Family Connects Chicago Highlighted in Healthy Chicago Podcast

Nancy Segall (Clinical Director at Beyond the Baby Blues) and

Monica Mitchell (CDPH Public Health Administrator)

Monica Mitchell and Nancy Segall discuss the importance of maternal mental health and available resources to support mothers at a crucial time.

Listen:

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Watch:

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FCI, works with community partners across the USA, such as Family Connects Chicago, to ensure ALL newborns and families receive equitable and quality health care, support and resources.

Family Connects Universal Home Visiting Model Supports Maternal Mental Health

The perinatal period is often described as a time of joy and hopeful expectation for mothers and families of newborns. The mounting pressure for mothers to display excitement and happiness during this time is enormous for some. It is no surprise that mothers of newborns often feel alone and experience increased sadness and low mood. Mental health challenges are very common and can impact any mother or expecting mother, regardless of background, during the perinatal period.

During Mental Health Awareness Month, Family Connects International highlights the importance of maternal mental health and well-being. Mental health disorders in mothers, such as mental health conditions and substance use disorders are major factors contributing to maternal deaths. In 2022, the CDC reported that over 80% of perinatal deaths were preventable. 23% of perinatal deaths are linked to mental health conditions including feelings of despair, restlessness, or substance abuse, which are the most significant problems associated with pregnancy, childbirth, and the postnatal period, affecting one-fifth of women. According to the CDC, one in eight women experience postnatal depression.

Though mental health conditions related to the perinatal period are not completely preventable, they can be managed, making recovery possible when symptoms of depression are detected, and mothers are provided with the resources needed to address their concerns.

Maternal Mental Health Warning Signs

During a Family Connects nurse home visit, registered nurses examine infants and assess mothers for needs and concerns. When a mother shares that she has been experiencing symptoms of depression, anxiety, or any mental health condition, Family Connects’ registered nurses address the need by connecting her to local resources that will support and help her on her path to recovery.

Some risk factors for maternal mental health conditions are:

  • History of mental health issues
  • Family history of depression and anxiety, or any other health conditions
  • Chronic health issues
  • Relationship challenges during the perinatal time

During the postpartum period, mental health conditions may interfere with a mother’s ability to bond with her newborn, which is critical during this time. Women with postpartum depression may experience long-term sadness, lack of pleasure or disinterest in activities they usually enjoy, negative thoughts about their newborns or themselves, suicidal ideations, or other signs related to mental health challenges. It is important to understand the signs of perinatal mental health conditions and to connect mothers to resources to address their needs to make a full recovery.

Our mission is to ensure every family of a newborn receives equitable care within three weeks of birth. The Family Connects Universal Home Visiting Model addresses common challenges and concerns, including physical and mental health conditions. It also connects mothers to local support systems and resources to meet their needs. During a Family Connects nurse home visit, personalized plans and goals may be created in collaboration with the mother for childcare, health, and returning to work, if the mother chooses.

How Family Connects International Provides Care and Resources to Support Maternal Mental Health

The Family Connects Model integrates medical assistance with mental health resources. Family Connects International equips our community partners with training, resources, and support to connect families to local resources and provide newborns and their families with quality care. Registered nurses meet mothers and newborns at their homes, or at a location they are comfortable with, free of charge. Meeting mothers where they are most comfortable allows registered nurses and mothers to have conversations they might not normally have in public medical facilities.

The resources Family Connects nurses offer align with the mother’s mental health and physical needs discussed during the nurse home visit. Our registered nurses listen to mothers and work to provide them with needed tools and resources based on the needs identified. By the end of the nurse home visit, mothers are empowered and equipped to get the care they deserve. Studies have shown that the Family Connects early intervention program reduces the risk of mental health conditions. In a 2014 study, evidence indicated that the Family Connects model can reduce the likelihood of postpartum depression or anxiety by 30%.

Family Connects’ registered nurses are trained and equipped to address the whole person’s needs and the needs of their newborns and families. Our nurse home visits are completely confidential. There are countless accounts of new parents and their families who receive a nurse home visit from a Family Connects registered nurse highlighting the exceptional level of care delivered by our community partners and healthcare professionals. The testimonials received underscore the quality services our dedicated teams of nurses provide, ensuring the well-being of families and infants in communities nationwide. Our commitment to excellence shines through in the positive experiences and stories of those who have benefited from our nurse home visits.

Our mission revolves around ensuring that all families receive the necessary care and support during this crucial time. Family Connects Nurses embody our mission every day. To learn more about our nurse home-visiting model and how it improves the lives of mothers and newborns visit our website at FamilyConnects.org. Interested in becoming a community partner of FCI? Visit https://familyconnects.org/join-us/launch-a-family-connects-partnership/.

Dr. Simbo Ige, Chicago Department of Public Health Commissioner on ABC 7

https://familyconnects.org/wp-content/uploads/2024/05/video_default-1-1.mp4

 

 

 

Dr. Simbo Ige, Chicago Department of Public Health Commissioner, talked to ABC 7 about Black Maternal and the availability of Family Connects to new parents in Chicago. Chicago is increasing access to over 16,000 women who will receive a free in home visit from a nurse! 

You can find the full story HERE at ABC 7

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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