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Building a System of Support for Evidence-Based Home Visitation Programs in Illinois: Findings from Year 4 of the Strong Foundations Evaluation

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Building a System of Support for Evidence-Based Home Visitation Programs in Illinois: Findings from Year 4 of the Strong Foundations Evaluation Building a System of Support for Evidence-Based Home Visitation Programs in Illinois: Findings from Year 4 of the Strong Foundations Evaluation Julie Spielberger Elissa Gitlow Carolyn Winje Allen Harden 2014 Building a System of Support for Evidence-Based Home Visitation Programs in Illinois: Findings from Year 4 of the Strong Foundations Evaluation Julie Spielberger, Elissa Gitlow, Carolyn Winje, Allen Harden Recommended Citation Spielberger, J., Gitlow, E., Winje, C., & Harden, A. (2014). Building a System of Support for Evidence-Based Home Visitation Programs in Illinois: Findings from Year 4 of the Strong Foundations Evaluation. Chicago: Chapin Hall at the University of Chicago. ISSN: 1097-3125 © 2014 Chapin Hall at the University of Chicago Chapin Hall at the University of Chicago 1313 East 60th Street Chicago, IL 60637 773-753-5900 (phone) 773-753-5940 (fax) www.chapinhall.org Acknowledgments We would like to acknowledge several individuals and organizations that made this report possible. We appreciate the staff of the 15 home visitation programs who participated in this study. Although for reasons of confidentiality we cannot name them here, they welcomed us to their programs and openly gave of their time and information. We also thank the state leaders and participants in the initiative, including representatives of the Illinois Department of Human Services, the Illinois State Board of Education, the Illinois Department of Children and Families, the Ounce of Prevention Fund, and Voices for Illinois Children, among others who provided information and perspectives on the initiative. At Chapin Hall, we benefited from early guidance from Neil Guterman, who served as co-principal investigator for the first year and a half of the evaluation, as well as from members of an advisory group—Deborah Daro, Sydney Hans, Jon Korfmacher, and Cheryl Smithgall. We especially want to thank Adi Barak and Aaron Banman for their assistance with the analysis of data for this report. Finally, we are grateful to the Children’s Bureau and the Illinois Department of Human Services for supporting this evaluation. Table of Contents Executive Summary ...................................................................................................................................... viii Key Findings and Conclusions ................................................................................................................... ix Introduction ..................................................................................................................................................... 1 Overview of this Report .............................................................................................................................. 5 State Context and System for Evidence-Based Home Visitation Programs .................................................... 6 Home Visiting as Part of the Early Childhood Development System ........................................................ 7 Leadership and Governance ........................................................................................................................ 9 Supporting Quality .................................................................................................................................... 18 Community Systems Development ........................................................................................................... 33 Training and Professional Development ................................................................................................... 38 Financing and Sustainability ..................................................................................................................... 39 Summary ................................................................................................................................................... 44 Training and Professional Development ....................................................................................................... 46 Big 4 Training Opportunities .................................................................................................................... 47 Supervisor Learning Communities ........................................................................................................... 59 Other Learning Opportunities for Home Visiting Program Staff .............................................................. 66 Future Development of the Training Infrastructure .................................................................................. 69 Summary ................................................................................................................................................... 74 Program Implementation: Administrative Data Study of Trends in HFI Services and Clients ..................... 76 HFI Caseloads and Clients, State Fiscal Years 2006–13 .......................................................................... 77 HFI and other DHS Social Service Programs: WIC, FCM, and EI .......................................................... 91 Links to DCFS Child Abuse and Neglect Investigations .......................................................................... 94 Summary of HFI Administrative Data Findings ..................................................................................... 101 Summary and Conclusions .......................................................................................................................... 104 Key Findings ........................................................................................................................................... 105 Concluding Thoughts .............................................................................................................................. 116 Bibliography ................................................................................................................................................ 118 Appendix A: Original Strong Foundations Logic Model ............................................................................ 123 Appendix B: Ratings of Individual Items on Wilder Collaborative Factors Inventory by State Informants ..................................................................................................................................................................... 125 Appendix C: Descriptions of Strong Foundations’ Big Four & Supervisor Learning CommunitiesTrainings ..................................................................................................................................................................... 130 List of Figures Figure 1. Average Monthly HFI Caseload, by Region and SFY Quarter ...................................................... 83 Figure 2. Percentage of Home Visits Completed, by Region and SFY Quarter ............................................ 84 Figure 3. New Enrollments in Healthy Families Illinois Programs, by Region and SFY Quarter ................ 85 Figure 4. Terminations from Healthy Families Illinois Programs, by Region and SFY Quarter .................. 86 Figure 5. Net Change in Healthy Families Illinois Caseload, by Region and SFY Quarter .......................... 86 Figure 6. Enrollments by Timing of Childbirth, by SFY Quarter ................................................................. 89 Figure 7. Enrolled Children in Investigations of Child Abuse and Neglect, SFY 2006–13 .......................... 96 Figure 8. Enrolled Children Investigated by DCFS within One Year of Birth.............................................. 97 Figure 9. Enrolled Children Investigated by DCFS within Two Years of Birth ........................................... 97 Figure 10. Cumulative Proportion of HFI Clients Involved in DCFS Investigations ................................... 99 Figure 11. Cumulative Proportion of WIC Clients Involved in DCFS Investigations .................................. 99 Figure 12. Cumulative Proportion of Early Intervention Clients Involved in DCFS Investigations ........... 100 Figure 13. Cumulative Proportion of Family Case Management Clients Involved in DCFS Investigation 100 Figure A-1. Original Logic Model for Strong Foundations (June 2009) .................................................. 124 Figure C-1. Big Four Training Description .............................................................................................. 131 List of Tables Table 1. State Informants’ Self-assessment on Wilder Collaboration Factors Inventory(N = 12)a ............... 16 Table 2. Breakout Sessions from the Innovations in Quality: Illinois Home Visiting Summita ................... 31 Table 3. Training Attendance by Training Topic a ........................................................................................ 49 Table 4. Characteristics of Big 4 Training Participants ................................................................................. 51 Table 5. Participants’ Perspectives on Training Content ............................................................................... 53 Table 6. Participants’ Perspectives on Quality ofTraining ............................................................................ 54 Table 7. Participant Views on Whether Training Met Objectives ................................................................. 55 Table 8. Participant Opinions of the Coursea................................................................................................. 56 Table 9. Comparison
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