HomeMy WebLinkAbout20000452.tiff RESOLUTION
RE: APPROVE GRANT APPLICATION FOR TEEN PREGNANCY WORK GROUP
PROGRAM AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Grant Application for the Teen
Pregnancy Work Group Program from the County of Weld, State of Colorado, by and through
the Board of County Commissioners of Weld County, on behalf of the Weld County Department
of Public Health and Environment, to the Colorado Department of Public Health and
Environment, with terms and conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Grant Application for Teen Pregnancy Work Group Program
from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Department of Public Health and
Environment, to the Colorado Department of Public Health and Environment be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 23rd day of February, A.D., 2000.
BOARD OF COUNTY COMMISSIONERS
, v WELD COUNTY, COLOR DO
ATTEST: ALtu1
Barbara J irkmeyer, hair
�e':.tin,Q:22
Weld County Clerk to �BY: ',
44, I M. J. i e, Pro-Tem
Deputy Clerk to the Bo"� �� -r -(
e rge . Baxter
APPROVED AS TO F RM:
Dale K. Ha
- County A ey EXCUSED DATE OF SIGNING (AYE)
Glenn Vaad PC: lita 2000-0452
HL0027
Asit.
COLORADO
MEMORANDUM
TO: Barbara J. Kirkmeyer, Chair, Board of County Commissioners
b rd
FROM: Pat Persichino, Interim Director, Department of Public Health and
Environment
SUBJECT: Weld Teen Pregnancy Work Group Grant Application
DATE: February 18, 2000
Enclosed for Board review and approval is a grant proposal to the Colorado Department of
Public Health and Environment from the Weld County Department of Public Health and
Environment.
This proposal is for the development of a pilot project to reduce the number of repeat
pregnancies in Weld County's teen population. It would be a joint effort between the Weld
County Departments of Social Services, Human Services, and Public Health and Environment.
If funded, the grant will provide staff time for program planning and protocol development,
printed educational materials and incentives for participants. The requested funding is for$5,084
for the time period March 1, 2000 through June 30, 2000.
I recommend your approval of this proposal.
Enc.
2000-0452
NLa).x'7
History
In the spring of 1999,the Colorado Trust issued its report, "Colorado Kids Count."This report
ranked Weld County as 8th out of 62 counties in the state for teen fertility rates, 8th for late prenatal
care, and 13th for live births to unmarried women. Further research by Weld County Department of
Public Health and Environment's (WCDPHE) staff through COHID's database showed Weld
County's teen pregnancy rate of 16%to be significantly higher than the state average of 12%. While
these reports did not specifically comment on what number of pregnancies were "unintended," they
did raise our awareness that more work needs to be done in our county to prevent unintended
pregnancies, especially among our teens. It is no secret to our staffs that increasing numbers of teens
are coming to our free pregnancy screening clinic with a positive test for the second or even third
time. Often they have not seen any provider for family planning services since delivery of their last
child. Too many Weld County Teens are falling through the cracks and not receiving services
necessary to prevent the first, second third or more pregnancies. With each additional unintended
pregnancy the burden on the mother, the child and the community becomes more unmanageable.
It was decided at the executive level that preventing unwanted pregnancies should become a
higher priority in our agency and that the teen population should be the highest priority. WCDPHE's
Executive Director, Medical Advisor, and the Director of Public Health Education and Nursing
brought supervisory staff together in the summer of 1999 to advise the group of this decision and
to discuss strategies for implementation. Further discussion brought to light the need for an informal
community assessment, to determine what services were available for teens seeking reproductive
health services and perinatal care. A work group to evaluate service availability was needed and the
Women's Health Section took the lead in that endeavor. Thus the "Weld Teen Pregnancy Work
Group" (which was definitely wanted, intended and preplanned) was conceived and born.
Work to Date:
In August of 1999, the Women's Health Supervisor pulled together a core group of providers
for the first meeting of the Weld Teen Pregnancy Work Group. Agencies represented included North
Colorado Medical Center, Monfort Children's Clinic, First Steps, and Weld Department of Social
Services. WCDPHE staff also attended, with representatives from Women's Health, Children's
Health and Health Education. This core group has met monthly since August at WCDPHE. Meetings
have focused on what services are being provided, identifying gaps in services, and identifying key
stakeholders in the county that may be included in the future. Although more than 50 agencies and
providers were identified that play some role in services to teens in Weld County, the work group
has more work to do before taking any plans to such a large and diverse group. Goals of this group
include writing a formal mission statement,identifying steps needed to provide "seamless entry" into
Weld County services for pregnant teens (no matter what agency has the first contact) and to follow
that entry with appropriate prenatal care, postpartum follow-up with a strong emphasis on family
planning, and well child care for the infant.
The Unintended Turn of Events:
In December of 1999, the Weld Department of Human Services joined the work group.
Subsequent to that meeting, WCDPHE's Interim Director, the Director of Public Health Education
and Nursing and our women's health supervisor met with Weld's Director of Human Services and
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the Weld Department of Social Services Medicaid Director to brainstorm the possibility of a
collaborative effort among the three agencies targeting the second unintended teen pregnancy in
Weld's TANF population. It was decided that a trial program would be started with a limited number
of clients (possibly starting with five). WCDPHE's nursing division would become a vendor for
Social Services, who would pay a fee for service for each face to face visit with the client.
The Weld County Repeat Teen Pregnancy Project:
Our mission, then, is to develop a trial program for first time pregnant teens, using the
combined skills and resources of three Weld County agencies, the Health Department, Human
Services and Social Services. This program would be developed with the involvement of each
agency to fit expected goals and desired outcomes of each agency.
These agencies share a desired outcome of no repeat pregnancy, at least within the first year
after delivery. Human Services' more specific focus is, so that she is able to complete education or
job skills training so that she may return to or join the work force as a productive member of our
community with the means to provide for her child. Social Services has the expected outcome that
the teen be able to comply with their Individual Responsibility Contract(IRC)mandated by TANF
regulations, so that they do not lose benefits through sanctions for noncompliance. WCDPHE's
focus is to provide family planning and to promote the health of the family. The nurse home visitor
would provide the means to prevent further unintended pregnancies through education, counseling,assessments,referrals,networking, and of course provision of family planning supplies and services.
The nurse would be a bridge between Social Services, Human Services, and the Health Department
to ensure that the teen has the best possible opportunity to make health life choices for herself and
the newborn.
We are seeking a grant from CDPHE Women's Health Section to help us develop this project
from idea to client registration by June 30, 2000. Before WCDPHE can enroll its first client, several
steps need to be completed. First, is orienting Human Resources and Social Services staffs to
WCDPHE, its mission, programs and home visit staff. This will be accomplished by the Women's
Health supervisor giving a series of six presentations at those agencies. These have already been
scheduled throughout the month of March, at the convenience of Social Services and Human
Resources staff.
Next an interagency referral system will need to be developed to ensure smooth transition of
the client from the Baby Care/Kids Care application through the TANF process and enrollment in
Human Services programs. The three agencies would meet to discuss this process, with WCDPHE
as the lead agency responsible for developing the necessary forms. We will also be responsible for
setting up the billing process, beginning as a vendor for Social Services. Ultimately our goal is to
have the ability to bill Medicaid directly for the home visitation services, family planning services
and well-child follow-up care, including immunizations. Also, needing to be developed is a
tracking/tickler system to enable us to account for time and resources as well as measure outcomes.
We also plan to investigate the use of incentives for clients who are successful in delaying an
unintended pregnancy.
Currently we are considering 2-4 home visits in the prenatal period, and postpartum home
visits in the first, second and fourth weeks after delivery with a birth control method initiated by four
weeks postpartum. From that point, visits would be scheduled for 3 months, 6 months, 9 months and
1 year following delivery. During these visits in addition to family planning issues,the home visiting
nurse would address such issues as prenatal care, problems during pregnancy, nutrition, substance
abuse issues, labor and delivery, breast feeding, child growth and development, well child care,
parenting skills, day care issues, bonding and attachment issues, financial, educational and career
goals and issues, and infant stimulation and reading promotion (we already have offers of book
donations from Read Aloud Weld County.) Other issues and psycho-social concerns would be
addressed as needed.
This project would be deemed successful if at one year after delivery, the client had not
become pregnant a second time, was successful in Human Resources trainings and programs, and
had minimal financial losses due to TANF sanctions. At this time, a second year of follow-up could
be instituted with a goal of no unintended pregnancies for a second year, should the collaborating
agencies feel that the program was valuable and successful.
The Budget:
Our budget includes nursing time so that a part-time Public Health Nurse can work hours
additional to her regular hours, and so that the women's health supervisor can also set aside time.
These hours will be spent on program planning and protocol development, networking with other
community agencies, creating necessary forms and referral systems, and choosing and ordering
necessary supplies and equipment. Other budget items are listed below.
Home Visit RN time 100 hours @ $19.04/hr . $1904
Women's Health Supervisor time 50 hours @ $21.63 $1080
Overhead 7% of$5000 $350
Printing costs $200
Mailings (500 @$0.29 $145
•
Teen Breastfeeding and Birth Control Videos $140
"Stages of Labor: A Visual Guide for Teens" Video $250
Miscellaneous pamphlets and handouts related family planning,
pregnancy, child development etc. $250
Supersized diaper packs as incentives (35 at $17 each) $595
Why Should I Breastfeed My Baby? (10 books at $5 each) $50
12 month Baby calendars (10 at $12) $120
Total $5084
M:\NURSING\WPFILES\TEENPREG.WPD
Project Title: Weld Teen Pregnancy Work Group
Applicant's Name: Weld County Department of Public Health and Environment
Address: 1555 N 17th Avenue
Greeley Co 80631
Phone: (970) 304-6420
Contact Person: Kris Embree, Supervisor of Women's Health Services
(970) 304-6420 Ext. 2312
Amount Requested: $5,084
WELD COUNTY BOARD
OF COMMISSIONERS
Barbara Kirkme er, Chai (02/23/00)
WELD COUNTY CLEgIC.T
Al/dEjjV
By:
Deputy Clerk to the UN ',
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