Gov. Mike DeWine (Ohio) Announces Launch of Family Connects Ohio in 11 communities with plans to reach statewide in 2024 State of the State Address

The video above has been set to play right before Governor DeWine starts speaking about Family Connects at the 39 minute mark.

“I’m also pleased today to announce that we will be launching a new pilot program in 11 Ohio counties that we’re calling Family Connects. Every new mom will be eligible in these 11 counties to receive a visit from a nurse about 3 weeks after delivering her baby. These visiting nurses can guide families to clinical or community supports, recognize when a mom and a baby may need additional help as a result of exhaustion or trouble with breastfeeding, and remind or teach new moms about how a baby can sleep safely. Similar programs that we’ve looked at have shown a track record of reducing infant mortality. In places where these programs have been implemented rates of Child Protective Services investigations have decreased by 44% and mothers have shown a 30% drop in postpartum depression and a 50% reduction in emergency room visits. In our next budget that I’ll present to you next year, I’ll be asking you for additional support to take that Family Connects program statewide.”

Breaking Barriers: Advancing Maternal Health through Policy and Practice

Advocates gather outside of Rep. Jeff Jackson’s office after a meeting.

By: Melea Rose-Waters, MSW, Senior Policy Director, Family Connects International

Participants who attended the National Home Visiting Summit had a busy and productive day on Capitol Hill! From January 31 to February 2, 2024, our Nation’s Capital was filled with advocates for children and families as they attended the National Home Visiting Summit. During this part-advocacy and part-educational event, participants were given the opportunity to schedule meetings with their congressional delegation, also known as Hill visits. These meetings were organized by a state lead and guided by preparation provided by the Start Early Community of Practice on Advocacy and Policy and a strategy session the morning of the visits on January 31st.

Family Connects International’s senior policy director, Melea Rose-Waters, organized meetings with members of Congress across different states and participated in visits with a number of advocates from home visiting models, early literacy groups, community-based organizations, and academia. We walked the halls of Congress and sat at tables together with members and staffers with a common goal: raising awareness for the need to support children and families.

Moving Upstream

A holistic approach to child and family support begins upstream, and the United States is currently facing a maternal mortality public health crisis. The U.S. has the highest pregnancy-related death rate among developed nations and that rate rose a staggering 40% in 2021 compared to the previous year. The maternal mortality rate for Black women is nearly three times higher than the rate for white, non-Hispanic women. These stats beg the question: how is this happening in a country with one of the most advanced health care systems in the world?

There isn’t one simple solution to prevent potential health complications postpartum, but there is certainly more we could be doing as a country today to demonstrate that the health and well-being of moms and babies is a priority.

Family Connects: A Universal Solution to a Preventable Crisis

Family Connects is an evidence-based program where a nurse visits families with newborns in the first few weeks postpartum. In the select communities where the service is available, it is offered universally to everyone and at no cost to the family. A visit is scheduled with the family before leaving the hospital and three weeks later, the nurse comes to the home to visit mom and baby. The visit is an extension of the medical care provided by their OBGYN and can bridge a gap between the family and an entire community system of care that is available – from childcare resources to breastfeeding support.

Medical assessments aren’t the only areas that the nurses cover during visits. They carry with them a wealth of knowledge about the best care for moms and newborns, and they help connect families to the resources that are available to them in their communities. The program has been shown to reduce postpartum anxiety, increase the likelihood that mom attends the recommended six-week postpartum health check, and improve overall health and well-being for both mom and baby.

In the US, infants typically visit their pediatricians several times in the first few weeks of life, yet moms are typically seen by their providers about six weeks postpartum, leaving a six-week span of zero care. For some moms, these visits are a matter of life and death.

A Call to Action for Policymakers and Providers

The Washington Post featured an op-ed on August 18th, 2023 titled “Want to fix America’s maternal health crisis? Here’s where to start” that highlighted data-driven policy recommendations to provide the best maternity care. These recommendations underscore themes that maternal health experts have been saying for decades: what we’re doing isn’t working.

Providers need to pay more attention to the health and well-being of moms during the postpartum period, prioritize equity to address maternal mortality risks that are disproportionately impacting people of color, and look to what has worked well in other countries to improve maternal health outcomes. A call to action for both policymakers and the medical community, with a roadmap of strategies that can change outcomes and support families during a vulnerable – and sometimes scary – life transition into parenting a newborn.

A Gold Standard of Postpartum Care

Currently, two states are bringing Family Connects statewide, and there is a scattering of communities across the country that have also seen the value in nurse visits for new moms. A national crisis like the maternal mortality rate needs innovative, universal solutions. What we’re doing isn’t enough and it isn’t working. Moms and families deserve more. Imagine what is possible with a gold standard of postpartum care that includes a holistic approach that starts prenatally and continues well into the fourth trimester – the critical time postpartum that is most dangerous for new moms, with the highest risk of maternal death occurring during the first 42 days postpartum. Family Connects nurses are saving lives.

Want to know how you can meet with your policymakers? Stay tuned for our next blog post for Community Partners on how to organize and execute effective meetings with policymakers.

Learn more about the policy priorities for Family Connects International, the home office of Family Connects located in Durham, NC, or connect directly with us at melea@familyconnects.org.  Want to learn more about the Home Visiting Summit? Check out this blog post from Start Early on Four Takeaways from the National Home Visiting Summit.

Bridging gaps in Chicago’s postpartum health care coverage

A city program provides free, at-home medical visits to new parents.

After Kristen Nuyen gave birth to her son in September, she received a free, at-home medical visit through Family Connects, a Chicago Department of Public Health program that partners with participating hospitals around the city. Nuyen expected the standard, postpartum visit to take half an hour. Instead, the nurse spent more than three hours in her home—but not due to any emergency or medical issue.

“Instead of me being on the exam table, we were sitting on my couch, so it was very conversational, and I had the baby with me,” Nuyen tells the Reader. “It felt more relaxed, like I was talking to a friend—a friend who just happens to know everything.”

Nuyen’s experience stands in stark contrast with the current trend in medical visits, which, according to a 2018 study, average fewer than 20 minutes for an appointment. This extra time spent with patients is especially important for those in the postpartum period—usually lasting for six to eight weeks following childbirth—during which time the newborn and birthing parent are at the highest risk of health complications and require close monitoring.

According to a 2023 Illinois Department of Public Health report, pregnancy-related deaths in the state climbed from 88 to 110 between 2018 and 2020. The highest concentration of these deaths occurred in Chicago and the surrounding suburbs, and rates of postpartum morbidity and mortality are twice as high for Black birthing parents. The study identified the strongest predicting factors to be inadequate access to prenatal and postpartum care, and estimated that 91 percent of postpartum deaths are entirely preventable.

“Every birthing parent, [every] adoptive parent should at least have one nursing visit at home within the first three weeks,” says Janae Rhodes, nurse supervisor at the University of Chicago Medicine’s partner program with Family Connects. “There’s so many unknowns and adjustments involved during this period.”

Nuyen’s experience with her Family Connects nurse made her feel more prepared to respond to any unexpected issues that could come up. “We don’t have a lot of family in the city, and the nurse asked, ‘If there was an emergency in the city, what would you do?’” Nuyen says. “They gave me the contact information of an emergency nurse, and if something were to come up, they told me to call at any time.”

Nurses in the program are also instructed to walk parents through the postpartum warning signs—symptoms like fever, trouble breathing, dizziness, and severe headache—and encourage patients to schedule follow-up appointments with their doctor.

For Nuyen, her experience with Family Connects began long before she was pregnant. She’s worked at EverThrive Illinois—a reproductive justice nonprofit that works closely as a partner organization with Family Connects—for more than eight years. There, Nuyen leads two community alignment boards, or community-based organizations, in Chicago’s south side, which work in tandem with Family Connects nurses to ensure clients are covered regardless of their needs.

Although Family Connects currently provides one at-home visit, nurses work with families to create a plan for continued care through doctors and other medical support. “They will sit with the person while they call the doctor’s office to schedule your postpartum check up,” Nuyen says. “We can see from the data that 95 percent of people who participate in the program will go on to have their visit, which is much higher than what we see generally.”

The program uses a referral system to act as a liaison for parents, providing families with information and connecting them to medical support and material resources like diapers, which are not covered by food assistance programs like WIC in Illinois.

After working in the maternal and child health field for years, Nuyen was surprised when the Family Connects nurse informed her of resources that she didn’t realize were available. “They had a lactation consultant who was on demand and available, and I called that consultant like once a week for months after that visit,” Nuyen said.

Clients can also use the program to access other types of support, ranging from affordable housing referrals to guidance navigating resources for mental health, transportation assistance, and childcare.

“You would think some of these things are easy to find within the community,” Rhodes says. “But a lot of these resources aren’t easy to find—even through Google.”

Family Connects is also available for parents who suffer from perinatal loss and seeks to address the needs of families using a holistic approach.

“Sometimes it’s about consoling and supporting what they might be experiencing emotionally,” Rhodes says.

Family Connects at the National Home Visiting Summit

On February 2nd, FCI’s Acting CEO, Jenny Jensen, presented with Family Connects Frederick County (Maryland) at the National Home Visiting Summit held in Washington, DC. Their presentation “Redesigning Postpartum Health Care to Include Universal Nurse Home Visits” highlighted the postpartum experience and innovative health care. FC Frederick County has been a certified partner since 2023 and you can learn more about their work at https://www.frederickhealth.org/…/nurse-visit-at-home

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Connect With Us – Introductory Overview of the FCI Model

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Interested in Learning More about the Family Connects Model?

FCI is inviting conversation with anyone interested in learning more about Family Connects. Each session will have a different theme.
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Register here for one or more sessions:


A Universal Approach for Health Equity

March 4, 12-12:30pm EST

Nurses and Community Health Workers in the FC Model

May 6, 12-12:30pm EST

Home Visiting in Rural Communities & Maternity Care Deserts

August 5, 12-12:30pm EST

Using Data to Inform Community Change

October 28, 12-12:30pm EST

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FCI Voices: A Message from Pierce County

Universal Home Visiting for newborns and their families is our priority at Family Connects International. We have made it our mission to strengthen connections for families with newborns and link them directly to health and community care resources. Learn more about Family Connects International today!

Last November, Washington-Pierce County became a certified Family Connects Community Partner. In this post for our blog series “FCI Voices for Universal Newborn Care”, we will learn from Pierce County about the importance of certification in their own words.

A Message from Pierce County, WA

When we launched Family Connects Pierce County in March 2021, we really had no idea if the program would take or what impact we could truly have on families in our community. What we did know, is that we were confident in our local leaders’ decision to choose a reputable national program able to respond to Pierce County’s enduring child welfare crisis, and confident that our implementing agencies were capable and equipped to deliver the program effectively.  Achieving certification means so much to us in Pierce County. As the only Family Connects site operating in Washington State, certification adds credibility to our program. When families feel like they can trust a program and trust our nurses, they will seek the postpartum care they need and deserve, and we can provide the most comprehensive wraparound support to them.

Our road to certification felt very much like a rollercoaster. As soon as we felt like things were moving along well, we would be humbled by a hiccup requiring a swift change in course to respond and redirect. Our implementation specialist was right there with us from the start, and we honestly could not have achieved as much as we did so early in implementation without her thoughtful feedback, knowledge of our unique community, attention to detail, and moving data. When FCI transitioned to a nonprofit and assigned a new implementation specialist, we felt equipped to pivot and continue to support our families with the best postpartum support knowing we built a strong foundation. We are grateful to FCI for their grace in answering our questions and supporting our team along the way.

I would encourage interested communities to first really center the community’s voice in deciding if this program is a right fit for them. Once you’ve achieved that decision, hop on the rollercoaster, and enjoy the ride. There is beauty in the journey, and for us, that beauty has been learning with and from other Family Connects sites, which has only bolstered our local Family Connects program. We have especially found beauty in the families we’ve served, who have trusted us wholeheartedly with a completely new way of thinking about postpartum and the fourth trimester. Without them, there would be no Family Connects Pierce County.

Thank you, Pierce County, for sharing your experience and for providing resources and home-visiting care throughout the year! Interested in launching a Family Connects Partnership? Visit FamilyConnects.org today to learn more!

Program in south Arkansas provides free nurse visits to mothers with newborns

Pictured: Family Connects Union County Director of Women’s Services, Alison Stone, and Family Connects Home Visitor, Heidi Klappenbach (Source: https://www.arcf.org/give-smart-blog/following-baby-back-home/)

“They don’t really feel like just nurses coming out to your house,” Rosson said. “The way they speak is more encouraging, and they just make sure you’re OK,” Family Connects Union County participant Hannah Rosson shared in a recent story that ran in both the Arkansas Democrat-Gazette and the El Dorado Times “Program in south Arkansas provides free nurse visits to mothers with newborns.”

Family Connects Union County, located in El Dorado, Arkansas, is a certified Family Connects partner and nurses have been providing visits in their community since 2019. Arkansas state house Representative Julie Mayberry introduced HB 1103 in 2023, which directs the state Department of Health to establish a universal newborn home nurse visitation program and required health plans to cover the services offered by the program.

Read the full story here: https://www.eldoradonews.com/news/2023/dec/27/program-in-south-arkansas-provides-free-nurse/

Learn more about Family Connects Union County: https://www.arhomevisiting.org/modelname/fcuc/