201261 Eco-cultural Family Interview: Building upon a community-based home visiting program's demonstration of improved birth and child outcomes by enhancing family care-planning

Monday, November 9, 2009: 1:15 PM

Julie Driscoll, MSW , Family & Community Health Division-Empowering Families of Milwaukee Program Manager, City of Milwaukee Health Department, Milwaukee, WI
Leah Jepson, MSW , Family & Community Health Division - Ecocultural Family Interview Project Manager, City of Milwaukee Health Department, Milwaukee, WI
Empowering Families of Milwaukee (EFM), an intensive, and comprehensive home visitation program utilizing evidenced-based curriculum, was implemented within the City of Milwaukee in 2006 to address startling racial disparities in infant mortality. Pregnant women and their children, living in a high-risk area of the city that encompasses six zip codes, are visited by a team of nurses, social workers, and community health workers. Women living in this high-risk area have a 14% to 18% rate of low birth weight and prematurity, respectively. Since its inception, EFM has demonstrated a 50% decrease in these adverse birth outcomes for women enrolled in the program.

To further reduce health disparities, EFM implemented the use of the Eco-Cultural Family Interview (EFI) to help better identify the social, economic, and mental health needs of our families. The Eco-cultural Family Interview is a guided conversation with parents or caretakers about how they run their daily routine – how they plan, implement, and sustain family activities. It has been found that the information revealed in a family's daily routine is what matters most in children's lives and serves as the best indicator of family well-being. The EFI is based on a family's “ecology,” or their resources and constraints, and the family “culture,” which is their beliefs and values. The EFI's goal is to uncover how the family creates and implements their daily routine, and why. The information ascertained is subsequently turned into better care plans, and therefore better outcomes for families.

Learning Objectives:
1. Describe how a community-based home visiting model has improved birth and child outcomes and decreased health disparities in high-risk neighborhoods 2. Explain how to use a conversational interview rather than a structured questionnaire or assessment form. 3. Analyze how a conversational interview will better help uncover the strengths and barriers that can help or hinder the family in meeting their needs. 4. Demonstrate how to code and score conversational interviews and turn qualitative data into quantitative outcomes

Keywords: Infant Mortality, Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a licensed adavance practice social worker, having receiving a Masters Degree in Social Work from the University of Wisconsin-Milwaukee. I have over twelve years of experience in developing, managing, and monitoring public health programs; working with community partners; and serving Milwaukee’s marginalized families. Currently I am the Program Manager for Empowering Families of Milwaukee a comprehensive, intensive, community-based home visitation program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.