact, NIH funded consortia such as BRAIN Initiative is generating a large amount of snMultiomic data of human brains from prenatal development to adults. Although single cell multiomic data of organoids is currently scarce, we anticipate that more snMultiomics data will be generated for organoids in near future. This project aims to develop machine learning methods and tools for comparative snMultiomics analysis between organoids and brains, enabling the interpretation of developmental gene regulatory mechanisms at cellular level across in-vivo and in-vitro systems. Aim 1 will develop a machine learning method, Brain Organoid Manifold Alignment by Multiomics data (BOMAM), to uncover conserved and divergent developmental stages in brain and organoids. Aim 2 will perform gene regulatory network prediction and analysis to evaluate the fidelity of current organoid protocols. Aim 3 will develop open-source tools for comprehensive evaluation of brain organoids, designed for general-purpose use. In sum, our tools will enhance the efficiency and integration of brain-organoid analyses, especially for biologists and neuroscientists, leading to a deeper understanding of brain cells and their functional characteristics in development.

NIMH - National Institute of Mental Health

PROJECT SUMMARY Understanding structure-function relationships in the brain is essential for identifying developmental delays and improving early intervention outcomes in children. Current tools like fMRI and traditional structural MRI offer some insights but are limited in their ability to reliably and quantitatively measure brain function in young populations. fMRI relies on task engagement and long scan times, which are challenging for children, while structural metrics like volume and diffusion often fail to capture the nuanced microstructural changes critical for early brain development. Here, we propose using brain magnetic resonance elastography (MRE), a novel, noninvasive imaging modality, to address this gap. MRE measures the mechanical properties of brain tissue, such as stiffness and damping ratio, which are sensitive to microstructural integrity, including cell density and glial matrix organization. Unlike fMRI, MRE is task-independent, quantitative, and capable of acquiring whole-brain data in under five minutes, making it ideally suited for pediatric populations. Preliminary studies from our team have shown that regional brain mechanical properties strongly correlate with cognitive functions, such as memory (hippocampal viscosity), language (Broca’s area stiffness), and executive function (thalamic stiffness). These correlations are both stronger and more region-specific than those observed with traditional structural measures, underscoring MRE’s potential to revolutionize our understanding of brain function. In this project, we will evaluate the utility of MRE in characterizing structure-function relationships across development. First, we will establish robust structure-function correlations in healthy young adults, who provide optimal task engagement, to create a benchmark dataset. We will extend these findings to children, examining how brain mechanical properties relate to cognitive, emotional, and language functions during a critical developmental window. By comparing mechanostructure-function relationships between adults and children, we aim to uncover how ongoing brain maturation influences these relationships and assess the feasibility of using MRE as a reliable biomarker in younger populations. Ultimately, this work will establish MRE as a transformative tool for studying brain development, offering quantitative, repeatable measures of brain microstructure that can predict functional deficits in children. These insights will pave the way for longitudinal studies and early intervention strategies that better allocate resources and improve lifelong outcomes for children with developmental delays. By integrating advanced neuroimaging with cutting-edge analytics, this project will contribute to a deeper understanding of the developing brain and the mechanisms underlying its structure-function relationships.

NIMH - National Institute of Mental Health

Project Summary Anorexia nervosa (AN) is a serious disorder with a mortality rate among the highest of any psychiatric illness, and relapse rates range from 40-80% after acute treatment. Restriction of food intake is a central behavioral disturbance, and this persistent behavior is promoted by entrenched thoughts, feelings, and routines. Even with full weight restoration treatment, restrictive eating persists and has been linked to relapse. While many treatment approaches have been tried, there is little information about what elements of care contribute to maintaining remission. Relapse Prevention and Changing Habits (REACH+) targets the habitual control of maladaptive behavior to support patients with AN in the 6 months after acute treatment, a time of high vulnerability to relapse. Using the Multiphase Optimization STrategy (MOST) framework, we seek to identify an optimized, finalized, treatment package for relapse prevention in AN. The MOST framework is an ideal means for improving treatment efficacy by simultaneously and efficiently evaluating multiple possible intervention components to determine which contribute to positive treatment outcomes and thereby merit inclusion in a robust treatment package for relapse prevention. We have completed the Preparation Phase of the MOST framework and have shown feasibility and acceptability of REACH+, as well as preliminary support for treatment efficacy and target engagement. In this proposal, we conduct the next step: an Optimization Experiment to evaluate the components of REACH+ that will interrupt the habitual control of maladaptive behavior and, thereby, decrease relapse and improve outcomes. We will test competing versions of four components that together target habits: 1) Behavioral, 2) Cognitive, 3) Motivation, and 4) Food Monitoring. We will provide 6 months of REACH+ for 120 individuals with AN or atypical AN who have completed an acute weight-restoration treatment. REACH+ sessions are conducted via telehealth, to increase access and generalizability, and are augmented with psychoeducation and skill building through an online platform. Participants will be randomly assigned to different versions of each treatment component. Optimization criteria focus on the contribution of the component to weight maintenance (main effect), and will additionally consider effect sizes, treatment adherence, and end-of-treatment status. To ensure that the final treatment package will reach the patients we seek to help, we will obtain input from key end-users to plan for future effectiveness research.

NIDA - National Institute on Drug Abuse

PROJECT SUMMARY/ABSTRACT The perinatal period is marked by heightened vulnerability to mental health challenges, with perinatal substance use (PSU) and perinatal depression (PD) presenting significant concerns for maternal well-being and child development. PSU and PD often co-occur and pose bidirectional risks that exacerbate caregiving challenges. Despite evidence of their influence and overlap, research has yet to investigate how the interplay between PSU and PD impacts infant hippocampal development. Prior work in this area has been limited by assuming uniform impacts across the perinatal period and neglecting to evaluate these dynamic and bidirectional risk factors within the same model. Moreover, insights into how characteristics of PSU and PD (e.g., intensity, comorbidity, chronicity) may modify risk for development remains highly debated. To address these gaps, this study will be the first to model the longitudinal interplay between PSU, PD, and their combined impact on infant brain development. We hypothesize that utilizing person-centered, longitudinal, data-driven trajectories, rather than relying on static global reference values or clinical cutoffs, will provide more clinically valuable metrics for intervention, fostering intergenerational benefits. This study aims to (1) Characterize the interplay between PSU and PD and their reciprocal unfolding over the perinatal period. Specifically, testing whether within- or between-subjects models better capture the bidirectional interplay and change between PSU and PD across time to identify key windows and metrics of risk. (2a) Examine the impact of PSU/PD comorbidity on infant hippocampal volume and growth and test whether within- or between-subjects models better capture risk for offspring neurodevelopment. (2b) Compare models informed by developmental theory (Mismatch vs. Cumulative Stress vs. Mood Entropy) to evaluate which best characterizes the impact of PSU/PD on neurodevelopment in the first year of life. This research is responsive to the goals of NIDA’s 2022-2026 strategic plan to leverage data science to understand real-world complexity—including how comorbid mental health conditions and risk and protective factors interact to influence drug-related outcomes. Findings have the potential to refine screening practices, optimizing their timing and content to identify at-risk individuals more effectively. This work could ultimately enhance the capacity of healthcare systems to deliver timely and targeted interventions, improving health outcomes for families impacted by PSU and PD and reducing intergenerational consequences.

NIMH - National Institute of Mental Health

Psychiatric disorders are increasingly conceptualized as disorders of brain development. White matter (WM) structure develops rapidly in adolescence and has been linked to many psychiatric illnesses. However, the neurobiological mechanisms linking WM development, transdiagnostic psychiatric symptoms, and genetic risk for psychopathology remain poorly understood. This proposal tests the central hypothesis that transdiagnostic psychiatric symptoms and genetic risk will be associated with WM that undergoes the most protracted development: superficial regions of WM tracts connected to higher-order association cortices. We will leverage the large, longitudinal Adolescent Brain Cognitive Development (ABCD) study (n=11,875; ages 9-16), which includes multi-shell diffusion MRI, clinical, and genotype data. In Aim 1, we will characterize within-individual, along-tract WM development and we will evaluate whether associations with transdiagnostic symptoms are strongest in superficial WM regions adjacent to higher-order association cortices. In Aim 2, we will assess how polygenic risk scores (PRS) for transdiagnostic psychiatric illness relate to spatially precise WM microstructure metrics. We will assess whether PRS effects are strongest in superficial WM regions adjacent to higher-order association cortices. Together, this work will identify brain regions where protracted WM maturation is linked to transdiagnostic symptoms and genetic risk, advancing our understanding of how WM development is related to symptomatology and genetic liability for trans-diagnostic psychiatric illness.

NIGMS - National Institute of General Medical Sciences

PROJECT SUMMARY In this application, we seek to continue and enhance the MARC U*STAR program at the University of Rhode Island (URI). This program has had a major positive impact on the career development of our high-achieving underrepresented (UR) STEM students, with 70% (11 of 16) of our trainees matriculating into competitive graduate programs in the biomedical sciences to date. The program has also been instrumental in creating a diverse community of student biomedical scientists at URI, united by a strong sense of belonging and an enthusiasm for scientific discovery. Our institutional self-assessment provides compelling justification for an undergraduate research training program for underrepresented students at URI: 4-year graduation rates for underrepresented (UR) students (33%) continue to lag behind that for well-represented (WR) students (49%). Furthermore, rates of matriculation into advanced biomedical degree programs for UR students (15%) also continue to lag behind that for WR students (20%). Moreover, we have a robust pool of UR STEM students and a diverse pool of actively funded faculty committed to supporting the career development of UR students. Our program goals are to; 1) Develop students who are knowledgeable and well trained in the biomedical sciences, who can readily employ rigorous research methods and critical thinking to solve important scientific problems, and 2) Create a community of student scholars who enjoy a strong sense of belonging, thereby promoting a sustainable culture of undergraduate research excellence at URI. Our approach to achieving these goals will be informed by lessons learned over the course of the previous funding period; we will continue to cultivate a culture of inclusive mentoring excellence across campus by promoting and facilitating mentoring training for faculty and graduate student research mentors; we will use evidence-based approaches to monitor and support trainee mental health and wellness; we will emphasize strong foundations in quantitative and computational competencies and instill a pervasive culture of rigor and reproducibility in experimental design among our trainees. With these enhanced strategies, we expect that 1) 90% of our trainees will graduate with a baccalaureate degree in a STEM field within a 4-year period, and 2) 75% of our trainees will matriculate into PhD or MD-PhD degree programs in biomedical research fields within three years of graduating from the program, ultimately advancing the diversification of the nation's scientific workforce.

Mass General Brigham

Invests in community health through grants addressing health equity, chronic disease, mental health, and social determinants in Massachusetts communities.

NICHD - Eunice Kennedy Shriver National Institute of Child Health and Human Development

The R00 Pathway to Independence Award will establish the applicant's independent research program as a tenure track faculty member in the Departments of Psychiatry and Obstetrics, Gynecology and Reproductive Science (OBGYN) at the Icahn School of Medicine at Mount Sinai (ISMMS). The Developmental Origins of Health and Disease (DOHaD) framework is supported by a robust literature that provides evidence for the role of environmental exposures in shaping brain and behavior development through prenatal programming. Maternal childhood maltreatment has been associated with both maternal prenatal mental health and infant emotion regulation outcomes; however, most known transmission pathways are behavioral, with limited evidence for biological transmission. Well-established behavioral pathways are through maternal mental health and parenting sensitivity influencing infant emotion regulation and mother-infant interactions. Emerging evidence supports maternal childhood maltreatment effects on infant outcomes through biological pathways such as in utero programming of brain development. Despite the

NICHD - Eunice Kennedy Shriver National Institute of Child Health and Human Development

PROJECT SUMMARY/ABSTRACT Perinatal intimate partner violence (IPV) is a significant public health issue that negatively impacts maternal mental health and disrupts infant socioemotional developmental, thereby contributing to the intergenerational transmission of poor mental health. While maternal internal emotional frameworks (IEFs), including emotion reactivity, beliefs, and stigma, have been identified as independent components of emotion dysregulation, how these factors co-occur in populations experiencing perinatal IPV remains unclear. Additionally, mother-infant affective coregulation is a critical dyadic process that supports infant socioemotional development, yet little is known about how this relationship may vary based on a mother’s distinct IEF, particularly in families exposed to perinatal IPV. Given that both maternal IEFs and mother-infant affective coregulation can be disrupted in high- stress environments, it is essential to examine their independent and combined effects in the context of perinatal IPV. This F32 project will address this critical gap by: (1) identifying internal emotional frameworks of mothers exposed to perinatal IPV based on mother’s emotion reactivity, beliefs, and stigma; (2) examining the direct effects of maternal internal emotional frameworks and affective coregulation on infant socioemotional development; and (3) examining the extent to which maternal internal emotional frameworks and mother-infant affective coregulation interact to influence infant socioemotional development. By using person-centered approaches, such as latent profile analysis (LPA), and integrating affective coregulation coding, this research will capture nuanced patterns of risk and resilience, advancing understanding of modifiable maternal and dyadic factors that can be targeted in interventions to disrupt the intergenerational transmission of poor mental health. This project will build upon a larger NIH study of mother-infant dyads exposed to perinatal IPV by incorporating additional measures of maternal IEFs and an affective coding scheme, addressing key research gaps. Through specialized training in community-based research, dyadic interactions, and person-centered statistical methods, and under the mentorship of Drs. Brown (Sponsor), Lunkenheimer (Co-Sponsor), and Duncan (Co-Sponsor), this fellowship will support Dr. Seely's development as an independent investigator in maternal and child health science. The findings are poised to have high public health impact by identifying key pathways that contribute to the intergenerational transmission of poor mental health and informing targeted intervention strategies for families experiencing high stress-related risk.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: 4601 W GUADALUPE ST, AUSTIN, TX 78751-3146 PROJECT DIRECTOR NAME: CLAIRE HALL CONTACT PHONE NUMBER: 512-466-5846 EMAIL ADDRESS: CLAIRE.HALL01@HHS.TEXAS.GOV WEBSITE ADDRESS: HTTPS://FSS.HHS.TEXAS.GOV/ PROGRAM FUNDS REQUESTED IN THE APPLICATION: $30,146,654 ($25,676,711 FEDERAL BASE; $4,469,943 FEDERAL MATCHING FUNDS) ANNOTATION: THE HEALTH AND HUMAN SERVICES COMMISSION, DIVISION OF FAMILY SUPPORT SERVICES (FSS) PROPOSES TO CONTINUE LEVERAGING MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) AND STATE GENERAL REVENUE FUNDS TO SUPPORT THE IMPLEMENTATION OF TEXAS HOME VISITING (THV), A COMPREHENSIVE EARLY CHILDHOOD SYSTEMS APPROACH TO HOME VISITING IN COMMUNITIES WITH DEMONSTRATED NEED. PROBLEM: AS DESCRIBED IN THE MIECHV NEEDS ASSESSMENT AMENDED IN MARCH 2025, AT-RISK COMMUNITIES FACE CHALLENGES ASSOCIATED WITH A HIGH CONCENTRATION OF LOW-INCOME FAMILIES, BIRTH RISK, AND MENTAL HEALTH AND SUBSTANCE USE. ADDITIONAL FACTORS ESTABLISHING RISK INCLUDE DECLINING CHILD-CARE ENROLLMENT FOR THREE AND FOUR-YEAR-OLDS AND A LACK OF EARLY CHILDHOOD PROGRAMS INCLUDING HOME VISITING. PURPOSE: THE PURPOSE OF THE TEXAS MIECHV PROJECT IS TO SUPPORT COMPREHENSIVE HOME VISITING PROGRAMS AND EARLY CHILDHOOD SYSTEMS IN TEXAS COMMUNITIES WITH DEMONSTRATED NEED TO STRENGTHEN FAMILIES AND IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES. GOALS AND OBJECTIVES: THE GOALS OF THIS GRANT ARE TO: 1) PROVIDE EFFECTIVE, EVIDENCE-BASED HOME VISITING SERVICES IN TARGETED, AT-RISK COMMUNITIES THAT MEET LOCAL NEEDS AND ACHIEVE THE HEALTH RESOURCES AND SERVICES ADMINISTRATION PERFORMANCE MEASURES REGARDING: MATERNAL AND NEWBORN HEALTH, CHILD MALTREATMENT AND INJURY PREVENTION, SCHOOL READINESS, DOMESTIC VIOLENCE SCREENING, FAMILY SELF-SUFFICIENCY, AND COORDINATED REFERRALS; 2) DEVELOP EARLY CHILDHOOD SYSTEMS, IMPROVE COORDINATION, FACILITATE ACCESS, AND PROMOTE COMPREHENSIVE SERVICES TO IMPROVE OUTCOMES FOR YOUNG CHILDREN AND FAMILIES; 3) PROVIDE TRAINING, TECHNICAL ASSISTANCE, AND CONTINUOUS QUALITY IMPROVEMENT SUPPORT TO ENHANCE THE QUALITY OF HOME VISITING SERVICES; AND 4) PROVIDE DATA COLLECTION SUPPORT AND EVALUATION TO ENHANCE THE QUALITY OF HOME VISITING. APPROACH: FUNDS FROM THIS GRANT SUPPORT 35 LOCAL IMPLEMENTING AGENCIES WITH 19 SUBGRANTEES SERVING 47 COUNTIES IDENTIFIED AT HIGHEST RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES IN THE TEXAS MIECHV NEEDS ASSESSMENT. ALL COMMUNITIES WERE IDENTIFIED THROUGH A COMBINATION OF RISK MODELING AND QUALITATIVE INVESTIGATIONS THAT IDENTIFIED HIGH-RISK COUNTIES IN THE STATE AS PRIORITIES FOR HOME VISITING PROGRAMS. FSS USES A REQUEST FOR APPLICATION (RFA) PROCESS TO OFFER GRANTS TO LIAS TO SERVE COMMUNITIES IDENTIFIED IN THE STATEWIDE NEEDS ASSESSMENT. APPLICANTS SELECT PROGRAM MODELS THAT MEET HEALTH AND HUMAN SERVICES CRITERIA FOR EVIDENCE OF EFFECTIVENESS AS REQUIRED BY HRSA. APPLICANTS MAY SELECT MULTIPLE PROGRAM MODELS AS WELL AS USE A COMBINATION OF PROGRAM MODELS WITH FAMILIES, AVOIDING CONCURRENT DUAL ENROLLMENT, TO SUPPORT A CONTINUUM OF HOME VISITING SERVICES THAT MEETS FAMILIES’ SPECIFIC NEEDS. TEXAS MIECHV LOCAL IMPLEMENTING AGENCIES CURRENTLY IMPLEMENT ONE OR MORE OF THE FOLLOWING EIGHT EVIDENCE-BASED MODELS BASED ON THE NEEDS OF THE COMMUNITY: FAMILY CHECK-UP OR CHILDREN, HEALTHY FAMILIES AMERICA, HOME INSTRUCTION FOR PARENTS OF PRESCHOOL YOUNGSTERS, NURSE-FAMILY PARTNERSHIP, PARENTS AS TEACHERS, PLAY AND LEARNING STRATEGIES, PROMOTING FIRST RELATIONSHIPS, AND SAFECARE AUGMENTED. THE TEXAS MIECHV PROGRAM ANTICIPATES SERVING 7,120 FAMILIES IN FISCAL YEAR 2026 AND TO CONTINUE SERVING 7,120 FAMILIES IN FISCAL YEAR 2027, DEPENDENT ON CONTINUITY OF SERVICE PROVISION. COMMUNITIES WILL ALSO BUILD EARLY CHILDHOOD PARTNERSHIPS THAT SUPPORT COMPREHENSIVE EARLY CHILDHOOD SYSTEMS AND REFERRAL PATHWAYS. FSS PLANS TO USE INCREASED FUNDING FROM THE MIECHV MATCH OPPORTUNITY TO EXPAND MIECHV HOME VISITING IN EXISTING COMMUNITIES AND SUPPORT QUALITY OF HOME VISITING THROUGH TRAINING AND ENHANCEMENTS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: 5666 TAFUNA RD. TAFUNA, AMERICAN SAMOA 96799 PROJECT DIRECTOR:TINA IOANE TELEPHONE NUMBER: OFFICE: (684) 699-3905; CELLPHONE (684) 254-3426 EMAIL ADDRESS:TINA.IOANE@DOH.AS PURPOSE: IN SUPPORTING OF THIS FY2024 FUNDING OPPORTUNITY, THE MAIN PURPOSE OF THE MIECHV BASE GRANT AWARD IS TO IMPROVE MATERNAL AND CHILD HEALTH, EARLY CHILDHOOD DEVELOPMENT, AND FAMILY WELL-BEING OF PREGNANT MOTHERS AND PARENTS WITH CHILDREN UP TO KINDERGARTEN ENTRY—ESPECIALLY THOSE LIVING IN COMMUNITIES IDENTIFIED AS AT RISK FOR POOR MATERNAL AND CHILD HEALTH OUTCOMES—BY SUPPORTING THE DELIVERY OF COORDINATED AND COMPREHENSIVE HIGH QUALITY AND VOLUNTARY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES. AS REQUESTED $1,058,860.00 IN THE BASE FUNDS AND $437,750.00 IN MATCHING FUNDS USING THE WAIVER FOR TERRITORIES. GOAL: PROVIDE HIGH QUALITY AND COMPREHENSIVE HOME VISITING SERVICES TO WOMEN, THEIR INFANTS AND FAMILIES WHO ARE LOW INCOME AND RESIDE IN HIGH-RISK COMMUNITIES; DEVELOP A SYSTEM OF ISLAND WIDE COORDINATED HOME VISITING SERVICES THAT BEFITS LONG TERM AND UNDUPLICATED OUTCOMES OF HOME VISITING SERVICES AND LOCALLY COORDINATED REFERRALS; COORDINATE NECESSARY SERVICES OUTSIDE OF HOME VISITING PROGRAMS TO ADDRESS THE NEEDS OF ENROLLED FAMILIES, AND DELIVERED SERVICES BY A COMPETENT TRAINED HOME VISITING WORKFORCE.THE AS MIECHV PLAN TO FOCUS ON IMPROVEMENT OF PERFORMANCE FOR THE MIECHV FAMILIES, ENSURING RESOURCES FOR THE NEEDS OF THE TARGET POPULATION. AS MIECHV CONTINUES TO UTILIZE THE HEALTHY FAMILIES AMERICA (HFA) MODEL TO PROVIDE QUALITY SERVICES FOR PREGNANT MOTHERS, CHILDREN, AND THEIR FAMILIES. THE AS MIECHV PROGRAM WILL CONTINUE SOME OF THE PLANS IN THE WORK PLAN FROM FY 2023. IT HAS IMPROVED THE QUALITY OF SERVICES FOR THE AT-RISK COMMUNITIES THUS FAR. OBJECTIVES: 1) IDENTIFY AND PROVIDE COMPREHENSIVE HOME VISITING SERVICES TO IMPROVE OUTCOMES FOR ELIGIBLE FAMILIES LIVING IN-AT RISK COMMUNITIES; 2) STRENGTHEN AND IMPROVE PROGRAMS AND ACTIVITIES THAT ADDRESS PREVENTIVE AND PRIMARY CARE SERVICES FOR PREGNANT MOTHERS, INFANTS, AND CHILDREN UNDER THE TITLE V OF THE SOCIAL SECURITY ACT; 3) IMPROVE COORDINATION OF SERVICES IN AT-RISK COMMUNITIES. 4) CONTINUE TO PARTNERSHIP WITH LOCAL PARTNERS REGARDING REFERRAL COORDINATION AND EXPANSION OF HOME VISITING SERVICES TO THE OUTER ISLAND; 5) CONTINUE TO INCREASE THE NUMBER OF REFERRALS TO ADDITIONAL SERVICES WHEN A PARTICIPANT NEED IS IDENTIFIED FROM UTILIZING THE SCREENING TOOLS FOR DEVELOPMENTAL DELAY SERVICES, DEPRESSION, TOBACCO CESSATION, SUBSTANCE USE, MENTAL HEALTHCARE, INTIMATE PARTNER VIOLENCE, OR CHILD ABUSE/NEGLECT; 6) CONTINUE TO IDENTIFY AND PROVIDE TRAINING AND SERVICES RELEVANT TO HIGH QUALITY HOME VISITING AND EARLY CHILDHOOD SERVICES TO CONTINUE OBTAIN A COMPETENT QUALIFIED WORKFORCE FOR HIGH QUALITY SERVICE DELIVERY WHILE ENCOURAGING AND EMPOWERING SELF-DEVELOPMENT. BY SEPTEMBER 29, 2026- 1). AS WILL INCREASE ENROLLMENT OF EXPECTANT MOTHERS, 1ST TRIMESTER IN THE PROGRAM FROM 45% TO 50%. 2). AS WILL IMPROVE FAMILY RETENTION FOR ENROLLED FAMILIES UP TO 5%. 3). AS MIECHV IN MANU’A WILL INCREASE THE NUMBER OF FAMILIES ENROLLED IN THE PROGRAM UP TO 3 FAMILIES. 4).AS WILL IMPROVE COORDINATION OF TRANSITION AND CONTINUE SERVING CHILDREN 5 YEARS UP TO 7 CHILDREN 5 YEARS. METHODOLOGY: THE FUNDING WILL PROVIDE THE AIGA MANUIA PROGRAM OF THE AMERICAN SAMOA MIECHV HOME VISITING SERVICES TO 225 FAMILIES FOR BOTH YEARS OF THE PROJECT PERIOD IN 15 COUNTIES OF AMERICAN SAMOA ARCHIPELAGO AND ITS OUTER ISLANDS. 1. THE GRANTEE-RECIPIENT IMPLEMENTS HEALTHY FAMILIES AMERICA (HFA), AN EVIDENCED-BASED MODEL FOR FIDELITY TO IMPROVE HOME VISITING SERVICE DELIVERY AND PERFORMANCE. 2. BASED ON THE APPROVED FY2022 NEEDS ASSESSMENT, THE GRANTEE-RECIPIENT PROGRAM WILL SERVED TEN COUNTIES IN THE MAIN ISLAND KNOWN AS TUTUILA AND THE FIVE COUNTIES IN THE ISLAND OF MANU’A OF AS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ADDRESS: P.O. BOX 70184 SAN JUAN, PR 00936-8184 PROJECT DIRECTOR NAME: MANUEL I. VARGAS BERNAL, MD, MPH. CONTACT PHONE NUMBERS: 787-765-2929 X. 4583/4550 FAX: 787-294-0746 EMAIL ADDRESS: MIVARGAS@SALUD.PR.GOV WEBSITE: WWW.SALUD.PR.GOV FUNDS: MIECHV X10 ($1,712,878.00) & MATCHING FUNDS ($725,892.00) ANNOTATION: THE PUERTO RICO MATERNAL, INFANT AND EARLY CHILDHOOD HOME VISITING PROGRAM (PR-MIECHVP), LOCALLY KNOWN AS FAMILIAS SALUDABLES PUERTO RICO (FSPR), IS A HOME VISITING PROGRAM FOR HIGH-RISK PREGNANT WOMEN UNTIL CHILD IS 36 MONTHS OLD. THE MAIN GOAL IS TO CONTINUE IMPROVING THE HOME-VISITING SERVICES AVAILABLE IN PUERTO RICO, STRENGTHENING HEALTHY PHYSICAL, EMOTIONAL, SOCIAL AND COGNITIVE DEVELOPMENT DURING EARLY CHILDHOOD. PARTICIPANTS MAY LEARN ABOUT BABY’S DEVELOPMENT AND MILESTONES, ACTIVITIES ACCORDING TO BABY’S AGE, INFANT ACTIVITIES PROMOTING BRAIN DEVELOPMENT, FAMILY PLANNING, SETTING GOALS, BEING MORE AUTONOMOUS, AND REFERRALS TO COMMUNITY RESOURCES BASED ON THEIR NEEDS. PROBLEM: FSPR ADDRESSES MATERNAL AND EARLY CHILDHOOD NEEDS OF FAMILIES IN MUNICIPALITIES THAT HAVE BEEN IDENTIFIED WITH HIGH INCIDENCE OF HEALTH, SOCIOEMOTIONAL, AND SOCIOECONOMIC RISK FACTORS. PURPOSE: THE PROGRAM PURPOSE IS TO OFFER SERVICES TO HIGH-RISK PREGNANT WOMEN USING STRENGTH BASED, FAMILY-CENTERED PARTNERSHIPS AND RELATIONSHIP-BASED INTERACTIONS. GOALS: (1) IMPROVE HEALTH OF CHILDREN AND WOMEN OF CHILDBEARING AGE (2) REDUCE INTENTIONAL AND UNINTENTIONAL INJURIES (3) IMPROVE SCHOOL READINESS AND ACHIEVEMENT (4) REDUCE RATES OF DOMESTIC VIOLENCE (5) INCREASE FAMILY ECONOMIC SELF-SUFFICIENCY (6) IMPROVE COORDINATION AND REFERRALS TO OTHER COMMUNITY RESOURCES AND SUPPORT. MAIN OBJECTIVES: (1) BY 09/29/26, INCREASE/MAINTAIN AT 75% RATE OF ENROLLED WOMEN HAVING POST-PARTUM CHECK UP BY MEDICAL PROVIDER WITHIN 2 MONTHS OF DELIVERING (2) BY 09/29/26, INCREASE/MAINTAIN AT 60% RATE OF PRIMARY CAREGIVERS WHOSE CAREGIVER-CHILD INTERACTION IS OBSERVED (3) BY 09/29/26, INCREASE/MAINTAIN AT 70% THE RATE OF CHILDREN ENROLLED IN HOME VISITING WITH A FAMILY MEMBER WHO REPORTED THAT DURING A TYPICAL WEEK S/HE READ, TOLD STORIES AND/OR SANG SONGS WITH THEIR CHILD DAILY, EVERY DAY (4) BY 09/29/26, INCREASE/MAINTAIN AT 80% RATE OF ENROLLED WOMEN SCREENED FOR INTIMATE PARTNER VIOLENCE DURING FI RST 6 MONTHS OF ENROLLMENT (5) BY 09/29/26, INCREASE/MAINTAIN AT 60% RATE OF ENROLLED PRIMARY CAREGIVERS MAINTAINING CONTINUOUS SCHOOL ENROLLMENT OR COMPLETED HIGH SCHOOL OR EQUIVALENT (6) BY 09/29/26, INCREASE OR MAINTAIN AT 50% THE RATE OF ENROLLED FAMILIES REFERRED TO AVAILABLE THERAPEUTIC SERVICES FOR DEPRESSION AND GENERAL MENTAL HEALTH AVAILABLE IN THE COMMUNITY WHEN NEED IS IDENTIFIED. APPROACH: FSPR WILL IMPLEMENT THE EVIDENCE-BASED HOME VISITING MODEL HEALTHY FAMILIES AMERICA WITH GROWING GREAT KIDS CURRICULUM TO PREGNANT AND POST-PARTUM WOMEN, RESIDENTS OF OROCOVIS, BARRANQUITAS, MAUNABO, PATILLAS, ARROYO, JAYUYA, ADJUNTAS, LARES, QUEBRADILLAS, SANTA ISABEL, SALINAS, TOA ALTA, AND NARANJITO (COMMUNITIES IDENTIFIED IN THE 2020 NEEDS ASSESSMENT). PROJECTED PROGRAM CASELOAD WILL BE 242 (WITH 22 FSSS 37.5 FTE) FAMILIES ON FY 2024-2026 FOR THE 13 MUNICIPALITIES USING THE HFA CASELOAD POLICY.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ANNOTATION: NEW HAMPSHIRE (NH) WILL SERVE PREGNANT PEOPLE AND FAMILIES IN ALL NH COUNTIES USING THE HEALTHY FAMILIES AMERICA (HFA) MODEL AND ITS CHILD WELFARE PROTOCOLS (CWP.) THIS PROJECT PERIOD WILL CONTINUE THE EXPANSION NH BEGAN IN LATE 2022, PARTNERING WITH THE NH DIVISION FOR CHILDREN, YOUTH AND FAMILIES (DCYF) IN IMPLEMENT ITS FAMILY FIRST PREVENTION SERVICES ACT (FFPSA) PREVENTION PLAN, FUNDING HFA-NH, EXPANDING HOME VISITING SERVICES TO A BROADER RANGE OF FAMILIES REFERRED BY DCYF TO INCLUDE CHILDREN UP TO AGE TWO. DURING THE PROJECT PERIOD, NH MIECHV WILL FOCUS ON IMPLEMENTATION WITH FIDELITY, REDUCING MISSING DATA THROUGH TRAINING AND TECHNICAL ASSISTANCE, AND STAFF RETENTION THROUGH ENSURING ADEQUATE TRAINING, REASONABLE CASELOAD EXPECTATIONS AND BUILDING COMMUNITY AND COLLABORATION ACROSS MIECHV SITES. PROBLEM: NH IS FORTUNATE THAT FOR MANY INDICATORS OF HEALTH AND WELL-BEING, THE STATE RANKS FAVORABLY WHEN COMPARED TO NATIONAL AVERAGES. HOWEVER, STATE AVERAGES MASK DISPARITIES AMONG COMMUNITIES AND SUB-POPULATIONS, AND THE OPIOID CRISIS HAS HAD A SIGNIFICANT IMPACT ON NH CHILDREN AND FAMILIES, BRINGING MORE FAMILIES INTO CONTACT WITH DCYF, PLACING THEM AT RISK OF SEPARATION. NH FAMILIES FACE CHALLENGES ACCESSING QUALITY CHILDCARE AND HOUSING. WHILE THE UNEMPLOYMENT RATE IN NH IS RELATIVELY LOW, MANY NH FAMILIES STRUGGLE TO MAINTAIN EMPLOYMENT THAT CAN PROVIDE AN INCOME SUFFICIENT TO MEET THE BASIC NEEDS OF FOOD, SHELTER, TRANSPORTATION AND QUALITY CHILD CARE WHILE THEY WORK. ADDITIONALLY, NH’S MENTAL HEALTH SYSTEM IS TAXED TO THE POINT THAT PEOPLE MAY WAIT MONTHS FOR MENTAL HEALTH SERVICES. PURPOSE: THE PURPOSE OF THIS PROJECT IS TO IMPLEMENT VOLUNTARY, EVIDENCE-BASED SERVICES THROUGH THE HFA MODEL AND COORDINATE COMPREHENSIVE HIGH-QUALITY SERVICES TO ELIGIBLE FAMILIES. HFA HAS REMAINED NH’S MODEL OF CHOICE FOR TRADITIONAL REFERRALS AND THOSE CONNECTED THROUGH DCYF USING THE CWP DUE TO THE HFA MODEL’S PROVEN OUTCOMES IN IMPROVING MATERNAL AND CHILD HEALTH, CHILD DEVELOPMENT, FAMILY ECONOMIC SELF-SUFFICIENCY, AND REDUCING CHILD MALTREATMENT. GOALS AND OBJECTIVES: GOAL 1: NEW HAMPSHIRE LIAS WILL IMPLEMENT THE HFA HOME VISITING MODEL WITH FIDELITY, SERVING THE HRSA-DEFINED PRIORITY POPULATIONS. OBJECTIVE 1.1 NH MIECHV WILL SUPPORT ITS LIAS IN DEMONSTRATING FIDELITY TO THE HFA MODEL THROUGH PROMOTING FAMILIARITY WITH BEST PRACTICE STANDARDS AND HFA TOOLS, WITH A FOCUS ON INCLUSIVITY AND EQUITY THROUGH QUARTERLY DATA REVIEW. OBJECTIVE 1.2 NH MIECHV WILL PROVIDE SERVICES TO FAMILIES ACROSS NH IN AN EQUITABLE MANNER, WITH A FOCUS ON ENROLLING MEMBERS OF UNSERVED AND UNDERSERVED GROUPS. GOAL 2: REDUCE MISSING DATA ACROSS FORMS 1 AND 2 BY 10 % WHERE MISSING DATA IS HIGHER THAN 20%, IN AT LEAST TWO MEASURES PER FORM. OBJECTIVE 2.1 PROVIDE PERSONALIZED CQI SUPPORT TO NH LIAS, REVIEWING DATA ON ONE OR MORE PERFORMANCE MEASURES ON A MONTHLY BASIS. DATA ANALYSIS WILL FOCUS ON EXAMINING THE IMPACT OF RACE, ETHNICITY, AND LANGUAGE, AMONG OTHER DEMOGRAPHICS, ON EACH MEASURE. GOAL 3: NH LIAS WILL RETAIN 75% OF NEWLY HIRED STAFF FOR A PERIOD OF GREATER THAN 1 YEAR. OBJECTIVE 3.1 FOCUS ON STAFF RECRUITMENT AND RETENTION AS A DRIVER FOR FAMILY RETENTION. GOAL 4: DEVELOP AND MAINTAIN A SUITE OF ROLE-SPECIFIC TOOLS TO SUPPORT STAFF RETENTION AT THE LIA LEVEL. OBJECTIVE 4.1 PROVIDE RESOURCES TO LIA STAFF THROUGH VARIOUS MEDIA TO PROMOTE FAMILIARITY WITH COMMUNITY AND TRAINING RESOURCES, PERFORMANCE MEASURES, AND ONE ANOTHER, ENSURING STAFF ARE WELL-CONNECTED THROUGHOUT THE PROGRAM. APPROACH: NH LIAS WILL IMPLEMENT THE HFA MODEL WITH FIDELITY TO PRIORITY POPULATIONS IN ALL NH COUNTIES, AS IDENTIFIED IN THE 2020 STATEWIDE NEEDS ASSESSMENT UPDATE, WITH A FOCUS ON INCREASING ENROLLMENT AND RETENTION OF CHILD-WELFARE INVOLVED FAMILIES. ADDITIONAL EFFORTS WILL INCLUDE INCREASING ENROLLMENT OF WIC PARTICIPANTS THROUGH STATE-LEVEL COLLABORATION. NH MIECHV PROPOSES TO SERVE 284 FAMILIES AT A GIVEN TIME DURING THE PROJECT PERIOD.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - ANNOTATION: NEW MEXICO EARLY CHILDHOOD EDUCATION & CARE DEPARTMENT (ECECD) OVERSEES THE STATES LOCAL IMPLEMENTING AGENCIES (LIAS). ECECD PROVIDES IMPORTANT EARLY CHILDHOOD INFRASTRUCTURE SERVICES TO ELIGIBLE FAMILIES IN ALL REGIONS OF THE STATE. AS A RESULT, NEW MEXICO’S FAMILIES CAN ACHIEVE POSITIVE OUTCOMES IN CHILDREN’S OVERALL DEVELOPMENT, INCREASE SCHOOL READINESS, AND ENHANCE PARENTS’ ABILITIES TO SUPPORT AND NURTURE THEIR CHILDREN. ALONG WITH SUPPORT TO COLLABORATE WITH GOVERNMENTAL ENTITIES AND OTHER LOCAL PROVIDERS TO INCREASE AWARENESS AND FAMILY ENGAGEMENT WITHIN THE COMMUNITIES OF NEW MEXICO. PROBLEM: ECECD DETERMINES AREAS IN THE STATE WHERE FAMILIES AND CHILDREN ARE MOST AT RISK OF NEGATIVE OUTCOMES. ECECD BELIEVES ALL FAMILIES CAN BENEFIT FROM HOME VISITING BUT TAKES AN APPROACH TO ENSURE THAT ALL FAMILIES IN NEED RECEIVE EXTRA FOCUS AND SUPPORT. HOME VISITING IS PROVIDED TO FAMILIES PRENATALLY TO THE AGE OF FIVE YEARS OLD. BY SETTING THE FOUNDATION FOR EARLY PRENATAL CARE AND ENCOURAGING HEALTHY BIRTHS, HOME VISITORS ASSIST FAMILIES IN PREPARING FOR PREGNANCY, PROVIDE SUPPORT DURING PREGNANCY, AND PROMOTE THE DELIVERY OF A HEALTHY BABY. PURPOSE: NEW MEXICO LEVERAGES THE MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) FEDERAL GRANT TO FUND EVIDENCE-BASED HOME VISITING DIRECT SERVICES AND INVESTS IN INFRASTRUCTURE SUPPORTS FOR DATA MANAGEMENT AND ONGOING PROFESSIONAL DEVELOPMENT TO ENSURE QUALITY SERVICES AND PROGRAMMING. NEW MEXICO’S HOME VISITING PROGRAM IS WELL-ESTABLISHED AND IS COMMITTED TO A UNIVERSAL APPROACH, IMPROVING EARLY CHILDHOOD OUTCOMES FOR ALL CHILDREN AND FAMILIES, BY ENHANCING AND EXPANDING SUPPORTIVE RELATIONSHIPS FOR CHILDREN AND THEIR FAMILIES. ECECD WORKS WITH LOCAL IMPLEMENTING AGENCIES (LIAS) TO ADMINISTER EVIDENCE-BASED HOME VISITING ACROSS THE STATE. ECECD ALSO PARTNERS WITH THE UNIVERSITY OF NEW MEXICO FOR INFRASTRUCTURE SUPPORT, INCLUDING DATA MANAGEMENT AND CONTINUOUS PROFESSIONAL GROWTH AND DEVELOPMENT. NEW MEXICO HOME VISITING GOALS AND OBJECTIVES: NEW MEXICO’S LIAS PROVIDE A RANGE OF HOME VISITATION SERVICES AND MODELS TO FAMILIES BEGINNING PRENATALLY UNTIL THEIR CHILDREN ARE FIVE YEARS OLD. HOME VISITORS SUPPORT FAMILIES BY PROMOTING EARLY PRENATAL CARE AND HEALTHY BIRTHS, TEACHING POSITIVE PARENTING AND SAFETY PRACTICES, SCREENING FOR DEVELOPMENTAL DELAYS AND MENTAL HEALTH CONCERNS, ASSISTING WITH ACCESS TO HEALTH INSURANCE AND CARE, AND REFERRING FAMILIES TO APPROPRIATE COMMUNITY SUPPORTS. GOAL 1. NEW MEXICO FAMILIES WHO PARTICIPATE IN THE NEW MEXICO MIECHV HOME VISITING PROGRAM WILL HAVE AN ALIGNED SYSTEM APPROACH FOR PRENATAL THROUGH FIVE SERVICES. LIAS WILL IDENTIFY PREGNANT FAMILIES AND YOUNG CHILDREN IN NEW MEXICO COMMUNITIES TO IMPROVE HEALTH OUTCOMES. GOAL 2: ELIGIBLE ENROLLED PARENTS/CAREGIVERS AND CHILDREN WILL BE SCREENED TO PROMOTE IMPROVED PRENATAL, MATERNAL, AND CHILD HEALTH OUTCOMES. APPROACH: NEW MEXICO WILL CONTINUE ITS CURRENT USE OF THE EVIDENCE-BASED MODELS, NURSE FAMILY PARTNERSHIP (NFP), PARENTS AS TEACHERS (PAT), AND INTRODUCE HEALTHY FAMILIES AMERA (HFA). NEW MEXICO WILL SERVE THE FOLLOWING COMMUNITIES WITH FY 2025 NCC BASE AND MATCHING GRANT: DONA ANA, OTERO, ROOSEVELT, CURRY, LUNA, HIDALGO, BERNALILLO, VALENCIA, RIO ARRIBA, AND SANDOVAL. IN THE PROPOSED ALLOCATION, NEW MEXICO HOME VISITING IS WORKING TOWARDS FILLING ALL ALLOTTED SLOTS. NEW MEXICO INTENDS TO CONTINUE OUTREACH AND RECRUITMENT EFFORTS TO MAINTAIN ENROLLMENT OF THE 648 MIECHV FAMILY SLOTS.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - FY 2025 PROJECT ABSTRACT TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 FORMULA GRANT ABSTRACT PROJECT TITLE: TENNESSEE’S MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING PROGRAM FY 2025 FORMULA GRANT APPLICANT NAME: TENNESSEE DEPARTMENT OF HEALTH, DIVISION OF FAMILY HEALTH AND WELLNESS ADDRESS: 710 JAMES ROBERTSON PARKWAY, ANDREW JOHNSON TOWER, 8TH FLOOR NASHVILLE, TN 37243 PROJECT DIRECTOR NAME: SARAH SANDERS, SECTION CHIEF, EARLY CHILDHOOD INITIATIVES CONTACT INFORMATION: PHONE: 615-253-4137 EMAIL ADDRESS: SARAH.SANDERS@TN.GOV PURPOSE: THE FY 2025 MIECHV GRANT WILL ENSURE THAT TENNESSEE FAMILIES ARE SERVED WITH HIGH QUALITY HOME VISITING SERVICES PROVIDED BY AN EXPERTLY TRAINED WORKFORCE AND THAT THE EARLY CHILDHOOD SYSTEM IS COMPREHENSIVE AND COORDINATED AND ENSURES THAT FAMILIES ARE ENROLLED IN THE MOST APPROPRIATE SERVICES AS EARLY AS POSSIBLE. GOALS AND OBJECTIVES: GOAL 1: BY SEPTEMBER 29, 2027, ASSURE AVAILABILITY OF HIGH QUALITY EBHV SERVICES IN THIRTY OF THE MOST AT-RISK COUNTIES IN TENNESSEE. GOAL 2: BY SEPTEMBER 29, 2027, STRENGTHEN THE CAPACITY OF TENNESSEE’S HOME VISITING WORKFORCE TO EFFECTIVELY IMPLEMENT HIGH-QUALITY, FAMILY-CENTERED, RESILIENCE-INFORMED, AND CULTURALLY SENSITIVE SERVICES. GOAL 3: BY SEPTEMBER 29, 2027, PROMOTE A COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD SYSTEM IN TENNESSEE THAT BEGINS PRENATALLY OR AT BIRTH. GOAL 4: BY SEPTEMBER 29, 2027, MAINTAIN COORDINATION OF FAMILY SERVING TDH AND OTHER STATE AGENCY PROGRAMS TO INCREASE COORDINATION OF REFERRALS OF FAMILIES INTO EBHV SERVICES. METHODOLOGY: PLANNED PROJECT ACTIVITIES WILL RESULT IN FAMILIES BEING SERVED BY EBHV PROGRAMS IN THIRTY OF THE MOST AT-RISK COMMUNITIES, INCLUDING ONE ADDITIONAL PROJECT THAT SERVES MILITARY FAMILIES LIVING CLOSE TO FORT CAMPBELL ARMY INSTALLATION. TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES) AND STATE FUNDED EBHV PROGRAMS ALSO CONTRIBUTE TO THE CASELOAD, BASED ON THE HRSA DEFINITION OF CASELOAD. MIECHV FUNDS SUPPORT THE IMPLEMENTATION OF TWO EBHV MODELS: HEALTHY FAMILIES AMERICA (HFA) AND PARENTS AS TEACHERS (PAT). THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2025 - SEPTEMBER 29, 2026 IS 1,006.75 AND THE TOTAL CASELOAD OF FAMILY SLOTS FOR SEPTEMBER 30, 2026 - SEPTEMBER 29, 2027 IS 1,006.75. TENNESSEE MAINTAINS STRONG PARTNERSHIPS WITH INFANT AND EARLY CHILDHOOD PARTNERS AND STATE AGENCIES INVOLVED IN PERPETUATING A COLLABORATIVE AND COMPREHENSIVE INFANT AND EARLY CHILDHOOD SYSTEM IN TENNESSEE. PARTNERS INCLUDE: THE EARLY SUCCESS COALITION IN MEMPHIS, TN; THE ASSOCIATION FOR INFANT MENTAL HEALTH IN TENNESSEE (AIMHITN); THE DEPARTMENT OF HUMAN SERVICES (TDHS); THE TENNESSEE COMMISSION ON CHILDREN AND YOUTH (TCCY); AND THE TENNESSEE YOUNG CHILD WELLNESS COUNCIL (TNYCWC, UNDER THE AUSPICES OF THE TCCY).

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - GUAM FY25 NCC APPLICATION: I. PROJECT ABSTRACT ADDRESS: 155 HESLER PLACE, HAGATNA PROJECT DIRECTOR NAME; MARGARITA B. GAY CONTACT PHONE NUMBER: (671) 634-7408 – (VOICE) EMAIL ADDRESS MARGARITA.GAY@DPHSS.GUAM.GOV WEBSITE ADDRESS: HTTP://WWW.DPHSS.GUAM.GOV ANNOTATION: THE GUAM DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES (DPHSS) AND THE BUREAU OF FAMILY HEALTH AND SOCIAL SERVICES (BFHNS) ARE THE LEAD AGENCY RESPONSIBLE FOR THE ADMINISTRATION AND IMPLEMENTATION OF GUAM'S EARLY CHILDHOOD HOME VISITING PROGRAM, ALSO KNOWN AS PROJECT BISITA, I FAMILIA (IN THE CHAMORRO LANGUAGE MEANING, "TO VISIT THE FAMILY"). PROJECT BISITA I FAMILIA (PBIF) IS AN EVIDENCE-BASED HOME VISITING SERVICE FOR PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN AT HIGH RISK FOR POOR OUTCOMES. THE VOLUNTARY PROGRAM INTENDS TO SUPPORT AND COORDINATE COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD HOME VISITING SERVICES FOR ELIGIBLE FAMILIES. GUAM'S HOME VISITING PROGRAM, PBIF, AIMS TO HELP GUAM'S PARENTS AND CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS. PROJECT BISITA'S PRIORITY CRITERIA FOR ENROLLMENT ARE A MATERNAL AGE OF LESS THAN 21 YEARS, LOW MATERNAL EDUCATION, AND LOW INCOME. THE PROJECT ALSO SERVES PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN AT INCREASED RISK FOR MALTREATMENT DUE TO PRIOR INVOLVEMENT WITH THE CHILD PROTECTION SYSTEM OR A HISTORY OF MENTAL HEALTH ISSUES. PURPOSE: THE PROGRAM'S PURPOSE IS TO HELP PARENTS OR CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS BY FOLLOWING AN EVIDENCE-BASED HOME VISITING MODEL. PROJECT BISITA I FAMILIA'S PURPOSE IS TO DELIVER EVIDENCE-BASED HOME VISITING SERVICES TO PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN WHO ARE AT HIGH RISK AND MAY HAVE UNFAVORABLE OUTCOMES IN THE FUTURE. THE SERVICE IS NOT JUST ABOUT PROVIDING CARE, BUT ALSO ABOUT ADDRESSING THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH. BY GUIDING FAMILIES TO COMMUNITY RESOURCES, INCREASING FAMILY LITERACY, AND PROMOTING PARENT-CHILD BONDING. THE PROGRAM IS COMMITTED TO REDUCING POTENTIAL HEALTH DISPARITIES AND ENSURING THAT EVERY FAMILY HAS AN EQUAL OPPORTUNITY TO A HEALTHY AND THRIVING LIFE. GOALS AND OBJECTIVES: GOAL 1: PROJECT BISITA I FAMILIA WILL PROVIDE HIGH-QUALITY, VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES IN HIGH-RISK COMMUNITIES. OBJECTIVE 1A: BY SEPTEMBER 30, 2027, 105 FAMILIES IN HIGH-RISK COMMUNITIES IDENTIFIED RECEIVE HIGH-QUALITY VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES. GOAL 2: IVE EFFORTS WITH EARLY CHILDHOOD AND OTHER CHILD AND FAMILY-SERVING AGENCIES. OBJECTIVE 2A: BY SEPTEMBER 30, 2027, PROJECT BISITA STAFF WILL ATTEND FOUR STAFF TRAINING AND PARENT WORKSHOPS ANNUALLY WITH OTHER EARLY CHILDHOOD PROGRAMS. GOAL 3: ENHANCE STAFFING AND ADMINISTRATIVE STRUCTURES TO DEVELOP HIGH-QUALITY ONGOING HOME VISITING PROGRAM STAFF TRAINING. OBJECTIVE3A: BY SEPTEMBER 30, 2027, PROJECT BISITA WILL HAVE SEVEN HOME VISITORS CERTIFIED IN THE HFA HOME-VISITING MODEL. GOAL 4: EXPAND THE DATABASE SYSTEM TO IMPROVE PROJECT BISITA'S ABILITY TO MEET DATA COLLECTION AND REPORTING REQUIREMENTS. OBJECTIVE4A: BY SEPTEMBER 30, 2027, PROJECT BISITA'S DATA SYSTEM WILL BE ENHANCED AND REFINED EVERY SIX MONTHS TO MEET THE REQUIREMENTS OF THE MIECHV FEDERAL GRANT AND HFA EVIDENCE-BASE HOME VISITING MODEL.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - GUAM MIECHV FY 2024 NON-COMPETING CONTINUATION APPLICATION PROJECT ABSTRACT ADDRESS: 155 HESLER PLACE, HAGATNA`, GUAM 96910 PROJECT DIRECTOR NAME: MARGARITA B. GAY CONTACT PHONE NUMBER: (671) 634-7408 EMAIL ADDRESS MARGARITA.GAY@DPHSS.GUAM.GOV WEBSITE ADDRESS: HTTP://WWW.DPHSS.GUAM.GOV HTTP://WWW.PROJECTBISITA.ORG AMOUNT OF FUNDS REQUESTED: $1,658,857.00 ANNOTATION: GUAM'S HOME VISITING PROGRAM, PROJECT BISITA I FAMILIA (PBIF), AIMS TO HELP GUAM'S PARENTS AND CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS. PBIF'S PRIORITY CRITERIA FOR ENROLLMENT ARE A MATERNAL AGE OF LESS THAN 21 YEARS, LOW MATERNAL EDUCATION, AND LOW INCOME. THE PROJECT ALSO SERVES PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN AT INCREASED RISK FOR MALTREATMENT DUE TO PRIOR INVOLVEMENT WITH THE CHILD PROTECTION SYSTEM OR A HISTORY OF MENTAL HEALTH ISSUES. PROBLEM: THE PROGRAM FACES MANY PROCUREMENT ISSUES, STAFF RECRUITMENT, AND PARTICIPANT RETENTION AND RECRUITMENT CHALLENGES. PURPOSE: THE PROGRAM'S PURPOSE IS TO HELP THE PARENTS OR CAREGIVERS REACH THEIR FULL POTENTIAL AS PARENTS BY FOLLOWING AN EVIDENCE-BASED HOME VISITING MODEL. PBIF'S PURPOSE IS TO DELIVER EVIDENCE-BASED HOME VISITING SERVICES TO PREGNANT WOMEN AND FAMILIES WITH YOUNG CHILDREN WHO ARE AT HIGH RISK FOR POOR OUTCOMES. THE SERVICE IS NOT JUST ABOUT PROVIDING CARE BUT ALSO ABOUT ADDRESSING THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH. BY GUIDING FAMILIES TO COMMUNITY RESOURCES, INCREASING FAMILY LITERACY, AND PROMOTING PARENT-CHILD BONDING, THE PROGRAM IS COMMITTED TO REDUCING HEALTH DISPARITIES AND ENSURING EVERY FAMILY HAS AN EQUAL CHANCE AT A HEALTHY AND PROSPEROUS LIFE. GOALS AND OBJECTIVES (1) PBIF WILL PROVIDE HIGH-QUALITY, VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES IN HIGH-RISK COMMUNITIES. BY SEPTEMBER 30, 2026, 105 FAMILIES IN HIGH-RISK COMMUNITIES IDENTIFIED RECEIVE HIGH-QUALITY VOLUNTARY, EVIDENCE-BASED HOME VISITING SERVICES. (2) STRENGTHEN COLLABORATIVE EFFORTS WITH EARLY CHILDHOOD AND OTHER CHILD AND FAMILY-SERVING AGENCIES. BY SEPTEMBER 30, 2026, PROJECT BISITA STAFF WILL ATTEND FOUR STAFF TRAINING AND PARENT WORKSHOPS ANNUALLY, ALONG WITH OTHER EARLY CHILDHOOD PROGRAMS. (3) ENHANCE STAFFING AND ADMINISTRATIVE STRUCTURES TO DEVELOP HIGH-QUALITY ONGOING HOME VISITING PROGRAM STAFF TRAINING. BY SEPTEMBER 30, 2026, PROJ ECT BISITA WILL HAVE SEVEN HOME VISITORS CERTIFIED IN THE HFA HOME-VISITING MODEL. (4) EXPAND THE DATABASE SYSTEM TO IMPROVE PROJECT BISITA'S ABILITY TO MEET DATA COLLECTION AND REPORTING REQUIREMENTS. BY SEPTEMBER 30, 2026, PROJECT BISITA'S DATA SYSTEM WILL BE ENHANCED AND REFINED EVERY SIX MONTHS TO MEET THE REQUIREMENTS OF THE MIECHV FEDERAL GRANT AND HFA EVIDENCE-BASED MODEL. APPROACH: PBIF USES HEALTHY FAMILIES AMERICA AS ITS EVIDENCE-BASED MODEL AND HAS NO PROMISING APPROACH. THE VILLAGES IDENTIFIED BY THE NEEDS ASSESSMENT THAT THE PROGRAM STARTED TO SERVE; CHALAN PAGO-ORDOT, ASAN-MAINA, HAGATNA, AGAT, AND TAMUNING-TUMON-HARMON. THE PROGRAM WILL CONTINUE TO VISIT AND ENROLL FAMILIES WHO RESIDE IN THE VILLAGES OF DEDEDO, MANGILAO, AND YIGO. THE TOTAL PROPOSED CASELOAD OF MIECHV FAMILY SLOTS IS 105.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - I. ABSTRACT ADDRESS: MISSISSIPPI STATE DEPT. OF HEALTH, 570 E. WOODROW WILSON, 0-200, JACKSON, MS 39216 PROJECT DIRECTOR: DR. ANNALYN WHITT, DIRECTOR OF HEALTH SERVICES; PROGRAM MANAGER: JERMAINE BAILEY CONTACT: (601) 576-7465 VOICE, (601) 576-7825 FAX EMAIL: ANNALYN.WHITT@MSDH.MS.GOV; JERMAINE.BAILEY@MSDH.MS.GOV WEB SITE: WWW.MSDH.MS.GOV GRANT PROGRAM FUNDS REQUESTED: $3,983,699.00 ANNOTATION: MIECHV-MS WILL IMPLEMENT A VOLUNTARY EVIDENCE-BASED HOME VISITING (EBHV) PROGRAM FOR EXPECTANT AND NEW PARENTS WITH CHILDREN UP TO KINDERGARTEN IN 16 COUNTIES TO IMPROVE THEIR HEALTH AND WELL-BEING. MIECHV-MS WILL ALSO PROVIDE HEALTH AND DEVELOPMENTAL SCREENINGS FOR ENROLLED FAMILIES AND MAKE APPROPRIATE LINKAGES AND REFERRALS FOR COMMUNITY RESOURCES AND SUPPORTS IN PARTNERSHIP WITH HEALTH, SOCIAL SERVICE, AND INTERVENTION PROFESSIONALS. THIS PROJECT PERIOD, MIECHV-MS WILL IMPROVE THE PROGRAM INFRASTRUCTURE, IMPLEMENT EBHV SERVICES WITH ELIGIBLE FAMILIES, AND ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT. PROBLEM: SELECTED MISSISSIPPI COMMUNITIES HAVE POOR MATERNAL AND CHILD HEALTH OUTCOMES, ADVERSE PERINATAL OUTCOMES, POOR HEALTH RANKINGS, AND SIGNIFICANT HEALTH DISPARITIES. POVERTY RATES EXCEEDED 23% OVERALL WITH HIGHER RATES FOR CHILD POVERTY. SUBSTANCE USE DISORDERS, MENTAL HEALTH DISORDERS, AND CHILD MALTREATMENT IN THE TARGET COMMUNITIES ARE HIGHER THAN THE STATE AVERAGES. PURPOSE: THE PURPOSE OF THE PROGRAM IS TO IMPROVE HEALTH AND WELL-BEING FOR FAMILIES IN TARGETED AREAS IN MISSISSIPPI BY PROVIDING EBHV. GOAL(S) AND OBJECTIVES: PROJECT GOALS ARE: (1) ENSURE THE MIECHV-MS PROGRAM HAS SUFFICIENT INFRASTRUCTURE TO DELIVER EBHV SERVICES; (2) IMPLEMENT AN EBHV MODEL WITH ELIGIBLE PREGNANT WOMEN AND CHILDREN UP TO KINDERGARTEN; AND (3) ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT INITIATIVES THAT MAINTAIN AND EXCEED THE PROGRAM’S FIDELITY. PROJECT OBJECTIVES ARE: 1.1 THROUGH 9/29/2026, MSDH WILL MAINTAIN AFFILIATION AND DATA SHARING AGREEMENTS WITH THE MODEL DEVELOPER(S) OF THE SELECTED EBHV MODEL(S). 1.2 THROUGH 9/29/2026, MSDH WILL RECRUIT AND RETAIN PERSONNEL WHO REFLECT THE RACIAL AND ETHNIC DIVERSITY OF THE COMMUNITIES SERVED TO IMPLEMENT EBHV, INCLUDING STATE PROGRAM PERSONNEL, LOCAL AREA SUPERVISORS, AND PARENT EDUCATORS/HOME VISITORS. 1.3 THROUGH 9/29/2026, MIECHV-MS WILL MAINTAIN, IMPLEMENT, AND REVIEW/REVISE POLICIES AND PROCEDURES FOR IMPLEMENTATION OF EBHV AND MANAGEMENT OF THE MIECHV GRANT. 1.4 THROUGH 9/29/2026, ALL MIECHV-MS LOCAL AREA SUPERVISORS AND HOME VISITORS WILL COMPLETE REQUIRED EBHV MODEL FOUNDATIONAL AND IMPLEMENTATION TRAINING TIMELY. 1.5 THROUGH 9/29/2026, MSDH WILL COMPLETE AND SUBMIT ALL APPLICATIONS AND COLLECT AND REPORT ALL REQUIRED DATA, PROGRAM ACTIVITIES, AND PERFORMANCE OUTCOMES TO THE HRSA AND EBHV MODEL DEVELOPER(S). 2.1 BY 9/29/2026, MSDH WILL RECRUIT, ENROLL, AND PROVIDE SERVICES FOR A CASELOAD OF 540 ELIGIBLE FAMILIES WHO REFLECT THE RACIAL, ETHNIC, AND LINGUISTIC DIVERSITY OF THE COMMUNITIES ANNUALLY, ACROSS MIECHV-MS 16 COMMUNITIES. 3.1 THROUGH 9/29/2026, MIECHV-MS WILL MAINTAIN AN ADVISORY COMMITTEE AND PARTNERSHIP AGREEMENTS THROUGH THE DURATION OF THE PERFORMANCE PERIOD. 3.2 THROUGH 9/29/2026, MIECHV-MS WILL MAINTAIN CONTINUOUS QUALITY IMPROVEMENT (CQI) TEAM(S) TO ENSURE PROGRAM EFFECTIVENESS USING PLAN-DO-STUDY-ACT (PDSA) METHODOLOGY. APPROACH: MIECHV-MS WILL IMPLEMENT PARENTS AS TEACHERS WITH 540 FAMILIES IN COLLABORATION WITH OTHER ORGANIZATIONS TO ENSURE MAXIMUM IMPACT IN IDENTIFIED COMMUNITIES, INCLUDING: CLAIBORNE, COAHOMA, COPIAH, DESOTO, HINDS, HOLMES, HUMPHREYS, ISSAQUENA, JEFFERSON, NESHOBA, SHARKEY, SUNFLOWER, TALLAHATCHIE, TUNICA, WASHINGTON, AND WILKINSON.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - I. PROJECT ABSTRACT PROJECT TITLE: HAWAII MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) FORMULA GRANT PROJECT FY 2025 APPLICANT NAME: HAWAII STATE DEPARTMENT OF HEALTH ADDRESS: 1250 PUNCHBOWL STREET, HONOLULU, HAWAII 96813-2416 PROJECT DIRECTOR NAME: MATTHEW J. SHIM, PHD, MPH, CHIEF, FAMILY HEALTH SERVICES DIVISION CONTACT PHONE NUMBERS: 808-586-4122 EMAIL ADDRESS: MATTHEW.SHIM@DOH.HAWAII.GOV ANNOTATION: THE HAWAII MIECHV FORMULA GRANT PROJECT FY 2025 MAINTAINS COLLABORATION ACROSS COMPREHENSIVE HOME VISITING SERVICES SYSTEMS TO SUPPORT SCREENING AND REFERRAL EFFORTS. THE RESULT IS A NETWORK OF PARTNERSHIPS WITH BIRTHING HOSPITALS, PHYSICIANS, THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN, COMMUNITY HEALTH CENTERS, AND PRENATAL CLINICS THAT OFFER VOLUNTARY HOME VISITING SERVICES TO PREGNANT WOMEN OR CAREGIVERS OF CHILDREN BIRTH TO KINDERGARTEN ENTRY. THESE SERVICES IMPROVE OUTCOMES AND REDUCE HEALTH DISPARITIES FOR FAMILIES LIVING IN AT-RISK COMMUNITIES. PROBLEM: ACCORDING TO THE 2025 MIECHV NEEDS ASSESSMENT, FAMILIES RESIDING IN HAWAII FACE UNEQUAL BIRTH, HEALTH, AND DEVELOPMENTAL OUTCOMES BASED ON THEIR COMMUNITY OF RESIDENCE. PURPOSE: THE FORMULA GRANT PROJECT FY 2025 WILL PROVIDE A COMPREHENSIVE EARLY IDENTIFICATION (EID) SYSTEM AND EVIDENCE-BASED HOME VISITING SERVICES TO FAMILIES RESIDING IN ONE OF THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREAS TO IMPROVE OUTCOMES FOR AT-RISK CHILDREN. GOALS AND OBJECTIVES: THE GRANTEE WILL ACHIEVE FOUR (4) GOALS: 1) INCREASE PROGRAM SUCCESS IN REACHING, ENGAGING, AND RETAINING HIGH-RISK FAMILIES; 2) INCREASE PROGRAM SUCCESS IN RECRUITING AND RETAINING HOME VISITORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS; AND 4) PROMOTE THE SUSTAINABILITY OF THE HOME VISITING PROGRAM THROUGH A CONTINUOUS QUALITY IMPROVEMENT (CQI) PROCESS. THE GRANTEE WILL MEET THESE GOALS BY PURSUING THE FOLLOWING OBJECTIVES: 1) MAINTAIN 85% CAPACITY UTILIZATION THROUGHOUT THE PERIOD OF PERFORMANCE; 2) UTILIZE THE RESULTS OF THE TRAINING NEEDS ASSESSMENT TO PRIORITIZE AND IMPLEMENT PROFESSIONAL DEVELOPMENT OPPORTUNITIES FOR HOME VISITORS AND SUPERVISORS; 3) STRENGTHEN HOME VISITING EFFECTIVENESS IN THE COORDINATION OF REFERRALS BY INCREASING THE NUMBER OF CLEAR POINTS OF CONTACT FOR RECOMMENDED MENTAL HEALTH SERVICES DURING THE PERIOD OF PERFORMANCE, WITH SPECIAL CARE GIVEN TO OFFERING CLEAR POINTS OF CONTACT FOR APPROPRIATE SERVICES WITHIN THE COMMUNITY; AND 4) ENSURE THAT THE PROGRAM IS SUSTAINABLE AND CONTINUOUSLY IMPROVING SO THAT IT CAN HAVE A POSITIVE IMPACT ON OUTCOMES AND REDUCE HEALTH AND DEVELOPMENTAL DISPARITIES IN THE COMMUNITY. WE WILL CONTINUE TO HOLD QUARTERLY MEETINGS WITH LOCAL IMPLEMENTING AGENCIES (LIAS) THROUGHOUT THE PERIOD OF PERFORMANCE TO: 1) SHARE ADVANCEMENTS IN THE FIELD OF CQI; 2) ENSURE CONSISTENCY OF CQI EFFORTS ACROSS LIAS; AND 3) PROVIDE CONTINUED TECHNICAL ASSISTANCE (TA) IN INTEGRATING HEALTH EQUITY ISSUES INTO CQI EFFORTS THROUGHOUT THE PERIOD OF PERFORMANCE. HAWAII IS REQUESTING $3,894,545.00 IN BASE FUNDING AND REQUESTING A MATCH OF $1,075,093.00 FOR A TOTAL BUDGET OF $5,328,002.00 PLANNED TO PROVIDE EVIDENCE-BASED HOME VISITING SERVICES. SOURCE OF NON-FEDERAL FUNDING: HAWAII STATE GENERAL FUNDS. METHODOLOGY: THE MIECHV EID PROGRAM SCREENS AND REFERS FAMILIES WHO RESIDE IN PRIORITY AT-RISK COMMUNITIES STATEWIDE, AS DESCRIBED UNDER SUBSECTION 511(B)(1)(A). THE EID SYSTEM APPROACHES PRENATAL WOMEN AND PARENTS OF NEWBORNS WHO RESIDE IN THE DESIGNATED PRIORITY AT-RISK GEOGRAPHIC AREA TO SCREEN FOR HOME VISITING PROGRAM ELIGIBILITY. KEY ACTIVITIES INCLUDE PARTNERSHIPS WITH TITLE IV-E, TITLE V, EARLY CHILDHOOD COMPREHENSIVE SERVICES GRANTEES TO IMPROVE INTEGRATION WITH EARLY CHILDHOOD SYSTEMS. MODELS: HFA, HIPPY, AND PAT. COMMUNITIES SERVED: DOWNTOWN, EAST HAWAII, KAUAI, LANAI, LEEWARD, MAUI, METRO HONOLULU, MOLOKAI, SOUTHCENTRAL, AND WEST HAWAII. PROPOSED CASELOAD SLOTS: 418 (FY26), 447 (FY27). CURRENT CASE

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - IOWA DESIRES TO PROVIDE EVIDENCE-BASED HOME VISITATION TO 772 VULNERABLE FAMILIES THAT ARE PREGNANT OR HAVE SMALL CHILDREN, RESIDING IN THE MOST AT-RISK COMMUNITIES IN THE STATE. IOWA SUPPORTS THE HOME VISITING WORKFORCE WITH INNOVATIVE STRATEGIES IN ORDER TO RETAIN THE MOST QUALIFIED HOME VISITORS. IOWA WILL CONTINUE ITS TRADITION OF CONTRIBUTING TO THE EVIDENCE-BASE BY PARTICIPATING IN THE COORDINATED STATE EVALUATION FOCUSED ON WORKFORCE SUPPORTS. IOWA HAS A RICH HISTORY OF BI-PARTISAN SUPPORT FOR CHILDREN AND FAMILIES, DEDICATING STATE FUNDS FOR HOME VISITING SERVICES SINCE 1988. IOWA’S INVESTMENTS IN HOME VISITING HAVE HISTORICALLY BEEN IN LOCALLY DEVELOPED MODELS THAT LACK AN EVIDENCE-BASE. PURPOSE: PROVIDING HIGH QUALITY, EVIDENCE-BASED HOME VISITING IN 24 IOWA COUNTIES TO 772 FAMILIES. GOALS & OBJECTIVES: THE PROJECT SUPPORTS SIX GOALS AND 16 OBJECTIVES. GOAL 1: FOCUS ON AT-RISK AND HIGH NEEDS CHILDREN AND THEIR FAMILIES. *EXPAND ACCESS TO HOME VISITING IN TARGETED COMMUNITIES AND REACH FULL-SERVICE CAPACITY. *STRENGTHEN REFERRAL NETWORKS WITH HOSPITALS, WIC, HEALTHCARE PROVIDERS, AND CHILDCARE SERVICES. GOAL 2: SUPPORT CONTINUOUS QUALITY IMPROVEMENT ACTIVITIES THAT ADDRESS COMMUNITY-IDENTIFIED BARRIER(S), *DESIGNATE A CQI LEAD PER PROGRAM, ENSURING 80% PARTICIPATION IN CHECK-INS. *UTILIZE DATA TO IDENTIFY AND IMPLEMENT CQI PROJECTS ALIGNED WITH HRSA REQUIREMENTS. GOAL 3: STRENGTHEN LEADERSHIP, COLLABORATION AND COORDINATION OF EARLY CHILDHOOD PARTNERS FOR THE INTEGRATION OF A COMPREHENSIVE EARLY CARE, HEALTH AND EDUCATION SYSTEM, *COORDINATE MIECHV EFFORTS WITH EARLY CHILDHOOD SERVICE PROVIDERS. *ALIGN PROFESSIONAL DEVELOPMENT WITH KEY PARTNERS, INCLUDING EARLY EDUCATION ORGANIZATIONS. *MAINTAIN A LOCAL INTAKE SYSTEM FOR REFERRALS AND FAMILY SUPPORT PROGRAM COORDINATION. GOAL 4: SUPPORT INFORMED DECISION-MAKING FOR PROGRAM DEVELOPMENT, PUBLIC POLICY, AND FISCAL MANAGEMENT AT THE STATE AND LOCAL LEVELS THROUGH THE USE OF RESULTS ACCOUNTABILITY DATA. *ASSIST FAMILY SUPPORT PROFESSIONALS IN ACCURATE DATA COLLECTION FOR PERFORMANCE IMPROVEMENT. *ENSURE FULL-SERVICE CASELOADS AND ADHERENCE TO HOME VISIT REQUIREMENTS. GOAL 5: ENSURE IOWA'S HOME VISITING PROFESSIONALS POSSESS THE CORE COMPETENCIES REQUIRED TO BE EFFECTIVE IN THEIR POSITIONS. *SUPPORT CERTIFICATION FOR FAMILY SUPPORT PROFESSIONALS THROUGH TRAINING INITIATIVES. *ENHANCE STAFF SKILLS IN MENTAL HEALTH SUPPORT. *PROMOTE COMPETITIVE WAGES TO ATTRACT AND RETAIN QUALIFIED PROFESSIONALS, RECOMMENDING A $18/HR STARTING WAGE. GOAL 6: PROVIDE THE OPPORTUNITY FOR IOWA’S AT-RISK FAMILIES TO BE PARTNERS IN PLANNING AND IMPLEMENTING HOME VISITING SERVICES. THE GOALS WILL BE ACCOMPLISHED THROUGH A VARIETY OF OBJECTIVES AND ACTIVITIES. *ENCOURAGE FAMILY PARTICIPATION IN EVALUATIONS AND MAINTAIN A PARENT ADVISORY COUNCIL WITH AT LEAST 50% PAST OR CURRENT PROGRAM PARTICIPANTS. APPROACH: IOWA SUPPORTS HEALTHY FAMILIES AMERICA, NURSE FAMILY PARTNERSHIP AND PARENTS AS TEACHERS HOME VISITING MODELS. TARGETED COMMUNITIES INCLUDE APPANOOSE, BLACK HAWK, CASS, CERRO GORDO, CLINTON, DES MOINES, FREMONT, HENRY, JEFFERSON, LEE, MAHASKA, MARSHALL, MONROE, MONTGOMERY, MUSCATINE, PAGE, POLK, POTTAWATTAMIE, SCOTT, TAMA, TAYLOR, WAPELLO, WEBSTER AND WOODBURY. FAMILIES THAT MEET ONE OR MORE OF THE MIECHV ELIGIBILITY CRITERIA WILL BE THE TARGET FOR THESE SERVICES. IOWA WILL HAVE A CASELOAD CAPACITY OF 772 FAMILIES EACH YEAR OF THIS PROJECT. IOWA WILL SUPPORT 9 LIA’S UNDER THIS PROJECT. IOWA MIECHV WILL UTILIZE FEDERAL AND STATE MATCHING FUNDS TO EXPAND EVIDENCE-BASED HOME VISITING INTO THREE NEW COUNTIES, SERVING AN ADDITIONAL 60 ELIGIBLE FAMILIES. STATE EARLY CHILDHOOD IOWA FUNDS THAT SUPPORT EVIDENCE-BASED PARENTS AS TEACHERS HAVE BEEN COMMITTED AS MATCH TO SUPPORT THIS GRANT APPLICATION.

Department of Health and Human Services

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) – MISSISSIPPI PROJECT NARRATIVE: SEPTEMBER 30, 2024 – SEPTEMBER 29, 2026 I. ABSTRACT ADDRESS: MISSISSIPPI STATE DEPT. OF HEALTH, 570 E. WOODROW WILSON, 0-200, JACKSON, MS 39216 PROJECT DIRECTOR: DR. SHELIA ANTHONY, CHILD HEALTH DIRECTOR CONTACT: (601) 576-7472 VOICE, (601) 576-7825 FAX EMAIL: SHELIA.ANTHONY@MSDH.MS.GOV GRANT PROGRAM FUNDS REQUESTED: $3,983,699.00 WEB SITE: WWW.MSDH.MS.GOV ANNOTATION: MIECHV-MS WILL IMPLEMENT A VOLUNTARY EVIDENCE-BASED HOME VISITING (EBHV) PROGRAM FOR EXPECTANT AND NEW PARENTS WITH CHILDREN UP TO KINDERGARTEN IN 16 COUNTIES TO IMPROVE THEIR HEALTH AND WELL-BEING. MIECHV-MS WILL ALSO PROVIDE HEALTH AND DEVELOPMENTAL SCREENINGS FOR ENROLLED FAMILIES AND MAKE APPROPRIATE LINKAGES AND REFERRALS FOR COMMUNITY RESOURCES AND SUPPORTS IN PARTNERSHIP WITH HEALTH, SOCIAL SERVICE, AND INTERVENTION PROFESSIONALS. THIS PROJECT PERIOD, MIECHV-MS WILL IMPROVE THE PROGRAM INFRASTRUCTURE, IMPLEMENT EBHV SERVICES WITH ELIGIBLE FAMILIES, AND ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT. PROBLEM: SELECTED MISSISSIPPI COMMUNITIES HAVE POOR MATERNAL AND CHILD HEALTH OUTCOMES, ADVERSE PERINATAL OUTCOMES, POOR HEALTH RANKINGS, AND SIGNIFICANT HEALTH DISPARITIES. POVERTY RATES EXCEEDED 23% OVERALL WITH HIGHER RATES FOR CHILD POVERTY. SUBSTANCE USE DISORDERS, MENTAL HEALTH DISORDERS, AND CHILD MALTREATMENT IN THE TARGET COMMUNITIES ARE HIGHER THAN THE STATE AVERAGES. PURPOSE: THE PURPOSE OF THE PROGRAM IS TO IMPROVE HEALTH AND WELL-BEING FOR FAMILIES IN TARGETED AREAS IN MISSISSIPPI BY PROVIDING EBHV. GOAL(S) AND OBJECTIVES: PROJECT GOALS ARE: (1) ENSURE THE MIECHV-MS PROGRAM HAS SUFFICIENT INFRASTRUCTURE TO DELIVER EBHV SERVICES; (2) IMPLEMENT AN EBHV MODEL WITH ELIGIBLE PREGNANT WOMEN AND CHILDREN UP TO KINDERGARTEN; AND (3) ENGAGE IN CONTINUOUS QUALITY IMPROVEMENT INITIATIVES THAT MAINTAIN AND EXCEED THE PROGRAM’S FIDELITY. PROJECT OBJECTIVES ARE: 1.1 THROUGH 9/29/2027, MSDH WILL MAINTAIN AFFILIATION AND DATA SHARING AGREEMENTS WITH THE MODEL DEVELOPER(S) OF THE SELECTED EBHV MODEL(S). 1.2 THROUGH 9/29/2027, MSDH WILL RECRUIT AND RETAIN QUALIFIED PERSONNEL TO IMPLEMENT EBHV, INCLUDING STATE PROGRAM PERSONNEL, LOCAL AREA SUPERVISORS, AND PARENT EDUCATORS/HOME VISITORS. 1.3 THROUGH 9/29/2027, MIECHV-MS WILL MAINTAIN, IMPLEMENT, AND REVIEW/REVISE POLICIES AND PROCEDURES FOR IMPLEMENTATION OF EBHV AND MANAGEMENT OF THE MIECHV GRANT. 1.4 THROUGH 9/29/2027, ALL MIECHV-MS LOCAL AREA SUPERVISORS AND HOME VISITORS WILL COMPLETE REQUIRED EBHV MODEL FOUNDATIONAL AND IMPLEMENTATION TRAINING TIMELY. 1.5 THROUGH 9/29/2027, MSDH WILL COMPLETE AND SUBMIT ALL APPLICATIONS AND COLLECT AND REPORT ALL REQUIRED DATA, PROGRAM ACTIVITIES, AND PERFORMANCE OUTCOMES TO THE HRSA AND EBHV MODEL DEVELOPER(S). 2.1 BY 9/29/2027, MSDH WILL RECRUIT, ENROLL, AND PROVIDE SERVICES FOR A CASELOAD OF 360 ELIGIBLE FAMILIES FROM ACROSS MIECHV-MS 16 COMMUNITIES. 3.1 THROUGH 9/29/2027, MIECHV-MS WILL MAINTAIN AN ADVISORY COMMITTEE AND PARTNERSHIP AGREEMENTS THROUGH THE DURATION OF THE PERFORMANCE PERIOD. 3.2 THROUGH 9/29/2027, MIECHV-MS WILL MAINTAIN CONTINUOUS QUALITY IMPROVEMENT (CQI) TEAM(S) TO ENSURE PROGRAM EFFECTIVENESS USING PLAN-DO-STUDY-ACT (PDSA) METHODOLOGY. APPROACH: MIECHV-MS WILL IMPLEMENT PARENTS AS TEACHERS WITH 360 FAMILIES IN COLLABORATION WITH OTHER ORGANIZATIONS TO ENSURE MAXIMUM IMPACT IN IDENTIFIED 16 COMMUNITIES, INCLUDING: CLAIBORNE, COAHOMA, COPIAH, DESOTO, HINDS, HOLMES, HUMPHREYS, ISSAQUENA, JEFFERSON, NESHOBA, SHARKEY, SUNFLOWER, TALLAHATCHIE, TUNICA, WASHINGTON, AND WILKINSON