<p> MATERNAL INFANT HEALTH PROGRAM (MIHP) INFANT PLAN OF CARE Part 2 Interventions By Risk Level</p><p>Beneficiary: </p><p>Feeding and Nutrition</p><p>INTERVENTION RISK INFORMATION INTERVENTIONS LEVEL Using Motivational Interviewing techniques, complete the following interventions:</p><p>Refused all interventions</p><p>Not currently enrolled in WIC 1. Provide information (phone number, address) about local WIC Program MODERATE Date 1st Addressed: Date: Does not hold baby while feeding 2. Assist family with enrolling infant in WIC Puts baby to bed with liquid other than Date 1st Addressed: water in bottle 3. Educate regarding concerns of bottle propping Poor weight gain/not following growth Date 1st Addressed: curve 4. Educate family about baby bottle tooth decay Parent has concern or question about Date 1st Addressed: infant feeding 5. Discuss growth chart findings Early introduction of solids Date 1st Addressed: </p><p>Feeding inappropriate foods to infant 6. Educate on infant feeding cues Date 1st Addressed: Premature Infant 7. Review proper formula preparation Difficulties eating Date 1st Addressed: </p><p>8. Review infant feeding guidelines Date 1st Addressed: </p><p>9. Educate on when to introduce solids Date 1st Addressed: </p><p>10. Refer to physician, Early On or Occupational Therapist for feeding difficulties Date 1st Addressed: </p><p>I005 1.1.17 MATERNAL INFANT HEALTH PROGRAM (MIHP) INFANT PLAN OF CARE Part 2 Interventions By Risk Level</p><p>11. Discuss family and household attitudes, beliefs and practices and how they may affect infant feeding (e.g. bottle propping, early introduction of solids, etc.) Date 1st Addressed: </p><p>12. Refer to lactation counselor after obtaining physician’s order Date 1st Addressed: </p><p>13. Refer to Registered Dietitian after obtaining physician’s order Date 1st Addressed: </p><p>HIGH No age appropriate food for infant (i.e. no In addition to Moderate interventions: Date: formula and mom is not breastfeeding) 14. Discuss resources for obtaining infant formula Date 1st Addressed: </p><p>15. Create a plan so family does not run out of formula again in the future Date 1st Addressed: </p><p>16. Contact CPS at 855-444-3911 if family cannot resolve this issue immediately Date 1st Addressed: </p><p>I005 1.1.17</p>