Evidence Based Practice and Nurse- Family Partnership

Overview 3 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Nurse-Family Partnership is An evidence-based, community health program Transforming lives of vulnerable first-time mothers living in poverty Improving prenatal care, quality of parenting and life prospects for mothers by partnering them with a registered nurse Copyright 2011 Nurse-Family Partnership. All rights reserved.

Working Together to Ensure Healthier Families Nurse-Family Partnership Overview

5 "There is a magic window during pregnancy it s a time when the desire to be a good mother and raise a healthy, happy child creates motivation to overcome incredible obstacles including poverty, instability or abuse with the help of a well-trained nurse." David Olds, PhD, Founder, Nurse-Family Partnership

Overview 7 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Program Goals Improve pregnancy outcomes Improve child health and development Improve parents economic selfsufficiency Key Program Components First-time, at-risk mothers Registered nurses Intensive services (intensity, duration) Focus on behavior Program fidelity (performance management system) Why Nurses? Knowledge, judgment and skills High level of trust, low stigma Credibility and perceived authority Nursing theory and practice at core of original model Copyright 2011 Nurse-Family Partnership. All rights reserved.

Overview 8 Home Visit Overview Personal Health Health Maintenance Practices Nutrition and Exercise Substance Use Mental Health Functioning Environmental Health Home Work, School, and Neighborhood Life Course Development Family Planning Education and Livelihood Maternal Role Mothering Role Physical Care Behavioral and Emotional Care Family and Friends Personal network Relationships Assistance with Childcare Health and Human Services Service Utilization Copyright 2011 Nurse-Family Partnership. All rights reserved.

Research 9 Trials of the Program Dr. Olds research & development of NFP continues today 1977 Elmira, NY Participants: 400 Population: Low-income whites Studied: Semi-rural area 1988 Memphis, TN Participants: 1,139 Population: Low-income blacks Studied: Urban area 1994 Denver, CO Participants: 735 Population: Large portion of Hispanics Studied: Nurse and paraprofessionals Copyright 2011 Nurse-Family Partnership. All rights reserved.

Monetary Benefits to Society 12 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Nurse-Family Partnership is Cost-Effective Every $1 invested in NFP is estimated to yield $2.90 savings to government and $6.40 to society. Savings accrue to government from decreased spending on: health care criminal justice child protection mental health education public assistance And increased taxes paid by employed parents Copyright 2011 Nurse-Family Partnership. All rights reserved.

13 Nurse-Family Partnership Projected Outcomes Based on 177,517 pregnant women enrolled in NFP from 1996-2013, Miller projects that by 2031, NFP will prevent an estimated: 500 infant deaths 10,000 preterm (first and subsequent) births 42,000 child maltreatment incidents 36,000 intimate partner violence incidents 90,000 violent crimes by youth 594,000 property/public order crimes (e.g. vandalism) by youth 36,000 youth arrests 41,000 cases of youth substance abuse Copyright 2011 Nurse-Family Partnership. All rights reserved.

14 NFP is a growing, national program As of September 2017, NFP programs are in 42 states (586 counties) + the U.S. Virgin Islands Australia Bulgaria Canada England Netherlands Northern Ireland Norway Scotland Copyright 2011 Nurse-Family Partnership. All rights reserved.

Our Clients 15 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Kitsap NFP Client Demographics 2-year profile, 2015-2016 19% moms 19 years of age or younger 47% moms between 20-23 years of age 75% single 68% have high school degree or less than high school 63% unemployed 12% foster care, homeless, or live in group facility Copyright 2011 Nurse-Family Partnership. All rights reserved.

Our Clients 16 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Kitsap NFP Client Demographics 2-year profile, 2015-2016 72% have an ACEs score of 3 or more 50% have an ACEs score of 5 or more By comparison, statewide prevalence of 3 or more ACEs among women was 24.2% Copyright 2011 Nurse-Family Partnership. All rights reserved.

Client Outcomes 17 Statistically significant improvement when averaged across several growth areas including: mental health status, caretaking/parenting, health care utilization, substance use, housing stability, abuse of mother or child Copyright 2011 Nurse-Family Partnership. All rights reserved.

20 Cover this gray area with one of the 8 provided filmstrip photo JPG files. For More Information: Kitsap Public Health Nurse-Family Partnership 360-728-2235 Nurse-Family Partnership National Service Office 1900 Grant Street, Ste 400 Denver, Colorado 80203 www.nursefamilypartnership.org Copyright 2011 Nurse-Family Partnership. All rights reserved.