Coordination of early childhood home visiting and health care providers

A qualitative study of effective collaboration among nurse home visitors, healthcare providers and community support services in the United States

“…Current literature has identified elements of successful collaboration to improve community health, but systematic investigation of coordination among public health prevention programs, healthcare and community services in the US has largely been limited to screening and referrals to serve families experiencing adversities (Arbour et al., 2020; Paradis et al., 2018; Tandon et al., 2020). We define healthcare to encompass all providers within a healthcare system who provide physical or behavioural health services from physicians and therapists to social workers or patient navigators based within the clinical or hospital healthcare setting; while community services are those based outside the healthcare setting and address families’ social needs.…”

Barriers to and Systems Solutions for Increasing Early Childhood Home Visiting Referrals by Health Care Providers Serving Urban and Rural Communities

“…23 Little was previously known about the factors affecting health care provider referrals to ECHV services. 24 Research by Paradis et al 12 found that approximately one-third of programs had a memorandum of understanding with a health care provider that allowed for communication and feedback regarding participants. More widespread use of memorandums of understanding could address provider recommendations for regular feedback from ECHV programs.…”

A case study of care co‐ordination between primary care providers and nurse home visitors to serve young families experiencing adversity in the Northwestern United States

“…In the international setting, home health visiting services have long been implemented and accepted as a valuable and effective service, in part because countries that offer these programmes, including Denmark (Hjort et al., 2017), Australia (Kemp & Harris, 2012; McDonald et al., 2012), Canada (Ciliska et al., 1996) and the United Kingdom (Barnes, 2010), have comprehensive maternal child health systems where home visiting is well integrated into the broader system of care and support for families (Kamerman & Kahn, 1993; Wasik, 1993). In the USA, however, this model of integrating evidence‐based home visiting services into primary care is rare (Linton et al., 2018; Paradis et al., 2018; Tomoaia‐Cotisel et al., 2016) and there exists opportunity to address social determinants of health, avoid child maltreatment and improve child preventive care utilisation (Paradis et al., 2013). By co‐ordinating with trained nurse home visitors, PCPs can promote shared care planning with the patient, family and support systems to define goals, better anticipate needs, assign accountability and support a patient's self‐management.…”

“…Collaboration between NFP nurses and PCPs would ensure that healthcare recommendations are consistent and that each group of providers is aware of the needs of mother and child. Given this potential for improving health, previous research has examined PCP collaboration with home visiting programmes across the USA, including integration with patient‐centred medical homes (Linton et al., 2018; Radcliffe et al., 2013; Tschudy et al., 2013), partnerships with paediatric well‐child visits (O'Neill, Paradis, & Minkovitz, 2015) and co‐ordination through the use of Memoranda of Understanding and sharing of consent forms (Paradis et al., 2018). These efforts highlight the potential of improved collaboration, but additional work is needed to understand effective collaborative relationships.…”

“…& Kahn, 1993;Wasik, 1993). In the USA, however, this model of integrating evidence-based home visiting services into primary care is rare(Linton et al, 2018;Paradis et al, 2018;Tomoaia-Cotisel et al, 2016) and there exists opportunity to address social determinants of health, avoid child maltreatment and improve child preventive care utilisation(Paradis et al, 2013). By co-ordinating with trained nurse home visitors, PCPs can promote shared care planning with the patient, family and support systems to define goals, better anticipate needs, assign accountability and support a patient's selfmanagement.…”